Immunologic Nursing Flashcards
an immunoglobulin involved in
macroparasite defense and allergy.
IgE
the development of protection of the body in response to agents that are considered foreign.
immunity
They provide internal protection through enhancing macrophage function and directly killing infected cells.
Natural Killer Cells.
Pyrogens are classified as either:
endogenous pyrogens
exogenous pyrogens
exudates that are the fluid portion of coagulated blood; thin, watery, sticky substance one example is blisters from burns
serous
Ig that has antibacterial, antiviral and antitoxic properties.
IgA
step in exudate elimination that occurs when there is a formation of an abnormal tract between two hallow organs
Formation of fistula
-“secretory immunoglobulin”
-called such because they are found in the exocrine secretions of the body (milk, mucus, saliva and tears)
-protects the mucosal surfaces of the respiratory, digestive and genital tracts from pathogenic invasion by preventing the attachment of bacteria to epithelial surfaces.
IgA
presence of granules in their cytoplasm which represent discrete packets of enzymes used to digest the engulfed microbes or foreign materials
Granulocytes
result of precipitins
precipitation
Ig that functions in the digestive tract of infant through milk
It is the secretory Ig (tears, saliva, milk)
IgA
generally used to denote one particular set of immunoglobulins known to have specificity for a particular antigen
Antibody
its activation and collaboration with other components of the inflammatory response
complementary system
Ig in Secondary Immune Response
IgG
Granulocytes involved in allergy
basophils
least common of the granulocytes, representing about 0.01% to 0.3% of circulating white blood cells.
basophils
Response is produced within hours of contact with an offending antigen but no memory of the immunologic event is produced for future protection hence, innate immunity is said to be short term and temporary.
INNATE IMMUNITY
In systemic manifestations, this entails an increase in the number of circulating WBCs. It is stimulated by the release of biochemical mediators.
leukocytosis
WBC that has no cytoplasm
Agranulocytes
stage of inflammation that starts when the injurious agent has been removed and the wound debris has been cleared away.
repair
prevents entry of harmful agents into the body and keratinized surface cells of the skin provide a tough, dense, waterproof covering.
skin
stage of inflammation that involves A protein molecule which is composed of fibrinogen + thromboplastin + platelets, is released by tissue cells to form clots/fibrin which localizes site of inflammation which in turn provides a framework for tissue.
repair
immunity cells
WBC
Type of immune response:
occurs when antigen enters the body for the first time= production of antibodies (IgM is the first to be synthesized).
pathways of complement activation:
a. Classic pathway
b. Alternate pathway
types of passive immunity
a. Natural Passive Immunity
b. Artificial Passive Immunity-
protects the GI from invasion of
foreign organisms;
tonsils, appendix, peyer’s patches
where the B and T lymphocytes are produced and where B lymphocytes mature.
Bone Marrow
Inspect the skin and mucous membranes for any wounds or lesions
Assess lymph nodes for enlargement or tenderness
Assess for signs of infection anywhere in the body
Physical Assessment
consists of anatomic and chemical barriers that recognize and respond to damaged self-cells or non-self foreign antigens.
Innate immunity
group of proteins produced by various cells when invaded by foreign organisms. They are capable of inhibiting cell growth by slowing down cell replication and enhancing NK cell activity.
Two mechanisms of Cellular or Cell Mediated Immunity:
Generation of lymphokines
Release of lymphokines
network of interacting cells, plasma, protein and organs that defend the body against invasion of microorganism causing damage to it.
Immune system
often called the immune response which develops more slowly compared to the inflammatory response.
adaptive immunity
o Transitory vasoconstriction occurs first in an attempt to prevent bleeding and localize the infection or injury.
o Transitory vasoconstriction is followed by vasodilation leading to increased blood flow to the site of injury.
o The release of vasoactive mediators also increases vascular permeability which allows outpouring of plasma and some blood components into the injured area causing swelling.
Vascular Response
T cells that responsible for the cell mediated destruction of tumor cells or cells infected with virus.
Must directly adhere to the target cell through antigen presented by MHC class I molecules and appropriate CD molecules.
CD4+ cells for HIV
Killer T Cells or Cytotoxic T Cells
where mature immune cells are stored
Secondary Lymphoid Organs
Antigen-Antibody Reaction: antibodies that causes clamping; all antigens with same sizes
clump causing agglutination.
Agglutinins
Details of previous infections, exposure to infection, neoplastic disease, autoimmune disorders, allergies, immunizations and condition of non-specific defenses and factors that may affect them
Past Health History
Granulocytes involved in backing up when phagocytosis arent enough
eosinophils
WBCs which are responsible for most of the body’s adaptive immune response.
lymphocytes
organs/tissues responsible for the
Immune Response:
- Primary Lymphoid Organs
Bone Marrow
Thymus Gland
2.Secondary Lymphoid Organs
*** are significant because it dilute toxins released by bacteria, bring to site substances necessary for tissue repair, and serves as medium for phagocytic cells to migrate into the area to engulf harmful agents, injured cells.
Inflammatory exudates
They play a primary role in inflammation and destroy foreign bodies through phagocytosis.
Neutrophils
type of immunity: in the use of vaccines and toxoids to stimulate homologous antibody.
Artificial Active Immunity
lines all body tracts that have external openings. It is covered by viscous secretions that tend to trap and inactivate microorganisms.
mucous membranes
cytokines that are process specific like adaptive and innate process
Interleukins.
type of immune rsponse: (made possible by memory cells) happens during subsequent exposure.
Secondary Immune Response
activation of complement system is characterized by the release of
opsonins, chemotactic factors, and anaphylatoxins
is brought about by the release of vasoactive mediators (histamine, serotonin, kinins).
vascular response
Secondary Lymphoid Organs is composed of
tonsils, appendix, peyer’s patches
stage of inflammation. It begins just after the injury and most active within the first 24 hours. Exudates that are formed depends on the cause and extent of injury.
Formation of Inflammatory Exudates.
any material that is foreign or perceived as non-self (which are mostly protein) which results to the production of antibodies
ANTIGEN/IMMUNOGEN
Stages of Inflammation
- Vascular-Cellular Response
- Formation of Inflammatory Exudates.
- Repair
Lymphokine that causes lysis of the antigen.
Lymphotoxins
Its action is said to be specific and has memory which enables it to confer permanent or long term protection against specific microorganisms.
adaptive immunity
pyrogens which is induced by pathogens. Leukocytosis entails an increase in the number of circulating WBCs
exogenous pyrogens
result of agglutinins
agglutination.
thought to be the precursors of macrophages that are fixed in tissues
Monocytes
have protein receptors on their
cell surface that allows binding with IgE
basophils
what to assess in physical assessment
skin, lymph nodes, signs of infection
it is due to this cell that there is cancer
they have antigen receptors
T lymphocytes
pathway triggered by the formation of immune
complexes
Classic pathway
usually the first cells to arrive at the site of an infection.
Neutrophils
Some of the ***
that are released to the skin surface by the sebaceous glands have antimicrobial property and inhibit the growth of selected microorganisms.
fatty acids
TYPES of IMMUNITY:
Active Immunity
Passive Immunity
molecules that induce rapid degranulation of mast cells thus increasing inflammation.
anaphylatoxins
MHC for helper T cell (TH)
MHC Class II
Identifies and measures the amount of serum proteins
Electrophoresis
result of Antitoxin/Neutralizing Antibody
neutralization
Stages of Combined Humoral and Cell Mediated Immunity
- Recognition Stage
- Proliferation
- Response Stage
- Effector Stage
results of complement system
opsonization, chemotaxis and
dissolution
stage: Proliferation and differentiation of different types of B and T cells
Proliferation
Functions of Eosinophils:
Serve as body’s primary defense against parasites.
Regulate vascular mediators released from mast cells.
types of active immunity
a. Natural Active Immunity
b. Artificial Active Immunity-
type of immunity: injections of anti-sera from immuned persons
and/or animals
Artificial Passive Immunity
functions of adaptive immunity
specific and has memory
If the antigens are successful in penetrating external protective barriers, an even more complex array of internal defense mechanism comes to play.
internal defenses
are considered important cellular mediators of the inflammatory response
Macrophages
Types of T Lymphocytes
Killer T Cells or Cytotoxic T Cells
Helper T Cells
Suppressor T Cells
Memory T Cells
In Local Manifestations of inflammation. All the local characteristics of acute inflammation result from vascular changes and subsequent leakage of circulating components of the tissue:
redness (rubor), heat (calor), swelling (tumor), pain (dolor), loss of function (function laesa).
A complex collection of circulating and membrane-associated proteins.
Complement System
Immunoglobulins:
-predominant class of antibodies in normal adults
-primary function is to neutralize toxins and inactivate viruses and bacteria.
-constitutes about 80-85% of the immunoglobulins in the blood and accounts for most of the protective activity against infection
IgG
These are antigen coming outside the body.
Foreign
Migrate to the site slower compared to neutrophils because they move more sluggishly and their need for chemotactic factors which are released by neutrophils
Macrophages
contains large amounts of RBC’s which indicates damage within the capillaries themselves.
hemorrhagic or sanguineous
Major Cytokines:
interferons
interleukins
step in exudate elimination that is being done done by the action of macrophages where in it engulfs/absorbs dead tissues
absorption
three properties of the immune system
specificity, memory, recognition
NK cells’ ability to protect is enhanced by macrophages coming in contact with microbes and secreting the ***
NK-activating cytokine interleukin-12.
o antibody mediated immune response where B cells are the ones predominant
o antigen enters the body = B cells are the one to recognize presence of antigen = B cells then undergo differentiation (plasma cell and memory cell) = plasma cells further differentiate into specific immunoglobulin that is necessary in fighting the infection/antigen
Humural Immune Response
how many days will it take for the body to produce antibodies. therefore, the person develops
infection in primary immune response
4-8 days
Diagnostic Procedures
Bone Marrow Aspiration
Electrophoresis
Radioimmunoassay
Immunofluorescence
Agglutination
Complement fixation
Allergy tests
step in exudate elimination that is when the infected area is incised and the exudates are drained
manually.
Incision and drainage