objective 2.8 Flashcards

1
Q

The induction of immunity by administration of a vaccine or toxoid
(active immunization) or antiserum (passive immunization)

A

immunization

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2
Q

type of immunization that causes development of a
complete and long-lasting immunity to a certain infection through exposure of the
body to the associated disease antigen; it can be natural active immunization (ex:
having the disease) or artificial active immunization (ex: receiving a vaccine or
toxoid)

A

active immunization

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3
Q

Suspension of live, attenuated, or killed microorganisms that can
promote an artificially induced active immunity against a particular microorganism.
They are one type of active immunizing drug (ex: tetanus vaccine).

A

vaccines

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4
Q

Immunoglobulin molecules that have an antigen-specific amino acid sequence
and are synthesized by the humoral response system (B cells) in response to exposure to a
specific antigen; their purpose is to attack and destroy molecules of this antigen

A

antibodies

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5
Q

The amount of an antibody needed to reach with and neutralize a given volume of a
specific antigen

A

titre

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6
Q

Substances, usually proteins and usually foreign to a host, that stimulate the
production of antibodies and that react specifically with those antibodies; examples
include bacterial exotoxins and viruses. An allergen (ex. Dust, pollen, mould) is an antigen
that can produce an immediate-type hypersensitivity reaction or allergy

A

antigens

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7
Q

A specific antigen causes the body to produce a specific
antibody that reacts specifically with that antigen

A

antigen-antibody response

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8
Q

Substances of biological origin used to prevent,
treat, or cure infectious diseases (ex: vaccines, toxoids, immunoglobulins); these
drugs are often simply referred to as biologics

A

biological antimicrobial drugs

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9
Q

A repeat dose of an antigen, such as a vaccine or toxoid, usually
administered in an amount smaller than that used in the original immunization,
given to maintain the immune response of a previously immunized patient at, or
return the response to, a clinically effective level

A

booster shot

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10
Q

Resistance to a disease on the part of an entire community or
population because a large proportion of its members are immune to the disease

A

herd immunity

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11
Q

Any poison produced by a plant, animal, or microorganism that is highly
toxic to other living organisms

A

toxin

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12
Q

Bacterial exotoxins that are modified or inactivated (by chemicals or heat)
so that they are no longer toxic but can still bind to host B cells in order to stimulate
the formation of antitoxin; toxoids are often used in the same manner as vaccines
to promote artificial active immunity in humans. They are one type of active
immunizing drug (ex: tetanus toxoid)

A

toxoids

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13
Q

refers to the ability of the body to identify and
resists microorganisms that are potentially harmful

A

immunity

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14
Q

́Antigens are foreign proteins from an invading organism.
́Specific information is imprinted into a cellular “memory
bank” of the immune system
́The body can then effectively fight any future invasion by
that same organism by mounting an immune response.

A

immune response

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15
Q

́The body is exposed to a relatively harmless form of an antigen,
e.g. vaccine.
́The immune system is stimulated and “remembers” this antigen
if subsequent exposures occur (produces antibodies)
́The antigen does not cause a full-blown infection

A

artificial active immunization

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16
Q

A person acquires immunity by surviving the disease itself and
producing antibodies to the disease-causing organism

A

natural active immunization

17
Q

́Administration of serum or concentrated immunoglobulins
e.g. Hep B immunoglobulin, Rabies immunoglobulin are used after
exposure to the virus.
́The inoculated person is given the substance needed to fight off the
invading microorganism.
́This type of immunization bypasses the host’s immune system

A

artificial passive immunization

18
Q

́Antibodies are transferred from the mother to her infant in breast milk
or through the bloodstream via the placenta during pregnancy.
́Temporary, lasts few weeks or months

A

natural passive immunization

19
Q
  • Used to prevent, treat, or cure infectious diseases; also called
    biologicals
  • Antitoxins
  • Antisera
  • Toxoids and vaccines
A

biological antimicrobial drugs

20
Q
  • Antigenic (foreign) preparations of bacterial exotoxins such
    as tetanus.
  • Detoxified with chemicals or heat
  • Weakened or “attenuated”.
  • Stimulate the immune system to produce a specific antibody.
  • Artificial active immune response.
  • The formed antibodies can neutralize the same exotoxin
    upon any further exposure.
  • Effective against diseases hat are caused by toxin producing
    bacteria: diphtheria & tetanus
A

toxoids

21
Q

are suspensions of live, attenuated (weakened) or killed
microorganisms.
* Suspension of weakened or inactivated antigens
* These slight alterations in the bacteria and viruses prevent the
injected person from contracting the disease.
* Stimulate the production of antibodies against a specific antigen.
* with live bacteria or virus may provide lifelong immunity.
* with killed bacteria or virus provide partial immunity and
booster shots are needed periodically

A

vaccines

22
Q

what is the action of immunizing drugs?

A

́ Produce immunity in the body.
́ Active immunizing drugs: vaccines and toxoids that are given orally or IM and
work by stimulating the humoral immune system
́ Passive immunizing drugs: are the actual immunoglobulin that can kill or
inactivate the pathogen

23
Q

what are the uses of immunizing drugs?

A

́ Routine schedule of active immunizations for adults and children.
́ Specific biologic agents for endemic disease areas.
́ Specific biologic agents to people at high risk
́ Screening for disease exposure. (TB)
́ Modify disease process in previously unimmunized persons.

24
Q

what are the interactions and contraindications of immunizing drugs?

A
  • When more than one vaccine is given together there is a small chance that they will cause
    adverse effects.
  • Corticosteroids can reduce efficacy of immunizing drugs
  • Contraindicated if allergy to vaccine or the container (latex)
  • Live, attenuated vaccine is contraindicated in individuals with severe asthma,
    immunocompromised persons and pregnant women
  • Immunizations should not be given to pt’s with active infection, severe febrile illness, or hx of
    serious side effects from previous immunizations.
  • Anaphylactic reactions to vaccine components: egg, gelatin, latex, or thiomersal are rare
  • May need to be vaccinated in a setting where appropriate management of the reaction can be undertaken.
25
Q

what are the AE of immunizing drugs?

A
  • Range from mild and transient to very serious or life threatening.
  • Most people experience more adverse effects from the disease than
    from the vaccine.
  • Minor effects
  • Fever, minor rash, soreness at injection site, urticaria, arthritis,
    adenopathy.
  • Severe effects
  • Fever higher than 39.4°C, encephalitis (brain inflammation),
    convulsions, anaphylaxis, dyspnea, peripheral neuropathy, shock,
    unconsciousness, cyanosis.
26
Q

what are the reactions of immunizing drugs?

A
  • Minor reactions
  • Treated with acetaminophen and rest.
  • Serious or unusual reactions
  • Serum sickness.
  • Report serious or unusual reactions to the Canadian
    Adverse Events Following Immunization Surveillance
    System (CAEFISS).
27
Q

what are examples of active immunizing agents?

A
  • Measles, mumps, and rubella virus vaccine (live)
  • Meningococcal vaccine
  • Rabies virus vaccine
  • Pneumococcal vaccine, polyvalent and 13 valent
  • Poliovirus vaccine (inactivated)
  • Human papillomavirus vaccine
  • Herpes zoster vaccine
  • Shingles vaccine for older adults at risk
  • Varicella virus vaccine
28
Q

what are the examples of passive immunizing agents?

A
  • Hepatitis B Immunoglobulin
  • Immunoglobulin
  • RhoD Immunoglobulin
  • Rabies Immunoglobulin
  • Tetanus Immunoglobulin
  • Varicella Zoster Immunoglobulin