Semester 2 Flashcards
Innate immune response
-Present at birth
-First line of defense
Active immune response
Foreign substance or infection
(🐔pox)
Passive Immune response
Received from mother
Type 1 reaction
-IgE mediated
-anaphylaxis reaction
Type 1 RN interventions
-Hx of allergies?
-Allergy test
-Epipen 💉
-Daily antihistamines 💊
-Educate: lifestyle, diet, and employment changes
Type 2 immune response
-Cytotoxic
-blood transfer
-RH incompatibility
RN interventions
-🛑 infusion
-📞 physician
-Change IV tubing
-Recheck crossmatch records
-Monitor fluids/electrolyte balance
-Eval serum calcium levels
-Treat symptoms as presented
Type 3 immune response
-Immune complex
-Tissue damage
-could be systemic/local/delayed/immediate
Type 4 immune response
-Delayed
-Cell mediated
-Contact dermatitis
-Transplant rejection🫀
Type 3 & 4 RN interventions
-Identify & remove allergen
-Assess & manage symptoms
-Monitor increases
-Monitor VS
-🦠infection control protocols
-Promote nutrition & mobility🏃🏽♀️
-Skin/wound assessment
-Monitor WBC & Platelets
-Educate pt & Family
-importance of wearing an allergy bracelet
Immunocompromised RN interventions/education
-Mask
-Gown
-Gloves
-LIMIT invasive lines
-LIMIT visitors (especially ill)
-single pt items
-No raw/uncooked veggies🥦 🥕
-no buffets
-Boiled/filtered water
-use dishwasher
-DONT SHARE ANYTHING
Clinical manifestations of systemic anaphylactic reaction
-Edema
-Itching
-Increase mucus
-Vascular permeability
-Decrease BP
-Dyspnea
Emergency management of anaphylactic reaction
-Epipen
- establish/maintain patent airway
-High flow O2😤
-Maintain BP
-Continuous monitoring/assessing🩺
-teaching prevention and Epipen
HIV prevention
-Use Protection
-Needle exchange programs
-PrEP use
-HIV transmission
-fetal/infant risk
-Testing
-avoid sex while on drugs and etoh
-Limit partners/practice abstinence
How can HIV be transmitted
-Blood
-semen
-breast milk
-Vaginal secretions