The Immune System Flashcards

1
Q

Immunity

A

The body’s specific protective response to invading foreign agent or organism

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2
Q

Immunipathology

A

the study of diseases that results from dysfunction of the immune system

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3
Q

Components of immune system:

A

-bone marrow: T cells & B cells

-lymphoid tissue: spleen & lymph nodes

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4
Q

Bone marrow maturation

A

B lymphocytes = memory cells & plasma cells

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5
Q

thymus

A

regulator T cells & effector T cells

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6
Q

T lymphocytes mature in:

A

the thymus, where they also differentiate into cells w/ various functions

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7
Q

B lymphocytes mature in:

A

the bone marrow

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8
Q

Functions of the Immune System

A

-to remove foreign antigens such as viruses & bacteria to maintain homeostasis

-phagocytosis: monocytes responsible for engulfing & destroying foreign bodies & toxins

-inflammatory response:
-response to injury or invading organisms
-chemical mediators minimize blood loss, wall off invading organisms, activate phagocytes, promote formation of scar tissue & regeneration of injured tissue

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9
Q

Natural Immunity

A

-nonspecific response to any foreign invader:

-WBC: release cell mediators such as histmine, bradykinin, and prostaglandins and englulf (phagocytize) foreign substances

-inflammatory response

-physical barriers, such as intact skin, chemical barriers, and acidic gastric secretions or enzymes in tears and saliva

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10
Q

Acquired Immunity

A

-specific against a foreign antigen

  • result of prior exposure to an antigen

-activate or passive

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11
Q

Natural Immunity

A

-1st line defense
-innate or nonspecific immunity
-blocks the entry of foreign substances
-if antigens do gain entry, the inflammatory response results

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12
Q

Acquired Immunity

A

-2nd line of defense
-adaptive or specific immunity
-develops over time and in response to antigen exposure
-memory capabilities

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13
Q

Active Immunity

A

-immunologic defenses developed by person’s own body
-lasts many years; maybe a lifetime

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14
Q

Passive Immunity

A
  • temporary
    -results from transfer of a source outside of the body that has developed immunity thru previous disease or immunization
    -for ex: transfer of antibodies from mother to infant thru breast feeding; rcving immune globulin thru injections
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15
Q

Humoral Immunity

A

-B cell mediation

  • involved in allergies and anaphylaxis responses

-Protects from:
acute bacterial infections, viruses that enter thru the blood stream or mucosal tissues, bacterial exotoxins

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16
Q

Cell-Mediated Immunity

A
  • T cell mediation

-involved in transplant rejection responses

-Protects from:
chronic bacterial infections, viral respiratory infections, fungal & parasitic infections, some cancer cells

17
Q

Stages of Immune Response

A

I. Recognition
II. Proliferation
III. Response
IV. Effector

18
Q

I. Recognition Stage

A

-recognition of antigens as foreign

-use of lymph nodes & lymphocytes for surveillance

-lymphocytes recirculate from the blood to lymph nodes and from the lymph nodes back into the bloodstream in a continuous circuit

  • macrophages play an important role in helping the circulating lymphocytes process antigens

-both macrophages and neutrophils have receptors for antibodies and complement; as a result, they coat microorganisms w/ antibodies , complement, or both, thereby enhancing phagocytosis

19
Q

II. Proliferation Stage

A
  • circulating lymphocytes containing the antigenic message return to the nearest lymph node

-stimulate some of the resident T & B lymphocytes to enlarge, divide, and proliferate (increase rapidly in #)

-t lymphocytes differentiate into cytotoxic (or killer) T cells

-B lymphocytes produce and release antibodies

20
Q

III. Response Stage

A
  • begins w/ the production of antibodies by the B lymphocytes in response to a specific antigen

-cellular response stimulates the resident lymphocytes to become cells that attack microbes; killer T cells

-viral rather than bacterial antigens induce a cellular response

-most immune responses to antigens involve both humoral and cellular responses, although one usually predominates

21
Q

IV. Effector Stage

A

Humoral Immunity:
interplay of antibodies

Cellular Immunity:
action by cytotoxic T cells

22
Q

Null cells

A

destroy antigen coated w/ antibody

23
Q

Natural killer cells

A

defend against microorganisms and some malignant cells

24
Q

Complement System

A

amplifies the immune response thru inflammation, chemotaxis, phagocytosis, and cell lysis

3 pathways:
classic, lectin, alternative

25
Assessment of the Immune System
-age and gender -nutrition -hx of infection or immunization -allergies -presence of conditions or diseases: autoimmune disease, cancer, neoplasm, chronic illness, surgery, trauma -meds and transfusions -lifestyle psychoneuroimmunologic factors -health hx -psychical exam incl lymph node assessment
26
RN Role In Assessing Immune System
-focused assessment -reduce anxiety -provide pt education and counseling
27
Diagnostic Evaluation
-wbc and differential -bone marrow biopsy -humoral and cellular immunity tests -phagocytic cell function tests -complement component tests -hypersensitivity tests -specific antigen-antibody tests -HIV infection tests