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NURS 319: Disorders

Chapter 11: Immune System Disorders

QuestionAnswer
immunocompetence having the ability to produce a normal immune response
immunosuppression suppression of the body's immune system and its ability to fight infections and other diseases
opportunistic infection infections that occur more often or are more severe in people with weakened immune systems than in people with healthy immune systems
hypersensitivity extreme physical sensitivity to particular substances or conditions
autoimmunity body's immune system mistakes its own healthy tissues as foreign and attacks them
what is an antigen? "non-self" substances, target of immune response
describe innate immunity provides immediate and non-specific binding (defense)
role of macrophages arise from WBCs, fight against pathogen by migrating to tissues, releasing cytokines, presenting antigens
role of cytokines small protein, act like messenger cells, regulate/ coordinate immune system and hematopoiesis
role of NK cells granular lymphocytes, destroy tumor cells, and virus-infected cells
describe adaptive immunity acquired specific immunity
what are major histocompatibility complexes (MHC)? class I: antigen presents to cytotoxic T cells class II: binds to nonself cell to present (cytotoxic T cell kills both)
what are the main cells in adaptive immunity? B and T cells T: cell-mediated immunity B: antibody-mediated immunity
What is the role of the helper T cells and cytotoxic T cells? helper T cells: send signals that direct other immune cells to fight infection cytotoxic T cells: destroy infected cells
what are antigen presenting cells (APCs) and their purpose? macrophages and dendritic cells present antigen to activate t cells
Describe cell-mediated immunity process more aggressive, attacks abnormal cells does not involve antibodies activation of phagocytes, cytotoxic T-lymphocytes release of cytokines
describe the antibody-mediated immunity process help from helper T cells b cells to plasma B cells plasma B cells produce antibodies against specific antigen
what are immunoglobulins and what are their function produced by B cells, bind to specific antigens
IgD hypersensitivity reactions 1% of immunoglobulins
IgM first antibody in primary response
IgG most prominent immunoglobulin; memory cell response
IgA found in secretions; doesn't last forever
IgE very low concentrations in the blood; elevates during allergic reactions
what is the difference between active acquired and passive acquired immunity active: illness or vaccination exposure; provides immunity, immune system activated, memory cells produced passive: receiving preformed antibodies, short term immediate immunity
what is the purpose of vaccines provide exposure of disease so body will build antibodies and memory cells to weakened version; when exposed next, immune system can fight it off
what are examples of vaccines COVID-19 vaccine flu vaccine
what is a booster and a toxoid booster: an extra dose of immunizing agent to maintain/ restore effects of previously established immunity toxoid: altered form of toxins whose toxicity is weakened (immunogenicity maintained)
what are different ways to check antigens and antibodies in a patient blood test (vein or finger prick)
the antibody measured in both allergy testing and serology testing is IgE
difference between overreaction and underreaction of the immune system overreaction: hypersensitivity (autoimmune disorders) underreaction: immunodeficiency (side effect of chemotherapy)
type 1: immediate hypersensitivity allergy symptoms, local or systemic
type 2: cytotoxic hypersensitivity blood transfusion reaction
type 3: immune complex hypersensitivity systemic (lupus) localized (rheumatoid arthritis)
type 4: delayed hypersensitivity poison ivy transplant rejection
immune reactions where the body attacks its own cells autoimmune disorders
autoimmune disorders are when T cells and immunoglobulin cannot distinguish between self and nonself
Molecular mimicry the body develops antibodies against its own tissues
What is the process of systemic lupus erythematosus (SLE)? What type of hypersensitivity reaction is SLE? chronic disease where antibody complexes deposit in tissues type 3 immune complex hypersensitivity
common symptoms of SLE skin rash, joint inflammation, kidney damage, fever, vasculitis, Raynaud's phenomenon
Created by: lcorlew1
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