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Hypersensitivity
Immunity
38
Nursing
Professional
08/18/2012

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Cards

Term
IgE-Mediated
Definition
Type 1
Term
Cytotoxic?
Definition
Type 2
Term
Type 1 examples?
Definition
Allergic asthma, allergic rhinitis(hay fever), food allergies
Term
Manifestations of Type 1?
Definition
Hypotension, wheezing, GI or uterine spasm, stridor and urticaria
Term
Type 3 examples?
Definition
Acute glomerulonephritis and serum sickness, SLE, RA
Term
Type 3 manifestations?
Definition
urticaria, fever, and joint pain
Term
Goodpastures syndrome?
Definition
Type 2
Term
How does type 4 differ from other hypersensitivity?
Definition
1. Cell mediated immune responses, and involve T cells of iummune system
2. Delayed 24-48 hours after exposure
Term
Type 4 examples?
Definition
Contact dermatitis
TB skin test
Graft vs host disease
Term
What is serum sickness?
Definition
Reaction to proteins in antiserum derived from animals
Term
Manifestations of serum sickness?
Definition
Develop 2 weeks after exposure(PNC)
Rash, pruritus, arthralgia, fever, lymphadenopathy, hypotension, splenomegaly, glomerulonephritis, or proteinuria
Term
Manifestations of acute graft vs host disease?
Definition
first 100 days after transplant
pruritic macular papular rast
begins on extremities and progesses to trunk
nausea vomiting anorexia diarrhea cramping abdominal paind and impaired liver function
Term
Manifestations of chronic graft vs host disease?
Definition
After first 100 days
Recurrent infections
skin reactions
thromocytopenia
mouth throat and asophageal ulcers
GI disorders
cholestasis
eye irritation
Term
Allergic rhinitis manifestions?
Definition
rhinorrhya, watery eyes, itchy throat, hives, sore throat, nasal congestion and headache
Term
Allergic asthma manifestations?
Definition
Bronchoconstriction and airway inflammation
"Elephant is sitting on my chest"
Term
WBC w/ dfferential will detect ___ levels of ______.
Definition
High, eosinophils. Normally 1-4% of WBCs.
Term
Radioallergosorbent test (RAST)
Definition
Test results are compared with control values and used to identify hypersensitivities. Does not indicate the specific allergen olny the tendency to have allergic responses. A normal level of IgE for adults is 39 IU/ml (or <100 IU/mL) increases with allergies.
Term
Indirect Coombs test
Definition
the clients serum is mixed with the donor's RBCs. If the clients serum contains antibodies to an RBC antigen agglutination will occur. This is called a positive response. The normal value is negative. Used to determine is client will have a reaction to blood transfusion.
Term
Type 3 occurs
Definition
huge antibody, antigen, and complement proteins interact to form massive complexes
Term
Antihistamines are not effective
Definition
in relieving asthmatic responses to allergens and mya worsen symptoms by their drying effect of respiratory secretions.
Term
Antihistamines side effects?
Definition
Drowsiness/sedation and dry mouth
Term
Cromolyn sodium (Intal, NasalCrom) used to treat
Definition
Prevention ofallergic rhinitis and asthma. Not acute episode. Mast cell stabilizing durg
Term
Corticosteriods
Definition
Anti-inflammatory
Term
Epinephrine
Definition
Immediate treatment for anaphylaxis has vasoconstricing and bronchodilating effects
Term
HOw much subcutaneous epinephrine?
Definition
1:1000, 0.3-0.5mL may be repeated 20-30 minutes
Term
If injected with venom?
Definition
Place tourniquet above the site and infiltrate the site with epinephrine as prescribed
Term
RIST- radioimmunosorbent test
Definition
shows the blood level of IgE directed against a specific antigen and thus can determine specific allergies. Expensive
Term
Decongestants work by
Definition
causing vasoconstriction in the inflamed tissue, thereby reducing the edema
Term
Teach what pts to consult with a doctor before taking any decongestant bc of systemic effects?
Definition
Hypertension Glaucoma Urinary Retention
Term
Type 1 respones occurs as a result
Definition
of the histamine and mediator release, causing increased capillary permeability, bronchial constriction, vasodilation and smooth muscle contraction-which can lead to hypotension and impaired tissue perfusion aka anaphylactic shock
Term
Type 2 develops when
Definition
antibodies bind to antigens on body cells
Term
Type 5 example
Definition
Graves disease- autoantibody binds to TSH receptor sites on thyroid and keeps producing thyroid hormones continuously
Term
Type 5 is
Definition
Stimulatory reaction
Excess stimulation of normal cell surface receptor by autoantibody
results in continuous "turned on" cell state
Term
Sjogren's syndrome manifestations?
Definition
Dry eyes, dry mucous membranes of nose and mouth (xerostomia) vaginal dryness
No tears cause inflammation/ulceration of cornea
Term
Sjogren's caused by
Definition
autoimmune destruction of lacrimal, salivary and vaginal mucosal glands
Term
Sjorgren's is often accompanied by
Definition
Fibromyalgia or RA
Women 35-45
Triggers are thought to be viral-HIV, HTLV and Epstein barr virus
Term
Goodpasture's syndrome is
and is treated w/?
Definition
autoantibodies made against glomerular basement membrane and neutrophils
Treat w/ high does corticosteroids
Term
Goodpastures syndrome manifestations
Definition
SOB, hemoptysis, decreased urine output, weight gain, edema, hypertension, tachycardia
LUNG and KIDNEYS
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