NR 324 Immunologic (etc.) Disorders Worksheet
Student Name: Alexis Moon Date: 8/16/21 Assignment Week/Day: week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Inflammation Acute – healing occurs in Fever (if infection) CBC – WBC count, *meds – aspirin, NSAIDs, *repeatedly injured tissues
Acute 2-3 weeks; no residual Malaise neutrophil count acetaminophen, leading to deformities
damage; neutrophils Swelling corticosteroids *immobility
Subacute Subacute – same Tenderness/pain *RICE – rest, ice, *vessel damage
features as acute but Redness compression, elevation
Chronic lasts longer (ex. Infective *monitor VS and temp
endocarditis)
Chronic – can last weeks
to years; repeated
injured tissues;
lymphocytes and
macrophages (ex. RA,
osteomyelitis)
Pressure Ulcers *localized injury to skin *depends on extent of *typically done *reposition client q2h *infection
from pressure or tissue involvement when inspecting *document wound *worsening pressure ulcer
combination with *infection – fever, patient diameter and depth, *impaired body image
shear/friction leukocytosis *stage of pressure quality, etc *pain
*pain at area ulcer and *braden scale for
*shear, friction, pressure, *nonblanchable redness characteristics prevention
excessive moisture *open wound at bony *adequate nutrition, pain
*at risk – OA, prominence management, pressure
incontinence, immobility relief, control of other
med conditions
*irrigation – 30 mL syringe
19g needle; sterile saline
Hypersensitivity Type I – IgE mediated; *Type I – anaphylactic *CBC w/ WBC *immunotherapy – *anaphylactic shock
Reactions (I – IV) anaphylaxis, atopic reaction (hives, hay fever, differential monitor for s/s of *bronchoconstriction leading
Type II – cytotoxic and asthma, eczema) *sputum, nasal, reactions to hypoxia
cytolytic; IgG and IgM *Type II – blood bronchial secretion *educate client how to
Anaphylaxis antibodies transfusion reactions, culture use EpiPen and to always
Type III – tissue damage autoimmune hemolytic *ALLERGY carry it around
in immune complex anemia SKIN/BLOOD TESTS *allergy diary, avoid
reactions secondary to *Type III – RA, SLE, serum triggers (lifestyle
1
, NR 324 Immunologic (etc.) Disorders Worksheet
Student Name: Alexis Moon Date: 8/16/21 Assignment Week/Day: week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
antigen-antibody sickness, adjustments)
complexes glomerulonephritis *antihistamines,
Type IV – delayed *Type IV – contact corticosteroids,
hypersensitivity dermatitis, tubercular antipruritic meds
reactions (cell mediated lesions, graft rejection *monitor airway and VS
immune response) ;
sensitized T lymphocytes
attacks antigens
Latex Allergies *can develop sensitivity *type IV – delayed reaction *thorough health *latex precaution *anaphylaxis
from prolonged exposure to latex 6-48 hrs after hx and hx of protocols *impaired tissue integrity
exposure allergies/complaints *educate about latex food
*can be type I reaction *dryness, pruritis, of latex contact syndrome – banana,
or type IV contact fissuring, redness, swelling, symptoms avocado, tomato,
dermatitis crusting *allergy latex test hazelnut, potato etc may
*uritcaria, rhinitis, cause allergic reaction
conjunctivitis, asthma *carry epipen and wear
medic alert bracelet
HIV Infection *contact with bodily *immune issues start when *AIDS <200 cells/uL *monitoring HIV *opportunistic infections –
fluids (blood, semen, vag T cells <500 cells/uL *HIV <500 cells/uL progression and immune pneumonia (jiroveci),
secretions, breast milk) *acute infection – flulike *screening tests to function cryptococcal meningitis,
*retrovirus binding to symptoms (fever, swollen detect HIV specific *antiretroviral therapy cytomegalovirus retinitis
CD4 receptors – destroys lymph nodes, sore throat, antibodies (ART) – 3+ drugs *karposi sarcoma
CD4 T cells malaise, rash, diarrhea) *CBC – *ask at risk pts screening
AIDS *chronic infections – neutropenia, questions
* fatigue, ha, low grade thrombocytopenia, *terminal care – pt
fever, night sweats anemia comfort, dealing with loss,
*thrush safe environment
*oral hair leukoplakia
*drenching night sweats
*severe fatigue
*localized infections
*AIDS – possible wasting
2
Student Name: Alexis Moon Date: 8/16/21 Assignment Week/Day: week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
Inflammation Acute – healing occurs in Fever (if infection) CBC – WBC count, *meds – aspirin, NSAIDs, *repeatedly injured tissues
Acute 2-3 weeks; no residual Malaise neutrophil count acetaminophen, leading to deformities
damage; neutrophils Swelling corticosteroids *immobility
Subacute Subacute – same Tenderness/pain *RICE – rest, ice, *vessel damage
features as acute but Redness compression, elevation
Chronic lasts longer (ex. Infective *monitor VS and temp
endocarditis)
Chronic – can last weeks
to years; repeated
injured tissues;
lymphocytes and
macrophages (ex. RA,
osteomyelitis)
Pressure Ulcers *localized injury to skin *depends on extent of *typically done *reposition client q2h *infection
from pressure or tissue involvement when inspecting *document wound *worsening pressure ulcer
combination with *infection – fever, patient diameter and depth, *impaired body image
shear/friction leukocytosis *stage of pressure quality, etc *pain
*pain at area ulcer and *braden scale for
*shear, friction, pressure, *nonblanchable redness characteristics prevention
excessive moisture *open wound at bony *adequate nutrition, pain
*at risk – OA, prominence management, pressure
incontinence, immobility relief, control of other
med conditions
*irrigation – 30 mL syringe
19g needle; sterile saline
Hypersensitivity Type I – IgE mediated; *Type I – anaphylactic *CBC w/ WBC *immunotherapy – *anaphylactic shock
Reactions (I – IV) anaphylaxis, atopic reaction (hives, hay fever, differential monitor for s/s of *bronchoconstriction leading
Type II – cytotoxic and asthma, eczema) *sputum, nasal, reactions to hypoxia
cytolytic; IgG and IgM *Type II – blood bronchial secretion *educate client how to
Anaphylaxis antibodies transfusion reactions, culture use EpiPen and to always
Type III – tissue damage autoimmune hemolytic *ALLERGY carry it around
in immune complex anemia SKIN/BLOOD TESTS *allergy diary, avoid
reactions secondary to *Type III – RA, SLE, serum triggers (lifestyle
1
, NR 324 Immunologic (etc.) Disorders Worksheet
Student Name: Alexis Moon Date: 8/16/21 Assignment Week/Day: week 7
Please fill-up the columns below with major take-away or focus points for each topic/disorder. Review materials from previous courses such as Pathophysiology, etc.
Disorder/s Etiology/Pathophysiology Clinical Manifestations Diagnostic Tests Nursing Interventions and Possible Complications and
(Possible Causative and Collaborative Treatments/Interventions for
Risk Factors) Management Complications
antigen-antibody sickness, adjustments)
complexes glomerulonephritis *antihistamines,
Type IV – delayed *Type IV – contact corticosteroids,
hypersensitivity dermatitis, tubercular antipruritic meds
reactions (cell mediated lesions, graft rejection *monitor airway and VS
immune response) ;
sensitized T lymphocytes
attacks antigens
Latex Allergies *can develop sensitivity *type IV – delayed reaction *thorough health *latex precaution *anaphylaxis
from prolonged exposure to latex 6-48 hrs after hx and hx of protocols *impaired tissue integrity
exposure allergies/complaints *educate about latex food
*can be type I reaction *dryness, pruritis, of latex contact syndrome – banana,
or type IV contact fissuring, redness, swelling, symptoms avocado, tomato,
dermatitis crusting *allergy latex test hazelnut, potato etc may
*uritcaria, rhinitis, cause allergic reaction
conjunctivitis, asthma *carry epipen and wear
medic alert bracelet
HIV Infection *contact with bodily *immune issues start when *AIDS <200 cells/uL *monitoring HIV *opportunistic infections –
fluids (blood, semen, vag T cells <500 cells/uL *HIV <500 cells/uL progression and immune pneumonia (jiroveci),
secretions, breast milk) *acute infection – flulike *screening tests to function cryptococcal meningitis,
*retrovirus binding to symptoms (fever, swollen detect HIV specific *antiretroviral therapy cytomegalovirus retinitis
CD4 receptors – destroys lymph nodes, sore throat, antibodies (ART) – 3+ drugs *karposi sarcoma
CD4 T cells malaise, rash, diarrhea) *CBC – *ask at risk pts screening
AIDS *chronic infections – neutropenia, questions
* fatigue, ha, low grade thrombocytopenia, *terminal care – pt
fever, night sweats anemia comfort, dealing with loss,
*thrush safe environment
*oral hair leukoplakia
*drenching night sweats
*severe fatigue
*localized infections
*AIDS – possible wasting
2
