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NR283 Exam 2 Study Guide (New-2023)/ NR 283 Exam 2 Study Guide/ NR283 Pathophysiology Exam 2 Study Guide / NR 283 Pathophysiology Exam 2 Study Guide: Chamberlain College of Nursing

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NR283 Exam 2 Study Guide (New-2023)/ NR 283 Exam 2 Study Guide/ NR283 Pathophysiology Exam 2 Study Guide / NR 283 Pathophysiology Exam 2 Study Guide: Chamberlain College of Nursing NR283 Patho Exam 2 Study Guide (New-2023)/ NR 283 Patho Exam 2 Study Guide / NR283 Exam 2 Study Guide / NR 283 Exam 2 Study Guide: Chamberlain College of Nursing

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,  Innate immunity (also known as natural or native immunity) is the first line of defense

in the body. It is in place at birth to prevent damages from things in the environment.

Innate immunity is comprised of physical and chemical barriers


 Physical barriers include your skin and the cells that you have lining your GI tract and

esophagus


 Chemical barriers include things like mucus, tears, saliva, and the normal flora that

lives in our gut and colon

If the natural barriers are breached, the second line of defense is the


 Inflammatory response which will cause a rapid activation of many chemical

and cellular mechanisms. Inflammation is usually the first response to any type

of injury. The inflammatory response will protect the body from further injury,

prevent infection of the injured tissue, and promote healing.




Microscopic changes occur within seconds of the injury and include:


 Vasodilation

 Increased vascular permeability

 Adherence of WBC’s to the site of injury

Manifestations of the inflammatory response include:


 Redness

 Heat

 Swelling

,  Pain

 Loss of function

 The third line of defense is adaptive immunity (acquired or specific immunity). This

defense is typically slower and targets specific microorganisms for destruction.

Adaptive immunity also has a memory, so that the next time the body is attacked by the

same microorganism, the response will be more rapid.


 This is where antigens and antibodies come into play

Antigens are either foreign substances or they can be normally found on the surface of human

cells.


 Their main job is to activate the immune system to produce matching antibodies


 Antibodies are specific proteins that are produced in response to bind with an antigen

Antibodies are also known as Immunoglobulins, of which there are 5 different types


 The most common antibody that forms in the blood is IgG


 Antibodies bind to the antigen and destroy it




B Cells and T Cells An important difference between T-cells and B-cells is that B-cells can

connect to antigens right on the surface of the invading virus or bacteria. This is different from

T-cells, which can only connect to virus antigens on the outside of infected cells.

Titer- checking for immunity

, Lab Values for Immune System

Hypersentivities-is an altered or inappropriate immunologic response to an antigen that results

in disease or damage to the individual (this is the actual response to the immune deficiency)

3 types of Hypersentivity


 An allergy – which is a hypersensitivity to an environmental antigen, such as medicines,

natural products (pollen, bee stings, mold), or infectious agents


 An Autoimmunity – which is a problem with the body’s ability to tolerate or recognize

its own antigens (or self-antigens). Autoimmune diseases occur when the body reacts to

the self-antigens causing the autoantibodies to damage tissue


 Alloimmunity – occurs when the immune system of one person produces an

immunologic reaction against tissues of another person. This can be seen in reactions

from transplanted tissue or in the fetus during pregnancy




4 specific mechanism of Hypersentivity

Type 1: is IgE mediated, these are most commonly related to reactions against environmental

antigens and are therefore allergic


 Most type 1 reactions are referred to as allergies


 The key with Type 1 reactions is the release of histamine, which causes bronchial

constriction, vasodilation, and edema

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