Peds immunity

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Author:
Sejune
ID:
42011
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Peds immunity
Updated:
2010-10-13 19:24:14
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Peds immunity
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Peds immunity nursing
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  1. Strongest immunoglobulin
    IgG
  2. Immunoglobulen present at birth - 6 or 8 motnths and crosses the placenta
    IgG
  3. Prevents infections
    IgA
  4. Immunoglobulin not present at birth
    IgA
  5. Immunoglobulin low at birth
    IgM
  6. Immunoglobulin that can have a transfusion reaction
    IgM
  7. Immunoglobulin used for parasitic infections and the allergic response
    IgE
  8. A decrease in the immune response
    Immunodeficiency
  9. What the immune system produces
    Antibodies
  10. Also known as a protein
    Antibodies
  11. Foreign substances that trigger the immune reponse
    Antigens
  12. Used for severe combined immunodeficiency disease
    IVIG Intravenous Immune Globulin
  13. Provides protection until humoral immunity established
    IVIG
  14. Used after exposure to Hep B, ITP, Kawaskai disease, aids, etc
    IVIG
  15. Antipyretic and or antihistamine is given prior or post infusion?
    prior
  16. Important to monitor what thorughout an infusion?
    VS
  17. Signs of hypersensitivity or reaction, do what?
    Stop infusion immediatley
  18. Local inflammation
    S/E IVIG
  19. Malaise
    S/E IVIG
  20. Fever
    S/E IVIG
  21. N/V
    S/E IVIG
  22. hypersensitivity/anaphylactic shock
    S/E IVIG
  23. Chills
    S/E IVIG
  24. Difficulty breathing
    S/E IVIG
  25. Juvenile Rheumatoid Arthritis AKA
    Juvenile Idiopathic Arthritis
  26. Crhonic autoimmune inflammatory disease
    JRA
  27. JRA onset
    before 16
  28. JRA involves what
    joints
  29. Symptoms last how long in JRA
    >6 weeks
  30. WEhat other organs does JRA effect?
    heart, lungs, liver and eyes
  31. What sex is mostly effected by JRA
    S/E IVIG
  32. Most common complaint of JRA
    Morning joint stiffness accompanied by joint swelling
  33. JRA commonly affects knees and joings where else?
    hands and feet
  34. Fever and rash
    JRA
  35. Lymphadenopathy
    JRA
  36. Spelomegaly
    JRA
  37. Hepatomegaly
    JRA
  38. Child may develop a limp
    JRA
  39. For dx, 2 of what symptoms have to accompany the 5 weeks duration of arthritis, and age onset of less than 16 years...
    • warmth
    • pain on motion
    • limited rom
  40. tx for JRT
    • NSAIDS
    • Celecrex
    • Corticosteroids
    • Antirheumatic drugs Rheumatrex, methotrexate
  41. Should you use pillows under knees in JRA
    NO
  42. Prior to exercise for the JRA pateint, use...
    heat or warm moist packs
  43. Full ROM exercises when?
    when pain and inflammation subsides
  44. Warm baths
    JRA
  45. Chronic inflammatory disease of unknown origin
    Syestemic Lupus Erythematusos
  46. Race SLE common in
    • African americans
    • Hispanics
    • Asains
  47. Sex most effected by SLE
    Females
  48. MMost offtend diagnosed in teenage years
    SLE
  49. No Cure
    SLE
  50. Alopecia
    SLE
  51. Mouth/nose ulcers
    SLE
  52. Butterfly rash on face
    SLE
  53. Leukopenia
    SLE
  54. Thrombocytopenia
    SLE
  55. Bleeding disorders
    SLE
  56. Renal disease
    SLE
  57. Joint pain/arthritis
    SLE, JRA
  58. Seizures
    SLE
  59. Anemai
    SLE
  60. Normal life span
    SLE
  61. Tx for SLE
    • Corticosteroids/prednisone
    • Topical steroids
    • Plaquenil (antimalarial): Skin lesions/renal and arthritic pain
    • Hydrochloroquin (anti malaria): skin rashes
    • NSAIDS
    • Methotrexate: Immunosuppresante for acute exacerbations
  62. SE of corticosteroids
    monitor glucose
  63. Special diet issue with antimalarials
    Give with milk or meals to reduce gastric irritation
  64. NSAIDS issues
    GI, abdominal pain, bleeding
  65. Immunosuppressants issues
    monitor for infect, avoid sun, wear sunscreen and sun glasses
  66. Used to prevent spread of HIV to infant in ureto
    HAART
  67. Infants are considered HIV positive until when
    status is known
  68. How long do you give HAART?
    Until sero conversion
  69. Screen how long for HIV
    18 mo
  70. Screening methods for HIV
    ELISA, confirmed with a Western Blot
  71. HIV destroys what
    CD4 T cells
  72. function of CD4 T cells
    normal functionof immune system
  73. CD4 + T- lymphocyte count less than
    200 /mm3
  74. Oral candidiasis
    HIV/Aids
  75. Pneumocystits carinii pneumonia (PCP)
    HIV/Aids
  76. FEVER
    HIV/Aids
  77. FTT
    HIV/Aids
  78. Chronic diarrhea
    HIV/Aids
  79. Hepatosplenomegaly and lympadenopathy
    HIV/Aids
  80. altered growth
    HIV/Aids
  81. Delayed motor skills and mental development
    HIV/Aids
  82. may develop neurological problems
    HIV/Aids
  83. Childhood infections occur more frequent and severe
    HIV/Aids
  84. AZT
    tx AIDS
  85. Zivovudine
    tx AIDS
  86. Stavudine
    tx AIDS
  87. Didanosine
    tx AIDS
  88. Protease inhibitors for children over 2 years, preventing duplication of disease
    tx AIDS
  89. Cotrimoxazole
    • tx AIDS
    • Prophalactic wks - 1 year to recude PCP and other infections
  90. leading cause of death 2-5
    HIV
  91. beyond 5 yo, mean life span
    9-10 yo

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