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Summary Pathophysiology Nursing

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Nursing school pathophysiology inflammation, immunity, genetics, cancer, fluid and electrolyte study guides

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Inflammation and Immunity

1.​ What are the ways that the body protects us? What is the difference between innate and
immune response?
a.​ First line of defense
i.​ Physical barriers
1.​ Skin
ii.​ Epithelial cells
iii.​ Mucus membranes
iv.​ Cilia
b.​ Innate immune system
i.​ Non specific
ii.​ Starts very quickly
c.​ Adaptive immune system
i.​ Specific
ii.​ Takes slower to activate
1.​ Have to find the right antigen and then the “army” is built

Innate (inflammation) response

1.​ When do you have an innate response?
a.​ Non-specific
i.​ Ex. sprained ankle and it swells
2.​ What is the purpose of the inflammation response? What happens in the vascular stage
of inflammation? What happens in the cellular stage of inflammation?
a.​ Purpose of inflammation response
i.​ Protection
ii.​ Removal of damaged tissue
iii.​ Prepare for tissue repair and healing
b.​ Vascular stage
i.​ Vasodilation and increased blood flow
ii.​ Leakage of plasma proteins
iii.​ Neutrophil recruitment and migration
c.​ Celular
i.​ Migration and tethering
ii.​ Diapedesis and chemotaxis
iii.​ Phagocytosis
1.​ Opsonization
2.​ Engulfment
3.​ Phagosome
3.​ What is exudate? What are the different types?
a.​ Exudates: fluids, proteins, RBCs, leukocytes, cell debris

, b.​ Types of exudates
i.​ Serous
1.​ Clear / watery
ii.​ Fibrinous
1.​ Sticky / stringy
iii.​ Purulent
1.​ Pus
iv.​ Catarrhal
1.​ Cloudy mucus
v.​ Hemorrhagic
1.​ Presence of RBCs
4.​ What are the functions of interleukins, tumor necrosis factor, and interferons?
a.​ Interleukins
i.​ Call lymphocytes and WBCs into action
ii.​ Stimulate bone marrow cell production
b.​ Tumor necrosis factor
i.​ Cause cancer cell apoptosis
c.​ Interferons
i.​ Warn healthy cells to protect themselves
5.​ What is the function of the mast cells? What happens with histamine release and with
prostaglandin and leukotriene release?
a.​ Mast cell
i.​ Functions: help fight infections and contribute to inflammation, important
in allergic reactions
ii.​ Secretions
1.​ Histamines
a.​ First to respond
b.​ Bronchoconstriction
c.​ Vasodilation
2.​ Prostaglandin
a.​ Pain
b.​ Bronchoconstriction
c.​ Vascular effect
3.​ Leukotriene
a.​ Vascular effect
b.​ Bronchoconstriction
c.​ Arrive later but last longer than histamines
6.​ What is a chemokine?
a.​ Released by mast cells
b.​ Attracts other WBC to site of inflammation
7.​ What does it mean to be pleiotrophic and redundant?
a.​ Pleiotrophic
i.​ Many different chemokines producing many different effects
b.​ Redundant

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