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NUR 111 Exam 4 Questions And 100% Correct Answers

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NUR 111 Exam 4 Questions And 100% Correct Answers



Inflammation - ANS A localized reaction intended to neutralize, control or eliminate an
offending agent.



Inflammatory Response - ANS Inflammation is a localized reaction intended to
neutralize, control or eliminate an offending agent.

Nonspecific response to injured or dead cells

Eliminates invading pathogens

Allows for tissue repair

Occurs in response to infection or injury

Infection is one way to get inflammation but it is not the only way

Can be acute or chronic

That offending agent may be the persons own body

Not specific

A protecting mechanism that responds to injured or dead cells

Usually occurs in healthy tissue adjacent to the dead cells



Stages of Inflammation - ANSWER 1st stage: Vascular response

Blood vessel response



2nd stage: Cellular Response

White blood cells



Reparative phase



They all happen very close together

,Vascular Response - ANSWER Usually localized to the area of injury but can be systemic

Momentary vasoconstriction then lots of Vasodilation

Increased permeability of the vasculature

This makes it easier for the blood and cells to pass through the walls of the blood
vessels

Increased concentration of blood

Due to the vasoconstriction and permeability

Clotting

Due to platelets rushing to the area that help clot off injury to stop the bleeding



Cellular Response - ANSWER Leukocytes accumulate at site

Due to increased permeability of the blood vessels

Cytokines cause the endothelial cells to bind to leukocytes

Cytokines are chemical messengers that signal the brain that there is an injury

White blood cells or leukocytes travel through the capillary into tissue

So you have white blood cells fighting infection in the tissue

Leukocytes engulf invading organisms



Exudate - ANSWER You get exudate with inflammation

If exudate starts to contain bacteria and bacterial debris then it becomes puss and is a
sign of a bacterial infection and becomes part of your excaudate

Moves into injured area following inflammatory event as part of cellular response

Transports

Proteins

Fluid

Lymphocytes

Monocytes

,Macrophages

Granulocytes

Healthy exudate - ANSWER The whole point of it if it is health is to:

Eliminate pathogen

Clear dead tissue debris

Secrete cytokines

Begin healing process

Reparative Phase - ANSWER Glucose and oxygen travel to site needing repair

Regeneration depends on cell type

Regeneration

Labile

Constantly dividing

So relatively easy to replace

Ex. Skin cells

Permanent

Does not regenerate

Ex. Neurons

Stable

Regenerate sometimes if there is injury

Takes longer because they do not multiply constantly

Ex. Kidney or liver cells

Renewal

Replacing the tissue that was damaged



Acute Inflammatory Response - ANSWER Tissue injury/exposure and the release of
chemical mediators

, Vasodilation and increased blood flow



Swelling and retraction of activated endothelial cells



Increased vascular permeability and leakage of small plasma proteins



"Walling

off"



Movement of immune response cells to the site of injury



Exudate formation



Motion of glucose and oxygen to the site needing repair



Release of

chemical repair

factors

from activated

endothelial

cells



Chemical Mediators - ANSWER Histamine and Kinins



Histamine - ANSWER Pro-inflammatory

Induces the vascular response

Lives in mast cells so the mast cells release the histamines which causes vasodilation

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