hypersensitvity type 1 onset - Answers within 1 hr
type 1 immune response - Answers IgE mediated
type 1 exs - Answers allergic rhinitis
atopic dermatitis
asthma
anaphylaxis
type 2 onset - Answers hrs to days
type 2 immune response - Answers IgG, IgM cytotoxic
type 2 exs - Answers transfusion rxns
hemolytic anemia
type 3 onset - Answers 1-3 wks
type 3 immune response - Answers immune complex mediated
type 3 exs - Answers SLE (Lupus)
RA
glomerulonephritis
type 4 onset - Answers days to wks
type 4 immune response - Answers T cell mediated
type 4 exs - Answers transplant rejection
Steven Johnson Syndrome
TB ppd test
anaphylaxis ACT FAST - Answers A - airway
C - call RRT
T - trendelenburg (consider)
F - first line is epi
, A - admin fluids
S - stay & monitor for biphasic anaphylaxis
T - teach
anaphylaxis meds - Answers epi
diphenhydramine
albuterol
famotidine
Lupus s/sx - Answers red, macular facial rash (butterfly)
discoid rash on sun exposed areas
photosensitivity
chronic lesions on mucous membranes
non-erosive arthritis
serosal membrane inflammation
diagnosing lupus - Answers ANA
labs indicate inflammation
Lupus treatment - Answers corticosteroids
NSAIDs
anti-milarials
anticoagulants
biologics
respiratory corticotropin
rheumatoid arthritis - Answers joint pain that is alleviated with movement
symmetric
morning stiffness that lasts longer than 1 hr
diagnosing RA - Answers ANA