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NU 433 Immune Exam Questions and
Answers 100% Solved | Graded A+
What are adjuvant analgesics used to help with chronic pain (fibromyalgia)
- ✔✔Tricyclic antidepressants (amitryptline) to help with sleep patterns &
anticonvulsants (gabapentin, pregabalin) to calm nerve endings & slow the
nerve imlulses
Your immune system attacks healthy cells in your body by mistake -
✔✔Autoimmune disorders
Risk factors for autoimmune disorders - ✔✔Hereditary, women, African
Americans, Hispanic, Native Americans
The classic sign of autoimmune disease - ✔✔Inflammation
Taken from iliac crest (flat bone), cool compress for pain, avoid use of
NSAIDS, aspirin, & other blood thinners - ✔✔Bone Marrow Aspiration
Inflammation will not always be caused by infection, but - ✔✔All infections
will have inflammation
Occurs as a complication after bone marrow transplant in 30-50% of
patients - ✔✔Graft vs Host Disease
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Symptoms of GVH disease - ✔✔Blistering rash similar to a burn injury,
inflammation of the entire GI tract with diarrhea, biliary stasis (liver issues)
What should we do to prep a pt for an organ transplant? - ✔✔Suppress the
immune system, admin meds
How may organ rejection be classified? - ✔✔In 3 ways: hyperacute, acute,
& chronic
When can hyperacute rejection occur? - ✔✔Within 24 hrs
When can acute rejection occur? - ✔✔3-14 days
When can chronic rejection occur? - ✔✔After many years
Symptoms of organ rejection - ✔✔Tenderness at the transplant site, fever,
malaise, & a decrease in organ function
The treatment for a hyperacute rejection * - ✔✔Removal of the kidney (only
treatment)
Acute rejection treatment * - ✔✔Increased immunosuppressants, up the
dose, the organ is "failing"
For chronic rejection, the pt will have chronic renal failure. How do you treat
this? - ✔✔Additional transplant is needed
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Medications to suppress the inflammatory response: - ✔✔NSAIDS,
steroids, DMARDS, immunosuppressants
Examples of NSAIDS - ✔✔Ibuprofen, naproxen, aspirin
NSAIDS requiring a prescription - ✔✔Celecoxib, indomethacin, diclofenac,
ketorlac, meloxicam
What should the nurse watch for when the pt is taking NSAIDS? * -
✔✔Increases risk of bleeding when taken with anticoagulants such as
warfarin, renal impairment
Examples of steroids - ✔✔Prednisone, hydrocortisone, dexamethasone (all
end in -sone)
S/Es of steroids - ✔✔Weight gain, acne, mood swings, insomnia, Cushing's
disease
Patient teaching when taking steroids * - ✔✔Tell pt to never abruptly stop
taking them, must taper off
Steroids can cause increased * - ✔✔Blood glucose (hyperglycemia)
When other drugs are not sufficient in controlling the symptoms and pain,
additional meds can be used to alter the way the immune system response.
They modify the immune response to a trigger. - ✔✔DMARDS
