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Chapter 25
Paramedic: Immunologic Emergencies
68
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Not Applicable
02/15/2013

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Term
How many Americans die of acute allergic reaction every year?
Definition
1,500 1265
Term
How much of the US population is at risk for experiencing an anaphylactic reaction?
Definition
As much as 15% 1265
Term
How many of the US population experiencing an anaphylactic reaction can it be fatal?
Definition
1% 1265
Term
What is a substance the produces allergic symptoms in a patient?
Definition
Allergen 1265
Term
What is a protein the body produces in response to an antigen?
Definition
Antibody 1265
Term
What is an abnormal immune response the body develops when the person has been previously exposed or sensitized to a substance or allergen?
Definition
Allergic Reaction 1265
Term
What limits the body's response to a specific area after being exposed to a foreign substance?
Definition
Local Reaction 1265
Term
What is swelling around an insect bite an example of?
Definition
Local Reaction 1265
Term
What occurs throughout the body, possibly affecting multiple body systems?
Definition
Systemic Reaction 1265
Term
What reaction is seen when a person who is allergic to strawberries, for example, has swelling and hives all over his body after eating strawberry shortcake?
Definition
Systemic Reaction 1265
Term
What occurs when a person reacts with exaggerated or inappropriate allergic symptoms after coming into contact with a substance perceived by the body to be harmful?
Definition
Hypersensitivity 1265
Term
What is an extreme systemic form of an allergic reaction involving two or more body systems?
Definition
Anaphylaxis 1265
Term
What means without protection?
Definition
Anaphylaxis 1266
Term
What is classified as a response by IgE antibodies?
Definition
Anaphylaxis 1267
Term
What is a response that does not involve IgE antibody mediation?
Definition
Anaphylactoid Reaction 1267
Term
What are considered autoimmune, which means that the body perceives its own tissues or cells-in this case collagen tissue-as a dangerous invader and sets out to attack that tissue?
Definition
Collagen Vascular Diseases 1267
Term
What causes the most IgE-mediated drug interactions in the United States?
Definition
Penicillin 1266
Term
How much of the population will have a systemic reaction after being stung?
Definition
0.5% to 3% 1266
Term
What is a multisystem autoimmune disease that occurs more commonly in women than men?
Definition
Systemic Lupus Erythematosus (SLE or Lupus) 1267
Term
What has the survival rate in lupus improved to over the years?
Definition
15 years in 80% of patients 1267
Term
What is an autoimmune connective tissue disease that causes fibrotic (scar tissue-like) changes to the skin, blood vessels, muscles, and internal organs?
Definition
Scleroderma 1267
Term
What are the two types of scleroderma?
Definition
Localized and Systemic 1268
Term
What is the overall 1-year survival rate for solid organ transplant recipients?
Definition
80% 1268
Term
What is the most common organ transplant in the United States?
Definition
Kidney 1268
Term
What is the greatest threat to survival with any organ transplant?
Definition
Infection 1268
Term
What protects the human body from substances and organisms that are considered foreign?
Definition
Immune System 1268
Term
What produces special white blood cells called T cells that attack and destroy invaders?
Definition
Cellular Immunity (Cell-Mediated Immunity) 1268
Term
What is it when B cell lymphocytes produce antibodies that dissolve in the plasma and lymph to wage war on invading organisms?
Definition
Humoral Immunity 1268
Term
Where are the cells producing immunity located throughout the body?
Definition
Lymph Nodes, Spleen, and GI Tract 1268
Term
What occurs when the invading substance pierces the skin and deposits foreign material into the skin?
Definition
Injection 1268
Term
What occurs when foreign material is deposited on the skin and slowly absorbed through the skin?
Definition
Absorption 1269
Term
What exposure is caused by eating or drinking materials for absorption through the GI tract?
Definition
Ingestion 1269
Term
What exposure is caused when a foreign substances are breathed in through the respiratory system?
Definition
Inhalation 1269
Term
What is the first encounter with the foreign substance to begin the immune response?
Definition
Primary Response 1269
Term
What is the body's ability to recognize the foreigner the next time it is encountered?
Definition
Sensitivity 1269
Term
What are stationed in specific sites within the tissues?
Definition
Basophils 1269
Term
What are on patrol through the connective tissue, bronchi, GI mucosa, and other vulnerable border areas that act as barriers to foreign invaders?
Definition
Mast Cells 1269
Term
What is the body's ability to protect itself from acquiring a disease?
Definition
Immunity 1269
Term
What is the body's reaction when it is exposed to an antigen for which it already has antibodies, in which it responds by killing the invading substance?
Definition
Secondary Response 1270
Term
What is the immunity the body develops as part of exposure to an antigen?
Definition
Acquired Immunity 1270
Term
What are vaccinations against measles, mumps, and polio examples of?
Definition
Acquired Immunity 1270
Term
What is the immunity the body develops as part of being exposed to an antigen and developing antibodies?
Definition
Natural Immunity 1270
Term
What is being exposed to measles, having measles, and developing immunity to the measles?
Definition
Natural Immunity 1270
Term
What occurs when a group of persons are immunized against a substance?
Definition
Herd Immunity 1270
Term
What is the classic presentation of anaphylaxis?
Definition
Respiratory Symptoms and Hypotension 1272
Term
What is a harsh, high-pitched inspiratory sound, occurs when swelling in the upper airway closes off the airway and can eventually lead to total obstruction?
Definition
Stridor 1272
Term
What are one of the primary chemical weapons, causes the blood vessels in the local area to dilate and the capillaries to leak?
Definition
Histamine 1273
Term
What are even more powerful and are released and cause additional dilation and leaking?
Definition
Leukotrienes 1273
Term
What is the body's first line of defense against would-be invaders?
Definition
The Skin 1274
Term
What is another early sign that is due to vasodilation and capillary leaking?
Definition
Pruritis 1274
Term
What are hives?
Definition
Urticaria 1274
Term
How much of the vascular volume can be shifted to the extravascular space within 10 minutes of exposure to an antigen?
Definition
As much as 50% 1274
Term
What 3 types of shock do anaphylaxis patient's present with?
Definition
Cardiogenic, Hypovolemic, and Neurogenic Shock 1275
Term
What is the drug of choice for anaphylactic reactions because it stops the process of mast cell degranulation?
Definition
Epinephrine 1276
Term
How many patients will have a recurrence of the symptoms within the next 8 hours of have an anaphylactic reaction?
Definition
As much as 20% 1277
Term
What is pain, blanching, cyanosis or redness of the fingers and toes when stress occurs or when exposed to the cold?
Definition
Raynaud Phenomenon 1279
Term
What patients present with symptoms of Raynaud phenomenon?
Definition
Sclerderma 1279
Term
How many heart transplants are performed in the United States each year?
Definition
Approximately 2000 1279
Term
What percent of acute organ transplant rejections happen within the first 3 months?
Definition
Up to 85% 1279
Term
What are the second most common solid organ procedure?
Definition
Liver Transplants 1279
Term
What is a common finding in patients with a lung transplant?
Definition
Unequal breath sounds 1279
Term
What is an agent that, when taken into the body, stimulates the formation of specific protective proteins?
Definition
Antigen 1265
Term
What offers publications on preventing allergic reactions to latex in the workplace?
Definition
The National Institute for Occupational Safety and Health (NIOSH) 1267
Term
What kind of diseases are allergic rhinitis, asthma, and atopic dermatitis?
Definition
Atopic Diseases 1267
Term
What diseases do 1/3 to 1/2 of patients with anaphylaxis have a history?
Definition
Atopic Diseases 1267
Term
What kind of event may occur without the patient being previously exposed to the offending agent?
Definition
Anaphylactoid Reaction 1267
Term
What is hair growth where hair does not typically grow?
Definition
Hirsutism 1268
Term
What is hair growth where hair does not typically grow?
Definition
Hirsutism 1268
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