Chapter 15B Flashcards

1
Q

Describe passive therapy.

A
  • Preformed antibodies are injected into patients
  • Donated immunity lasts only a short time
  • Act immediately
  • Protects patients for whom there is no other medicine/vaccine available
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2
Q

Describe active preventative therapy

A
  • Vaccination with microbe or its parts (antigen)
  • Patient is exposed to material that is antigenic not pathogenic
  • Reduces prevalence and impact of infectious and often deadly diseases
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3
Q

Immune Serum Globulin (ISG) is also known as ________ and is a form of ________ therapy

A

Gamma Globulin

Passive

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4
Q

In ISG ____ is extracted from pooled blood of at least ____ human donors

A

IgG

1000

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5
Q

In ISG, IgG and IgM are at ______ concentrations

A

variable

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6
Q

The immune serum globulin method concentrates on ______ and eliminates _______ once injected.

A

antibodies

pathogens

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7
Q

How is ISG administered?

A

intramuscularly

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8
Q

How long is ISG active?

A

2-3 months

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9
Q

Human or animal serum can be used for…

A

human prophylaxis

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10
Q

_______ can be used for diptheria, botulism, spider, and snake bites (limited availability).

A

Horse serum

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11
Q

What risks are related to Immune Serum Globulin (Gamma globulin)?

A

Possibility of serum sickness or anaphylaxis

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12
Q

Vaccine preparation is _______ therapy

A

active preventative

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13
Q

The main factors of selection in vaccine preparation (active preventative therapy) are:

A
  • Antigen selection
  • Effectiveness
  • Ease in administration
  • Safety
  • Cost
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14
Q

In ______ immunity an antigen stimulates appropriate B&T lymphocytes and creates memory clones.

A

natural

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15
Q

In ______ immunity the aim is to obtain the same response with a modified version of the antigen (microbe or its components)

A

artificial

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16
Q

What is the rational behind artificial immunity (vaccinating)?

A

Natural immunities are developed when an antigen is introduced to the system and B&T lymphocytes react and create antibodies and memory clones so the purpose is to introduce a modified antigen that is not pathogenic so the body will react in the same manner and create antibodies and memory cells against the antigen.

17
Q

What are the ideal characteristics of a vaccine?

A
  • Mimic the natural protective response
  • Not cause a serious infection/disease
  • Long lasting effects with a few doses
  • Easy to administer
18
Q

What is attenuating?

A

Subculturing bacteria over and over until they lose virulence

19
Q

Antigenic stimulants of vaccine preparations

A
  • Killed whole cells or inactivated viruses
  • Live, attenuated cells or viruses
  • Subunits or parts of microbes (surface antigens or neutralized toxins-toxoids)
  • Genetic engineering techniques, including cloning of antigens, and recombinant attenuated microbes
20
Q

What are the 5 routes of administration for vaccines?

A
  1. Subcutaneously SQ
  2. Intramuscularly IM
  3. Intradermal ID
  4. Oral
  5. Intranasaly (flu)
21
Q

Vaccines containing Killed whole bacteria

A
  • Cholera (SQ, IM)

* Plague (SQ)

22
Q

Vaccines with Live Attenuated Bacteria

A
  • Tuberculosis BCG (ID)

* Typhoid (Oral)

23
Q

Subunit/acellular vacccines (capsular polysaccharides or proteins)

A
  • Meningitis (Meningococcal) (SQ)
  • Pneumococcal pneumonia (SQ, IM)
  • Anthrax
  • Pertussis (IM)
24
Q

Toxoids (Formaldehyde-inactivated bacterial exotoxins)

A
  • Diptheria (IM)
  • Tetanus (IM)
  • Botulism (IM)
  • Pertussis (IM)
25
Contain inactivated (killed) whole viruses
* Poliomyelitis (Salk k-killed) (IM) * Rabies (IM) * Influenza (IM) * Japanese encephalitis (SQ) * Hepatitis A (IM)
26
Contain Active (Live) Attenuated viruses
* Adenovirus infection (oral) * Measles [rubeola] (SQ) * Mumps [parotitis] (SQ) * Poliomyelitis (Savine v-liVe) (Oral) * Rubella (SQ) * Chickenpox [varicella] (SQ) * Rotavirus (oral) * Smallpox (live vaccinia virus, not attenuated variola major) - multiple punctures * Yellow fever (SQ) * Influenza (Intranasal)
27
Subunit viral vaccines
parts of virus (cell wall) * Hepatitis B (IM) * Influenza (IM) * Papillomavirus (IM)
28
Recombinant vaccines
genes from one vaccine combined with different viruses * Hepatitis B (IM) * Pertussis (IM)
29
Define plantibodies
There is possibility to get antibodies from plants vs. animals. - less expensive and will produce vaccines - faster - human hormone done through tobacco plant - one acre of tobacco can make vaccine for millions
30
What are the potential side effects of vaccines?
Fever, allergies, etc.
31
What is the reason for the side effects of vaccines?
* Back mutation to virulence * Contamination * Effects of unknown cause * Allergies to the medium
32
Administering _____ vaccines to __________ as well as to _____________ must be avoided.
live immuno-compromised persons pregnant women (fetus at risk)
33
Name the two ways that vaccination programs seek to protect the individual.
1. Directly through raising the antibody tier | 2. Indirectly through the development of HERD immunity