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8/3/2019 Course Sylabus for Bc
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Bicol CollegeCOLLEGE OF NURSING
Daraga, Albay
Course Code: NCM 106Course Description: Care of Clients with in Inflammatory and Immunologic DisordersUnits:Time: 1:00-5:00
General Course Objectives:Successful completion of this course will promote the general student learningoutcomes listed below. The student will be able to:
1. Describe the general concepts of disease processes and factors associated with
disease causation.2. Identify the function of basic cellular structures, determining the sequelae ofselected cellular malfunctions.
3. Describe the responses of the body to injury and immunologic challenge.4. Discuss the etiology, pathogenesis, and treatment modalities of frequently
occurring diseases.
Specific Course Objectives:Upon successful completion of the course the student will be able to:
1. Describe and understand the common diseases and disorders of the human
body systems.2. Discuss the pathophysiologic changes that occurs as a result of cellular injury.3. Analyze the role of the immune system in disease processes.4. Describe the pathophysiologic changes that occur in selected disease processes
for each body system.5. Correlate the cellular and system changes that occur in selected disease
processes with common presenting clinical manifestations.6. Define the common treatment modalities and procedures associated with various
disease processes.7. List the categories of pathogenic organisms and the effects these organisms
have on the human body.8.
Describe events related to common disorders, major disease processes, andoutline the inflammatory response events.
Course Content:
A. Anatomy and Physiology of the Immune System1. Functions2. Characteristics/ Properties
a. Self versus non self recognition
b. Antibody productionc. Self regulationd. memory
3. Components of Immune System Bone marrowa. Thymus glandb. Spleenc. Lymph nodesd. Tonsils and adenoids
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4. Pathophysiology of the Development of the Cells of Immune System
B. Immunitya. Types
1. Natural/ innate2. Acquired/ artificial
b. Immune Response/ Three Means of Defense1. Phagocytic immune response2. Humoral/ antibody response
1.a antigen recognition1.b role of antibodies1.c types of antibodies
c. stages of immune response1. Recognition stage2. Proliferation stage3. Response stage
4. Effector stage
C. Assessment of Immune Functiona. Health history
i. Gender ii. Nutritioniii. Infection and immunizationiv. Allergyv. Disorders/ diseasesvi. Medications and blood transfusionsvii. Lifestyle factors
viii. Psychoneuroimmunologic factorsb. Physical examinationc. Diagnostic examination
i. Leukocyte and lymphocyte countii. Humoral immunity testiii. Cellular immunity testiv. Phagocytic cell function testv. Complement component testvi. Hypersensitivity testvii. Specific antigen-antibody testsviii. HIV infection tests
ix. ANA titer determinationx. Skin testingxi. Anti-DsDNA antibody test
D. Immune System Disordersa. Immunodeficiencies
i. Primary
Defect on Phagocytic Cells
Hyperimmunoglobulinemia E (HIE) syndrome / Job Syndrome
Chronic Granulomatous Disease (CGD
Defect on B-Lymphocytes
Bruton agammaglobulinemia/ Brutons disease/Sex linkedAgammaglobinemia
Hypogammaglobulinemia or Common Variableimmunodeficiency (CVID)
Defect on T-Lymphocytes
Di Georges syndrome or Thymic hypoplasia
Chronic Mucocutaneous Candidiasis
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Defect on B and T-Lymphocytes
Severe Combined Immunodeficiency disease(SCID)
Ataxia telangiectasia
Nezelofs Syndrome
Wiscott-Aldrich Syndrome
Defect on Complement System Angioneurotic edema
Paroxysmal nocturnal hemoglobinuria (PNH)ii. Secondary
AIDSb. Gammopathies
Multiple Myelomac. Autoimmune Diseases
Systemic Lupus Erythematosus
Rheumatoid Arthritis
Myasthenia Gravis
Multiple Sclerosis
Hashimoto Thyroiditisd. Hypersensitivity
Types of Allergens
General Etiologic Factors
Hereditary
Congenital
Contact Factors Related to the Degree of Allergic Response
Chemical Mediators of Hypersensitivity
Primary mediatorso Histamine
o Eosinophil chemotactic factor of anaphylaxis
o Platelet activating factor
o Prostaglandin
o Basophil kallikrein
Secondary mediatorso Bradykinin
o Serotonin
o Heparin
o Leukotrienes Four Types of Hypersensitivity Reactions
Type I (Anaphylactic)/Immediate Reaction
Allergic rhinitis/Hay fever
Atopic dermatitis
Dermatitis Medicamentosa/ Drug Reactions
Urticaria
Angioneurotic Edema
Hereditary Angioedema
Food Allergy
Latex Allergy
Type II (Cytotoxic) Reactions
Blood transfusion reaction
RH incompatibility
Type III (Immune Complex) Reaction
Serum Sickness
Systemic Lupus Erythematosus
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Acute Glomerulonephritis
Arthus Reaction
Type IV (Cell-Mediated)/ Delayed Reactions
Tuberculosis
Contact dermatitis
Transplant rejection