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