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Alterations with Infectious, Inflammatory and Immunologic Responses

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A chronic autoimmune inflammatory disease causing inflamma-
tion of joints and other tissue with an unknown cause.

Juvenile Idiopathic Arthritis Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Juvenile Idiopathic Arthritis starts before ______ with a peak
onset between ______

16 years ; 1 and 3 years of age 10 years ; 1 and 3 years of age


16 years ; 1 and 3 years of age
20 years ; 2 and 5 years of age
24 years ; 2 and 5 years of age
although cause is unknown, immunogenic susceptibility and en-
vironmental or external trigger such as a virus are hypothesized
causes of what
Juvenile Idiopathic Arthritis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Characterized by chronic inflammation of the synovium with joint
effusion leading to eventual erosion, destruction, and fibrosis of
the articular cartilage. If inflammatory process persists, adhesions
between joint surface and ankylosis of joints occur.
Juvenile Idiopathic Arthritis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Joint deformity and Functional disability are clinical manifestations
of what

Juvenile Idiopathic Arthritis Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Age of onset before age 16 years, and joint inflammation in one
or more joints for 6 weeks or longer are diagnosis of exclusion of
what
Juvenile Idiopathic Arthritis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Leukocytosis, ESR, Antinuclear antibody, Radiograph, and Slit
lamp eye examination are laboratory tests to offer supporting
evidence for what
Juvenile Idiopathic Arthritis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Exacerbation
which of the ff are not biologic agents used to treat Juvenile
Idiopathic Arthritis
Cromolyn & Nedocromil Na
Etanercept
Cromolyn & Nedocromil Na

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Alterations with Infectious, Inflammatory and Immunologic Responses
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Adalimumab
Abatacept
Non Steroidal Antiinflammatory Drugs (NSAID), Methotrexate,
Corticosteroids, and Biologic agents such as Etanercept, Adal-
imumab, and Abatacept are used to treat what
Juvenile Idiopathic Arthritis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Exacerbation
PT directed toward specific joints, focusing on strengthening mus-
cles, mobilizing restricted joint motion, and preventing or correct-
ing deformities. OT for generalized mobility and performance of
activities of daily living; these are therapeutic mgt for what
Juvenile Idiopathic Arthritis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Relieve pain, Facilitate adherence, Encourage heat and exercise,
and Support child and family are nursing mgt for what

Juvenile Idiopathic Arthritis Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Caused by a type I or immediate hypersensitivity immune re-
sponse; occurs in 10% to 40% of children

Allergic Rhinitis Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Asthma
Sneezing, Nasal engorgement, and Profuse watery nasal dis-
charge what type of symptoms of what

main symptoms of Allergic Rhinitis main symptoms of Asthma


nonspecific symptoms of Asthma
main symptoms of Allergic Rhinitis
nonspecific symptoms of Allergic Rhinitis
Pale mucous membrane of the nose, Nasal congestion, Watery
eyes, Pruritic conjunctiva, and Full frontal headache for >6 years
old are other symptoms of what
Allergic Rhinitis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Avoidance of allergen, and Immunotherapy are therapeutic mgt
for what

Allergic Rhinitis Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Exacerbation
Antihistamines, Leukotriene inhibitors, and Corticosteroids (In-
tranasal) are pharmacologic mgt for what
Allergic Rhinitis
Juvenile Idiopathic Arthritis

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Alterations with Infectious, Inflammatory and Immunologic Responses
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Allergic Rhinitis
Atopic Dermatitis
Exacerbation
A type of pruritic eczema that usually begins during infancy and
is associated with an allergic contact dermatitis with a hereditary
tendency
Atopic eczema
Atopic eczema
Childhood eczema
Preadolescent eczema
Adolescent eczema
Atopic eczema is aka

Infantile eczema
Infantile eczema
Childhood eczema
Preadolescent eczema
Adolescent eczema
Usually begins at 2 to 6 months of age, Undergoes spontaneous
remission by 3 years of age, and generalized, especially cheeks,
scalp, trunk, and extensor surfaces of extremities
Infantile eczema
Infantile eczema
Childhood eczema
Preadolescent eczema
Adolescent eczema
Erythema, Vesicles/ Papules, Weeping/ Oozing/ Crusting/ Scal-
ing, and Often symmetric are lesion appearance of what type of
eczema
Infantile eczema
Infantile eczema
Childhood eczema
Preadolescent eczema
Adolescent eczema
Occurs at 2 3 years of age, 90% of children have manifestations by
age 5 years, and occurs in flexural areas (antecubital and popliteal
fossae, neck), wrists, ankles, and feet
Childhood eczema
Infantile eczema
Childhood eczema
Preadolescent eczema
Adolescent eczema
Symmetric involvement, Clusters of small erythematous or flesh
colored papules or minimally scaling patches, Dry and may be
hyperpigmented, Lichenification, and Keratosis pilaris (which is
common) are lesion appearance of what type of eczema
Childhood eczema
Atopic eczema
Infantile eczema
Childhood eczema
Preadolescent and Adolescent eczema
thickened skin with accentuation of creases

Seborrheic keratosis
Lichenification
Keratosis pilaris
Lichenification
Acanthosis
follicular hyperkeratosis
Keratosis pilaris
Seborrheic keratosis

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Keratosis pilaris
Lichenification
Acanthosis
Begins at about 12 years of age, May continue into the early adult
years or indefinitely, and affects face, sides of neck, hands, feet,
face, and antecubital and popliteal fossae (to a lesser extent)
Preadolescent and Adolescent eczema
Atopic eczema
Infantile eczema
Childhood eczema
Preadolescent and Adolescent eczema
Dry, thick lesions (lichenified plaques) are common, Intense itch-
ing in confluent papules, and dry and rough unaffected skin are
lesion appearance of what type of eczema
Preadolescent and Adolescent eczema
Atopic eczema
Infantile eczema
Childhood eczema
Preadolescent and Adolescent eczema
hydrate the skin, relieve pruritus, reduce flare ups or inflammation,
prevent and control secondary infection, avoid exposure to skin
irritants or allergens, and avoid overheating; these are therapeutic
management for what
Atopic Dermatitis
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Antihistamines, topical immunomodulators, topical steroids, and
mild sedatives are pharmacologic mgt for what

Atopic Dermatitis Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Asthma
Prevent infection and minimize scratching are nursing mgt for what

Juvenile Idiopathic Arthritis


Atopic Dermatitis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Most common chronic disease of childhood

Juvenile Idiopathic Arthritis


Asthma
Allergic Rhinitis
Atopic Dermatitis
Asthma
Inflammatory process of the large airways, which results in height-
ened airway reactivity; Chronic inflammatory disorder of the air-
way.
Asthma
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Caused by physical and chemical irritants, that lead to obstruction
after initial exposure
Asthma
Juvenile Idiopathic Arthritis

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Alterations with Infectious, Inflammatory and Immunologic Responses
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Allergic Rhinitis
Atopic Dermatitis
Asthma
Age, Hereditary, Gender, Mother <20 y/o, Smoking, Ethnicity,
Previous life threatening attacks, Lack of access in medical care,
and Psychological & physiologic problem are risk factors of what
Asthma
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Irritants > Release of inflammatory mediator > Migration & activa-
tion of inflammatory cell > Alteration in epithelial integrity & auto-
nomic neutral control of airway > Smooth muscle responsiveness,
wheezing, dyspnea > Obstruction
Asthma
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
wheezing, breathlessness, dyspnea, chest tightness, night & early
morning cough, and activity induced cough/wheeze are clinical
manifestations of what
Asthma
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Symptoms occurs <2x/week, Nighttime symptoms occurs
<2x/mo, and Meds are for acute exacerbation

mild intermittent asthma mild intermittent asthma


mild persistent asthma
moderate persistent asthma
severe persistent asthma
Symptoms occurs >2x/week but <1/day, Nighttime symptoms oc-
curs >1x/mo, and daily meds are long term

mild persistent asthma mild intermittent asthma


mild persistent asthma
moderate persistent asthma
severe persistent asthma
daily symptoms, Nighttime symptoms occurs >1x/week, and daily
meds are long term

moderate persistent asthma mild intermittent asthma


mild persistent asthma
moderate persistent asthma
severe persistent asthma
continual symptoms, frequent nighttime symptoms, and daily
meds are long term

severe persistent asthma mild intermittent asthma


mild persistent asthma
moderate persistent asthma
severe persistent asthma
ABG, elevated Eosinophil count in CBC, elevated IgE levels, and
Pulmonary function tests are lab dx for what

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Alterations with Infectious, Inflammatory and Immunologic Responses
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Juvenile Idiopathic Arthritis
Allergic Rhinitis
Asthma
Atopic Dermatitis
Asthma
most accurate test for asthma

ABG
Pulmonary function tests
CBC
Spirometry
Pulmonary function tests
Highly suggestive of asthma when >15% increase after inhaled
short acting B2 antagonist and when <15% decrease PEFR after
exercise
PEFR
ABG
CBC
PEFR
Pulmonary function tests
Maintain normal activity level, Normal pulmonary function, Pre-
vent symptoms, and Drug therapy are mgt goals for what

Asthma Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Asthma
Episode of progressively shortness of breath, Cough, Wheezing,
Chest tightness, Mucus plugging, AIRWAY TRAP >>> HYPOX-
EMIA
Exacerbation
Rhinitis
Exacerbation
Asthmatic episode
Heart Attack
Begin with irritability, restlessness, headache, feeling tired, or
chest tightness, Accumulation of secretion gelatinous sputum,
Lips deep red cyanosis, Tripod position, and with retraction
Asthmatic episode
Rhinitis
Exacerbation
Asthmatic episode
Heart Attack
Assess airway, Meds, Monitor respiratory status, and IV line to
correct electrolytes are interventions for what

Asthma Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Asthma
Corticosteroid (Anti inflammatory), Cromolyn & Nedocromil Na, B
adrenergic agents, Methylxanthines, and Anticholinergic (Heliox
& MgSO4) are drug therapy for what
Asthma
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Chest physiotherapy when not in episode), Hyposensitization,
Exercise (swimming), Avoid cool environment, and Recognize
early symptoms are therapeutic mgt for what

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Alterations with Infectious, Inflammatory and Immunologic Responses
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Juvenile Idiopathic Arthritis


Asthma Allergic Rhinitis
Atopic Dermatitis
Asthma
Excessive cardiac & CNS stimulation (Check BP & pulse), Chest
pain or discomfort, Irregular or fluttery heartbeat, Unusual bruis-
ing, Hives or rash, Swelling, Wheezing or other breathing prob-
lems, Numbness in the hands or feet, and Blurred vision are side
effects of what asthma medication
Bronchodilator
Bronchodilator
Corticosteroid
Cromolyn & Nedocromil Na
Methylxanthines
Albuterol, Ventolin, Bitolterol, Pirbuterol, Salmeterol, and
Formterol are examples of what asthma medication

B2 agonist B2 agonist
Methylxanthines
Cholinergic antagonist
Corticosteroid
Theophylline, aminophylline, and Oxtriphylline are examples of
what asthma medication

Methylxanthines B2 agonist
Methylxanthines
Cholinergic antagonist
Corticosteroid
Ipratropium (Atrovent) is an example of what asthma medication

B2 agonist
Cholinergic antagonist
Methylxanthines
Cholinergic antagonist
Corticosteroid
Prednisolone and Prednisone are examples of what asthma med-
ication

Oral Corticosteroid Oral Corticosteroid


Inhaler Corticosteroid
Mast Cell Stabilizer
Monoclonal Antibodies
Budesonide, Fluticasone, Beclomethasone, Triamcinolone, and
Flunisolide are examples of what asthma medication

Inhaler Corticosteroid Oral Corticosteroid


Inhaler Corticosteroid
Mast Cell Stabilizer
Monoclonal Antibodies
Cromolyn sodium is an example of what asthma medication

Oral Corticosteroid
Mast Cell Stabilizer
Inhaler Corticosteroid
Mast Cell Stabilizer
Monoclonal Antibodies
Helps prevent atopic asthma attacks by preventing membranes
from opening when an allergen binds to IgE
Mast Cell Stabilizer
Oral Corticosteroid

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Inhaler Corticosteroid
Mast Cell Stabilizer
Monoclonal Antibodies
Omalizumab is an example of what asthma medication

Oral Corticosteroid
Monoclonal Antibodies
Inhaler Corticosteroid
Mast Cell Stabilizer
Monoclonal Antibodies
Binds to IgE receptor sites on mast cells & basophils preventing
the release of chemical mediators for inflammation

Monoclonal Antibodies Oral Corticosteroid


Inhaler Corticosteroid
Mast Cell Stabilizer
Monoclonal Antibodies
Recognize sign & symptoms, Position: sitting upright or leaning
forward, Ask questions that requires few words, Reassure that
they are safe & will be cared for during stressful situation, Avoid
allergen; encourage to cough, Administer meds as ordered; these
are nursing mgt for what
Asthma
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Clean devices used to avoid oral candidiasis, Increase fluid,
inform condition, encourage self care, do Influenza vaccination
annually; these are nursing mgt for what
Asthma
Juvenile Idiopathic Arthritis
Allergic Rhinitis
Atopic Dermatitis
Asthma
Avoid factors that triggers attack • Use bronchodilator 30 minutes
before exercise to prevent or reduce exercise induced asthma,
Proper technique & correct use of metered dose inhalers, Ade-
quate rest & sleep, reduce stress & anxiety; learn relaxation tech-
niques, Failure of medications to control worsening symptoms,
seek immediate emergency care; these are client education guide
Asthma
for what

Juvenile Idiopathic Arthritis


Allergic Rhinitis
Atopic Dermatitis
Asthma

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