Allergic Responses: Type I and II Overview
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Questions and Answers

What is a common cause of Type I hypersensitivity reactions?

  • Antibodies attacking healthy cells
  • Antigen-Antibody (Rx-IgE) reaction (correct)
  • Incompatible blood transfusions
  • Airway obstruction from fluid accumulation
  • Which of the following is a symptom of Type I hypersensitivity reactions?

  • Hypovolemic shock
  • Widespread edema
  • Angioedema
  • Elevated eosinophils/basophils (correct)
  • What treatment is commonly used for Type I allergic reactions?

  • Desensitization through desensitizing vaccines
  • Corticosteroids for systemic effects
  • Epinephrine for vasoconstriction
  • Antihistamines (correct)
  • Which example corresponds with a Type II hypersensitivity reaction?

    <p>Incompatible blood transfusions due to ABO incompatibility (D)</p> Signup and view all the answers

    Which treatment is appropriate for managing Type II hypersensitivity reactions?

    <p>Intravenous fluids and airway management (A)</p> Signup and view all the answers

    What is a characteristic cause of Type I allergic reactions?

    <p>Antigen-Antibody (Rx-IgE) (C)</p> Signup and view all the answers

    Which of the following is an example of a Type II cytotoxic response?

    <p>ABO or Rh incompatible blood (A)</p> Signup and view all the answers

    What are the symptoms associated with Type I allergic reactions?

    <p>Warmth, redness, swelling, pain, and decreased function (C)</p> Signup and view all the answers

    Which treatment is appropriate for Type II cytotoxic responses?

    <p>Stop blood transfusion and start new IV fluids (B)</p> Signup and view all the answers

    What is a common cause of Type IV delayed hypersensitivity reactions?

    <p>Poison ivy exposure (C)</p> Signup and view all the answers

    How do Type III immune complex reactions cause inflammation?

    <p>By activating the complement system through antigen-antibody deposits (C)</p> Signup and view all the answers

    Which treatment might be needed for severe hypersensitivity reactions?

    <p>Immediate vasopressors and airway support (B)</p> Signup and view all the answers

    What symptoms might indicate an acute kidney injury (AKI) in Type II cytotoxic responses?

    <p>Sluggish urine and fever (B)</p> Signup and view all the answers

    Study Notes

    Type I - Fast Allergic Response

    • Cause: Antigen-Antibody (Rx-IgE) reaction.
    • Examples:
      • Allergic rhinitis: Localized reaction to airborne allergens like pollens, molds, dust, etc.
      • Anaphylaxis: Systemic reaction involving IgE and histamine release, leading to a severe response.
    • Symptoms:
      • 5 S/S of inflammation: warmth, redness, swelling, pain, decreased function
      • Elevated eosinophils/basophils in labs
    • Treatments:
      • Antihistamines
      • Topical/nasal corticosteroids
      • Desensitization (stay 30 minutes in clinic after allergy testing)

    Type II - Cytotoxic Response

    • Cause: Antibodies attack body cells, leading to damage.
    • Examples:
      • Foods, drugs, insect venoms, latex (type I or IV)
      • Incompatible blood transfusions (ABO or Rh incompatibility).
    • Symptoms:
      • Widespread edema and vascular congestion
      • Vasodilation leading to hypovolemic shock
      • Skin, UR, LR, GI, CV issues, including angioedema/bronchoconstriction and hypotension, severe.
    • Treatments:
      • Epinephrine, airway management with 100% oxygen, IV fluids, nebulized albuterol, corticosteroids, and antihistamines.
      • Home teaching about avoidance strategies and medication use, including Medic-alert communication to family.

    Type III - Immune Complex Reaction

    • Cause: Antigen-Antibody complexes deposit in tissues, activating the complement system and causing inflammation.

    Type IV - Delayed Hypersensitivity Reaction

    • Cause: Cell-mediated immune response; helper T cells cause inflammatory response.
    • Example:
      • Allergic contact dermatitis, poison ivy.

    Summary of Treatment

    • Depending on the specific reaction, treatments may include avoidance of triggers, medications, and sometimes more intensive care depending on the severity of each reaction.

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    Description

    Explore the mechanisms, symptoms, and treatments related to Type I and Type II allergic responses. This quiz covers concepts such as antigen-antibody reactions, examples of allergic reactions, and the body's response to various allergens. Test your knowledge on the treatment options and clinical implications of these immune responses.

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