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HS Unit 2 Exam- Ch45 Hepatitis

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icorojo's version from 2018-04-07 13:56

Hepatitis

Question Answer
Hepatitis: definedan inflammation of the liver resulting from several types of viral agents or exposure to toxic substances; rarely caused by bacteria
5 Types of HepatitisHepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E
**A to E**is ate it (A&E) -via eating fecal matter
**B to D**is BLOOD (B-D includes C)
**If it's a VOWEL**comes from the BOWEL (A&E)
memorize

HAV

Question Answer
Hepatitis A: transmissionvia oral/fecal route
Hepatitis A: transmission cont'dpassed from one person to another via hands, food, eating utensils & water contaminated with feces
Hepatitis A can be foundin bile, blood, and stool
Hepatitis A PT are rarely infectious once they develop jaundice
Hepatitis A: Txtwo-dose vaccination
Hepatitis A: preventionHANDWASHING is imperative & avoiding untreated water sources & uncooked food
Hepatitis A: preventative measureshand hygiene, standard precautions, and safe food handling
What should a nurse teach their PT about this virus?importance of good hand hygiene after using the bathroom or changing a diaper, & proper food prep to avoid spread HAV
memorize

HBV

Question Answer
Hepatitis B: transmissionvia blood & bodily fluids **same way as HIV/AIDS**
Hepatitis B: preventionHBV vaccine
Hepatitis B: preventative measuressafe sex practice (protected); do not share items contaminated with blood or bodily fluids; cover oozing sores; do not donate blood
Hepatitis B: acuteless than 6 months; 9 out of every 10 adults rid the virus from their bodies after a few months
Hepatitis B: chronic1 out of every adults that NEVER rid the virus from the body; these adults referred to as carriers
memorize

HCV

Question Answer
Hepatitis C: transmissionvia needle sharing among illicit IV drug users
Hepatitis C: prognosisoften progresses to chronic hepatitis (75%-85%); may develop cirrhosis
Hepatitis C: preventionwashing hands; proper disposal of needles
Hepatitis C: preventative measuressafe sex practice (protected); do not share items contaminated with blood or bodily fluids; cover oozing sores; do not donate blood
Hepatitis C: incubationsx appear 2wks - 6 months after exposure; commonly 6 - 9 wks
memorize

Hepatitis D

Question Answer
Hepatitis D: transmissionsimiliar to HBV
Hepatitis D: appearsas a co-infection of HBV
Hepatitis D: prognosismay progress to chronic hepatitis & cirrhosis
Hepatitis D: incubation2 - 10 weeks
memorize

Hepatitis E

Question Answer
Hepatitis E: transmissionvia oral-fecal-route
Hepatitis E: spreadsvia the fecal contamination of water
Hepatitis E: occurrenceprimarily in developing countries, rare in the US
Hepatitis E: incubation15 - 64 days
memorize

Groups at Risk

Question Answer
ALLhealthcare workers
High risk lifestylesdrug users, tattoo recipients, homosexual men, and prostitutes
Infantsborn to mom Hepatitis B
Individuals sharinga household with an infected person
PT receivingHemodialysis
Lowest Riskmonogamous heterosexual couples (same as HIV and AIDS)
memorize

Babies and Hepatitis

Question Answer
9 out of 10 babiesborn to infected mothers will end up being HBV CARRIERS for the rest of their lives, if they do not get shots
shots(birth) H-BIGH + HBV vaccine, (1-2 months) HBV vaccine, (6 months) HBV vaccine
All 3 shotsbabies have a 95% chance of being safe from Hepatitis B for life
memorize

Assessment/Medical

Question Answer
Urinedark, tea colored urine
Stoolclay colored
Jaundiceyellowish color of the skin, sclera of eyes, and mucous membrane
Hepatomegalyenlarged liver
Enlargedlymph nodes
Elevatedliver enzymes
Diethigh in vitamins and low in carbs
Give liver a breakNO ETHOH or no non-essential meds (meds can be hepatotoxic)
HepatotoxicETOH and some meds that can damage the liver
Antiviralsdrug therapy to decrease viral load
memorize