9.2 Hepatitis Flashcards
Types of hepatitis
Viral
Toxic
Alcoholic
Type of hepatitis viruses
A B C D E F(rare) G(uncommon)
Serological testing
抽血
insidious
不知不覺
contagious
傳染性
Transmission route
-A, C, D: fecal-oral transmission
From contaminated water and food
-B,E: blood borne transmission
From body fluid
Vaccination for HAV HBV
-HAV: 2 injection (6-18months apart)
-HBV: 3 injection (0,1,6th month of baby), life long protection
Within 14days of exposure: HBIG
3 phase of hepatitis
- Preicteric: most contagious
- Icteric: jaundice and pruitus, dark-colored urine and clay-coloured stool
- Recovery
How to reduce fatigue in preicteric phase
Rest
Why fatigue
Decrease metabolic energy production secondary to liver dysfunction
Eat which type of diet to maintain nutritional balance
High calories, high carbohydrates, low fat
Small frequent meal
Avoid alcohol
Management of pruritus
Antihistamine
Tepid water bath
Apply lotions
Soft clothing, bed linens
Keep room cool
Body image
Reassure that discolouration is usually temporary
Antiemetics
止嘔藥
What drugs if prolong prothrombin time
vitamin K