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NP > Adult - Hepatitis > Flashcards

Adult - Hepatitis Flashcards

1
Q

Mode of transmission for Hepatitis A

A

fecal - oral

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2
Q

Mode of transmission for Hepatitis B

A

all body fluids - serum, saliva, semen, vag juice, breast milk

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3
Q

Mode of transmission for Hepatitis C

A

post transfusion

IV drug use

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4
Q

In Hepatitis - possible ALT and AST in hepatitis vs regular levels

A

500 - 2000
vs
35-40

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5
Q

When interpreting serology in Hepatitis A, what are the possible options?

A

Active

Recovered

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6
Q

When interpreting serology in Hepatitis B, what are the possible options?

A

Active
Chronic
Recovered

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7
Q

When interpreting serology in Hepatitis C, what are the possible options?

A

Acute

Chronic

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8
Q

What are features of the pre-icteric stage of hepatitis?

A

fatigue
malaise
anorexia
aversion to smells

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9
Q

What are features of the icteric stage of hepatits?

A 
jaundice
clay colored stool
dark urine
weight loss 
pruritis
RUQ pain
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10
Q

What is Anti-HAV? in which stage is it present?

A

antibody to Hep A

present in both active and recovered stages

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11
Q

What does IgM represent?

A

“iMmediate infection”

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12
Q

What does IgG represent?

A

“Gone infection”

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13
Q

What is Anti-HBsAg? in which stage is it found?

A

Hepatitis B surface antigen

clue to RECOVERED hep b

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14
Q

What is Anti-HBc? in which stage is it present?

A

antibody to hepatitis B core antigen

present in all stages so can be DISREGARDED

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15
Q

What is HBeAg? in which stage is it present?

A

hepatitis B “e” antigen –>

indicative of viremia and means the person is highly infectious

present in ACTIVE hep b

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16
Q

What is Anti-HBe? in which stage is it present?

A

antibody to HBeAg

found in CHRONIC hep b

17
Q

Maybe add the Hep serology “sets” here?

A

x

18
Q

Which hepatitis does not have a recovery phase?

A

Hep C

19
Q

What is the serology for Hep C?

A

Acute and chronic have the SAME serology which is:

Anti-HVC, HCV RNA

20
Q

In Hep C, how are prior exposure and current viremia differentiated?

A

polymerase chain reaction (PCR)

21
Q

For hepatitis management, should fluids be increased or decreased?

A

INcreased to 3000-4000 mL/day

22
Q

What should NOT be ingested by those with hepatitis?

A

alcohol
meds detoxed in liver
protein

23
Q

What can be used for sedation in patients with hepatitis?

A

oxazepam (Serax)

24
Q

What my happen to coags such as PT in hepatitis and what is the treatment?

A

PT may become prolonged (> 15 sec)

treat with vitamin K

25
Q

What is the cause of and magical drug for Hepatitis Weirdness?

A

elevated ammonia levels can cause hepatic encephalopathy

lactulose is treatment

NP (76 decks)

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