Hepatitis Flashcards
When is recovery expected for HEPATITIS B
a person will recover fully within 6 months
HEPATITIS B is one of the main causes of what
Cirrhosis and liver cancer
What is drug induced hepatitis
It is one of the most common causes of liver failure
What causes drug induced hepatitis
Acetaminophen is the leading cause Psychotropic meds Anticonvulsants Antidepressants Anti TB meds
What are signs and symptoms of drug induced hepatitis
Chills Fever Rash Anorexia Nausea Jaundice Dark urine Hepatomegally
How long is the incubation period of HEPATITIS B
It has a incubation period of 1-6 months
What is HAV
Hepatitis A virus Passed by fecal oral route ( ANAL) Contaminated foods dirty water systems Poor sanitation Benign self limited usually clears within 2 months
What is HBV
Passed the blood and body fluids
Liver cells damaged by immune response
High risk to health care workers injection drug users
Gay men
Increased risk for liver cancer; causes acute and chronic hepatitis
What is HCV
Passed by blood and body fluids
Injection drug users
Symptoms are non specific
Primary cause of liver cancer and cirrhosis and chronic hepatitis
What is HDV
Assoc with HBV
Passed by blood and body fluids
Causes acute or chronic infection
What is HEV
Rare in the US
paSsed by the facial oral route
Affects young adults; fulminant in pregnant woman
What are general signs and symptoms of hepatitis
Flu like symptoms, general malaise, anorexia, fatigue,muscle and body aches N/V/D Constipation Mild RUQ pain Chills, fever
Ppl in liver failure are unable to excrete what
NH3 ammonia
ETOH
Alcohol
SBO
Small bowel obstruction
Any time ascites fluid is drained from the body, what should you do
Replace with albumin because ascites fluids Is made of albumin
Ascites flue is yellow it is also bubbly like albumin
Don’t give kidney patients what
Protein
Or acetaminophen; give NSAIDS instead
Is a persons is in liver failure and there ammonia levels are NH3 levels are high; what can be expected
Give lactulose which will make them poop and decrease levels
Increased NH3 levels produces neurological defects of the brain
What is chronic hepatitis
Chronic infection from viruses: B,C,D
What are symptoms of chronic hepatitis caused by HBV, HCV, HDV
Few symptoms: fatigue, malaise, heaptomegally
Liver enzymes are elevated
What is fulminant hepatitis
Rapidly progressing disease with liver failure developing within 2-3 weeks of onset of symptoms
Rare but usually due to HBV, HDV
What are labs to monitor for with hepatitis
LFT
AST/ALT
LDH
What are medications that cause toxic hepatitis
Acetaminophen Benzene Carbon tetrachloride Halothane Chloroform Poisonous mushrooms
What are signs and symptoms of the interic phase of hepatitis
Occurs 5-10 days after prodromal symptoms
Jaundice of the sclera, skin, mucous membranes
Elevation of serum bilirubin
Pruritis due to increased uric aside
Stool becoming light or clay colored
