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Nursing II Test 3 > Hepatitis > Flashcards

Hepatitis Flashcards

1
Q

Hepatitis

A
  1. Hepatitis is a viral infection of the liver associated w/ a broad spectrum of clinical manifestations from asymptomatic infection through icteric hepatitis to hepatic necrosis
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2
Q

Hepatitis

-Prodromal Phase

A
  1. Anorexia & Fatigue
  2. Nausea & Vomiting
  3. Malaise & headache
  4. Low grade fever
  5. Joint and muscle pain (Arthralgia & myalgia)
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3
Q

Hepatitis

-Icteric Phase

A
  1. RUQ abdominal pain
  2. Dark colored urine
  3. Diarrhea
  4. Jaundice
  5. Pruritus (itching)
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4
Q

Hepatitis

-DIagnostics

A
  1. ALT, AST, ALP, and Serum bilirubin INCREASED
  2. Albumin is DECREASED
  3. Hepatitis antibody and antigen present
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5
Q

Hepatitis

-Specific Diagnostics

A
  1. Liver biopsy to ID intensity of infection and degree of tissue damage
  2. Abdominal x-rays to visualize hepatomegaly, ascites, or spleen enlargement
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6
Q 
Hepatitis A (Infectious Hepatitis)
-Transmission
A

Fecal-oral via contaminated food, water, shellfish, or direct contact

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7
Q 
Hepatitis A (Infectious Hepatitis)
-Incubation
A

4 weeks

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8
Q 
Hepatitis A (Infectious Hepatitis)
-Prevention
A
  1. Good hand hygiene
  2. Not using contaminated water
  3. Vaccination
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9
Q 
Hepatitis B (Serum Hepatitis)
-Transmission
A
  1. Blood and body fluids

2. Perinatal

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10
Q 
Hepatitis B (Serum Hepatitis)
-Incubation
A

30-180 days

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11
Q 
Hepatitis B (Serum Hepatitis)
-Prevention
A
  1. Limit exposure to blood and body fluids

2. Vaccination

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12
Q 
Hepatitis B (Serum Hepatitis)
-Complications
A
  1. Chronic hepatitis
  2. Cirrhosis
  3. Liver cancer
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13
Q

Hepatitis C

-Transmission

A
  1. Blood and body fluids
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14
Q

Hepatitis C

-Incubation

A

14-180 days

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15
Q

Hepatitis C

-Prevention

A
  1. Limit exposure to blood and body fluids

2. Teach clients to avoid needle sharing

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16
Q

Hepatitis C

-Complications

A
  1. Chronic hepatitis
  2. Cirrhosis
  3. Liver cancer
17
Q

Hepatitis D - Co-infection w/ Hepatitis B

-Transmission

A
  1. Blood and body fluids

2. Perinatal

18
Q

Hepatitis D - Co-infection w/ Hepatitis B

-Incubation

A

30-180 days – Same as Hepatitis B

19
Q

Hepatitis D - Co-infection w/ Hepatitis B

-Prevention

A

Hepatitis B vaccination

20
Q

Hepatitis D - Co-infection w/ Hepatitis B

-Complications

A
  1. Chronic Hepatitis
  2. Cirrhosis
  3. Fulminant (rapidly progressive) Hepatitis
21
Q

Hepatitis E

-Transmission

A

Fecal-oral

22
Q

Hepatitis E

-Incubation

23
Q

Hepatitis E

-Prevention

A
  1. Good hand hygiene
  2. Not using contaminated water
  3. Avoid raw foods
24
Q

Hepatitis E

-Complications

A
  1. Severe in pregnant women
25
Q

Hepatitis Nursing Implications

-Diet

A
  1. Low to moderate protein
  2. Frequent small meals throughout day
  3. High-calorie, nutrient-dense, low-fat foods
26
Q

Hepatitis Interventions

A
  1. Encourage rest periods
  2. Control nausea
  3. Monitor for fluid and electrolyte imbalance
    -daily weight
    -encourage fluids
    AVOID ALCOHOL
27
Q

Hepatitis

-What to avoid

A
  1. AVOID ALCOHOL
  2. avoid medications metabolized in the liver
    - TYLENOL
28
Q

Hepatitis

…Teaching

A
  1. Monitor clotting and bleeding
  2. Teach good hand washing/clean food prep/ safe water
  3. Vaccination
  4. Persons w/ hepatitis are carriers and can spread disease w/out showing symptoms
29
Q

Hepatitis

-Education Summary

A
  1. Educate about:

Prevention, hygiene, vaccination, safe sex, safe IV drug use

30
Q

Chronic Hepatitis

-Complications

A
  1. Chronic Hepatitis results from B,C, and D
  2. Increases risk for liver cancer
  3. may cause few symptoms

Primary cause of liver damage leading to cirrhosis, liver cancer, and liver transplantation

31
Q

Chronic Hepatitis

-S/S

A
  1. Malaise and fatigue
  2. Hepatomegaly
  3. Occasional icteric periods
32
Q

Fulminating Hepatitis

A
  1. Fatal form of hepatitis

Nursing II Test 3 (8 decks)

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