Liver: Hepatitis Flashcards
What is the mode of transmission for hep a
oral fecal contaminations
what interventions/teaching should we do for pt
good handwashing
vaccine since 1955
what is the mode of transmission of hep b
mom to baby if mom infected
needle sticks
body fluids - semen, vaginal secretions, saliva, blood
what vaccine is required starting at birth
hep b vaccine
how many hep b vaccines will a pt get
3
what is the mode of transmission for hep c
sharing contaminated needles, high-risk sexual behavior, blood transfusions before 1992
why is hep c so dangerous and hard to treat
there is a 15-20 yr delay from infection and manifestations of liver damage
Hep c sits _____ in the liver and comes _______ years later
dormant
alive
what causes drug induced hepatitis
acetaminophen
how many mg of acetaminophen can we have per day
4000mg
what can cause liver failure
cirrhosis
hep b & c
fatty liver disease
drug induced
what s&s will we see with liver failure
liver enzymes abnormal
AST
ALT
PT
Albumin
Bilirubin
Ammonia level - hepatic encephalopathy
what are the two labs that are big indicators of liver failure
ALT
AST
what is cirrhosis
scar tissue in liver
what is the #1 cause of cirrhosis
nonalcoholic fatty liver disease
what is the main goal for treatment of nonalcoholic liver disease
wt loss
what is ascites
accumulation of serous fluid in the peritoneal cavity or abdominal cavity
what is the main cause of ascites
liver cirrhosis
what interventions do we do with a pt with ascites
measure girth q shift/more often as needed
daily wt
low sodium diet
diuretic meds