Liver: Hepatitis Flashcards

1
Q

What is the mode of transmission for hep a

A

oral fecal contaminations

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2
Q

what interventions/teaching should we do for pt

A

good handwashing
vaccine since 1955

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3
Q

what is the mode of transmission of hep b

A

mom to baby if mom infected
needle sticks
body fluids - semen, vaginal secretions, saliva, blood

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4
Q

what vaccine is required starting at birth

A

hep b vaccine

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5
Q

how many hep b vaccines will a pt get

A

3

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6
Q

what is the mode of transmission for hep c

A

sharing contaminated needles, high-risk sexual behavior, blood transfusions before 1992

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7
Q

why is hep c so dangerous and hard to treat

A

there is a 15-20 yr delay from infection and manifestations of liver damage

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8
Q

Hep c sits _____ in the liver and comes _______ years later

A

dormant
alive

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9
Q

what causes drug induced hepatitis

A

acetaminophen

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10
Q

how many mg of acetaminophen can we have per day

A

4000mg

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11
Q

what can cause liver failure

A

cirrhosis
hep b & c
fatty liver disease
drug induced

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12
Q

what s&s will we see with liver failure

A

liver enzymes abnormal
AST
ALT
PT
Albumin
Bilirubin
Ammonia level - hepatic encephalopathy

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13
Q

what are the two labs that are big indicators of liver failure

A

ALT
AST

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14
Q

what is cirrhosis

A

scar tissue in liver

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15
Q

what is the #1 cause of cirrhosis

A

nonalcoholic fatty liver disease

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16
Q

what is the main goal for treatment of nonalcoholic liver disease

A

wt loss

17
Q

what is ascites

A

accumulation of serous fluid in the peritoneal cavity or abdominal cavity

18
Q

what is the main cause of ascites

A

liver cirrhosis

19
Q

what interventions do we do with a pt with ascites

A

measure girth q shift/more often as needed
daily wt
low sodium diet
diuretic meds

20
Q
A