Liver - Hepatitis

Question 1

HEP A
interventions / teachings

Answer 1

good hand washing
vaccine

Question 2

HEP A
mode

Answer 2

oral fecal contamination

Question 3

HEP B
how many vaccines are there?

Answer 3

3c

Question 4

cause of HEP B

Answer 4

mom to baby
needle sticks
body fluids - semen
vaginal secretions
saliva
*blood
*multiple sex partners

Question 5

what is hepatitis ?

Answer 5

swelling of liver

Question 6

what is the #1 cause of cirrhosis

Answer 6

fatty liver disease

Question 7

possible causes for liver failure

Answer 7

cirrhosis, Hep B or C, fatty liver dz, drug induced

Question 8

s&s of liver failure

Answer 8

-liver enzymes abnormal
-AST and ALT- BEST INDICATOR TO SEE EXTENT OF DAMAGE
-albumin
-bilirubin
-ammonia level - hepatic encephalopathy

Question 9

lab - best indicator to see extent of liver damage

Answer 9

AST and ALT

Question 10

hepatic encephalopathy means a high ______ level
what can happen?

Answer 10

ammonia
pt. stop breathing, intubate, propofol, lactalose - to poop out ammonia (rectal tube)

Question 11

what is ascites?

Answer 11

accumulation of serous fluid in the peritoneal or abdominal cavity

Question 12

main cause for ascites

Answer 12

cirrhosis of liver

Question 13

what procedure can be done for ascites? which does what?

Answer 13

paracentesis to drain fluid

Question 14

interventions for ascites

Answer 14

measure belly daily
daily weight
low sodium diet
diuretics

Question 15

1 concern with ascites

Answer 15

airway - sit pt. up

Question 16

HEP C (biggest one)
there is often a ___-___year_ delay between ________ and ________ of liver damage.

Answer 16

15-20 year
infection & manifestation

Question 17

HEP C stays _______ in your liver then comes alive

Answer 17

dormant

Question 18

HEP C
mode

Answer 18

contaminated needles, high-risk sexual behavior, blood transfuses

Question 19

a patient with HEP C will have high …..

Answer 19

liver enzymes

Question 20

it is important to get a ____ _______ on a patient with HEP C

Answer 20

health hx

Question 21

DRUG INDUCED HEP
cause
for who?
why?

Answer 21

acetaminophen
chronic pain people
med goes through liver

Question 22

nonalcoholic liver dz cause
main goal is -

Answer 22

obesity
weight loss