Liver - Hepatitis Flashcards
HEP A
interventions / teachings
good hand washing
vaccine
HEP A
mode
oral fecal contamination
HEP B
how many vaccines are there?
3c
cause of HEP B
mom to baby
needle sticks
body fluids - semen
vaginal secretions
saliva
*blood
*multiple sex partners
what is hepatitis ?
swelling of liver
what is the #1 cause of cirrhosis
fatty liver disease
possible causes for liver failure
cirrhosis, Hep B or C, fatty liver dz, drug induced
s&s of liver failure
-liver enzymes abnormal
-AST and ALT- BEST INDICATOR TO SEE EXTENT OF DAMAGE
-albumin
-bilirubin
-ammonia level - hepatic encephalopathy
lab - best indicator to see extent of liver damage
AST and ALT
hepatic encephalopathy means a high ______ level
what can happen?
ammonia
pt. stop breathing, intubate, propofol, lactalose - to poop out ammonia (rectal tube)
what is ascites?
accumulation of serous fluid in the peritoneal or abdominal cavity
main cause for ascites
cirrhosis of liver
what procedure can be done for ascites? which does what?
paracentesis to drain fluid
interventions for ascites
measure belly daily
daily weight
low sodium diet
diuretics
1 concern with ascites
airway - sit pt. up
HEP C (biggest one)
there is often a ___-___year_ delay between ________ and ________ of liver damage.
15-20 year
infection & manifestation
HEP C stays _______ in your liver then comes alive
dormant
HEP C
mode
contaminated needles, high-risk sexual behavior, blood transfuses
a patient with HEP C will have high …..
liver enzymes
it is important to get a ____ _______ on a patient with HEP C
health hx
DRUG INDUCED HEP
cause
for who?
why?
acetaminophen
chronic pain people
med goes through liver
nonalcoholic liver dz cause
main goal is -
obesity
weight loss
