Term
| What can Hepatitis cause? |
|
Definition
| causes necrosis and inflammation of the liver cells |
|
|
Term
what is the morbidity rate of hepatitis? |
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Definition
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|
Term
| How can you contract Hepatitis A? |
|
Definition
| contracted by fecal matter or by mouth |
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Term
| how long does the hep A vaccine last? |
|
Definition
|
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Term
Who is at high risk to contract Hep A? |
|
Definition
Homosexual Iv drug users Day care staff - (changing diapers) Health care personnel |
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Term
| when should the hep A globulin be given? |
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Definition
| give within 2 weeks of exposure |
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|
Term
who should be given the hep A globulin? |
|
Definition
| anyone that came in contact such as family members and sexual contacts |
|
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Term
| what is included on medical management of hep A? |
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Definition
bed rest nutritious diet - sm frequent feedings increase fluid by mouth Give Antiemetics IV Glucose Gradually increase activity |
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Term
| what is including in the nursing management of hep A? |
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Definition
Send home unless severe s/sx rest follow up appointment w/blood work avoid alcohol wash hands effective sewage disposal condoms report Hep A to health dept. teach caution with OTC drugs that affect liver |
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Term
| How long does a Hep B vaccine Last? |
|
Definition
|
|
Term
| when do you receive the 2nd & 3rd dose of Hep B Vaccine? |
|
Definition
2nd dose in 1month 3rd dose in 6months after 1st dose. |
|
|
Term
| where do you give the hep B vaccine? |
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Definition
|
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Term
| what is the treatment for hep B? |
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Definition
Alpha interferon injections for 1-2 yrs Bed rest restrict activity until decr hepatic enlargement restrict protein intake give antacids/antiemetics IVF Hospitalization for prolonged vomitting & dehydration |
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Term
| What are the nursing interventions for Hep B? |
|
Definition
Convalescence for 3-4mths Gradual increase in activity Family involvemnet in home care, immunization, abstinence/condoms, no alcohol, s/s early Hep B, and avoid transmission |
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Term
| When is it necessary for a liver biopsy with Hep C? |
|
Definition
| When Hep C is at its worse/severe |
|
|
Term
| Is there a Hep C vaccine? |
|
Definition
|
|
Term
|
Definition
Universal precautions No sexual contact during menses if positive HIV/HCV testing for contacts Don't share razors/toothbrushes Cover open wounds No Needle Sharing Donate own blood for surgery Vaccinate for A & B if positive |
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Term
| Medical Management for Hep C |
|
Definition
TX: Antiemetics Increase fluid intake Healthy Diet Interferon & Ribovirin if lots of s/sx |
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Term
| what does chronic hep C lead to? |
|
Definition
| chronic - cirrhosis - liver cancer - possible liver transplant |
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|
Term
| Nursing management for Hep C |
|
Definition
No activity restrictions no diet restrictions teach prevention encourage HIV testing |
|
|
Term
| if the pt has Hep B, what can it lead to? |
|
Definition
|
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Term
| Preventions, Treatment, and Nursing Management for Hep D? |
|
Definition
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|
Term
| What causes drug induced hepatitis? |
|
Definition
causes: anesthetic agents rheumatic/MS meds antidepressants pshycotropic anticonvulsants anti-TB |
|
|
Term
| S/Sx of Drug Induced Hepatitis |
|
Definition
S/Sx: abrupt onset chills, fever, rash pruritis, arthralgia, anorexia nausea, jaundice, dark urine hepatomegaly |
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|
Term
| Treatment of drug induced hepatitis |
|
Definition
TX: DC offending med short course high dose corticosteroids liver transplant |
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