Science Quiz / Med Surg: Major Forms of Hepatitis

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Which Hepatitis is it?

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CharacteristicType of Hepatitis (A,B,C, or al(L))
Alpha-interferon to reduce remissions and antiviral agents
Can lead to cirrhosis and/or liver cancer
Can pass from mom to baby during pregnancy
Nursing Care: DIetary mgmt/small frequent meals
Nursing Care: Enteral feedings if N/V/anorexia persist
Has a chronic form and carrier form
Most common reason for needing liver transplant
Most mild form of Hepatitis
Most severe type of Hepatitis
Nursing care: bed rest, frequent feedings
Nursing Care: Immunoglobulin
Nursing care: No alcohol. increased calories
Nursing care: No hepatotoxic meds
Prevention: Avoid high risk behaviors/IV drug use
Prevention: Avoid multidose vials in patient care
Prevention: Barrier precautions in situations of contact with blood/body fluids
Prevention: handwashing, community and home sanitation
Prevention: Health education, vaccinations if available
Prevention: mandatory reporting to local health depts
CharacteristicType of Hepatitis (A,B,C, or al(L))
Prevention: safe food prep and dispensing
Prevention: Use needleless IV and injection systems
Risk: healthcare workers, pts who travel, pts on hemodialysis
Risk Factor: Blood products or organ transplant before 1987
Risk Factor: Contact with body fluids (blood, semen, saliva, vaginal secretions, mucous)
Risk Factor: fecal oral contamination
Risk Factor: Needlestick injurires
Risk Factor: Oral-Anal sex
Risk Factor: Poor sanitation, crowded conditions
Risk Factor: Tattooing, blood products
Risk factor: unprotected sex/multiple sex partners
S/S: (icteric) dark urine, jaundice of sclera/skin, tender liver
S/S: (preicteric) headache, malaise, fatigue, anorexia
S/S: Arthralgias/Rash
S/S: indigestion, nausea, vomiting, gas
S/S: jaundice, mild flu like symptoms, low grade fever
S/S: Often none in children
S/S: Similar to HBV, but less severe

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