List s/s of increased portal pressure when there is impaired liver blood flow
Rash
Angeioedema
Arthritis
Fever
Malaise
At what age should children receive the Hep A vaccine?
What is the postexposure prophylaxis?
Incubation time?
1 year, then a booster 6-12 months later
Postexposure prophylaxis: Immune Globulin (IG)
Incubation: 2-5 weeks
What is incubation period of Hep B?
How are doses provided for its vaccine?
What is the postexposure prophylaxis?
Incubation period: 2-5 months
Vaccine dosing: (Recombivax HB) Start with initial dose, then second dose 1 month later, and last dose 6 months after first dose
PEP: HBV Vaccine and Hep B Immune Globulin (HBIG) ideally within 24 hours of exposure
What is incubation period of Hep C?
What is the vaccine given?
What is the percentage or likely hood it will develop into a chronic illness?
Incubation: 7 weeks and 15-20 year delay b/w infection and clinical manifestation
Vaccine: no vaccine
Percentage: 75%
How is Hep D transmitted?
What is the vaccine given?
What is the incubation time?
Transmitted: only with Hep B virus infection
Vaccine: Provide Hep B vaccine
Incubation time: 1-6 months
How is Hep E transmitted?
What is its incubation period?
Prevention?
Transmitted: fecal-oral route, drinking water contaminated
Incubation: 3-6 weeks
Prevention: hand washing after toileting, clean water and food, wear gloves when handling stool
List the three phases of hepatitis and time they last
1. Preicteric Phase: 1-21 days
2. Icteric Phase: 2-6 weeks
3. Posticteric Phase: several months
Match symptoms with hepatitis phase: malaise, HA, n/v, anorexia, fever, rash, tender liver
A.
Match s/s with hepatitis phase: Jaundice, light or clay-colored stools, dark urine, pruritis, GI symptoms
B.
Match hepatitis phase with s/s: fatigue, malaise, enlarged liver, anemia
A.
List diagnostics of hepatitis
Liver biopsy for chronic hepatitis
Liver enzymes (AST, ALT, LDH)
Bilirubin levels
Urine Urobilinogen
Albumin levels
Viral antigens
List the 4 types of cirrhosis
1. Laennec's (alcoholism)
2. Post necrotic
3. Biliary
4. Cardiac
Match s/s of Cirrhosis if it's early, middle, or late stage: slight weight loss and farigue, unexplained fever, dull heaviness in RUQ, liver palpable, elevated liver enzymes
B.
State if this is early, middle, or late stage of cirrhosis: anorexia and n/v, diarrhea or constipation, flatulence, esophageal varices, anemia
A.
State if this is early, middle, or late stage of cirrhosis: decreased CBC count, jaundice with elevated bilirubin, decreased sex hormones (testicular atrophy and amenorrhea), palmar erythema, spider angiomas, peripheral neuropathy
B.
How can ammonia build up in the body with liver failure?
Ammonia is produced when the body digests proteins. It is a toxin made harmless by the liver.
With liver failure, ammonia builds up, and may lead to hepatic encephalopathy in the brain.
Do you lose water and sodium in cirrhosis or do you retain them?
