Hepatitis A - Inflammation of the liver
Etiology
Poor sanitation
Overcrowding
Management
Immunoglobulins (passive immunity
Fecal/ Oral route
Educations: hygiene, community sanitation improvement
Assesment
S/s
Flu like
anorexia
weight loss
Small frequent feedings
Dark urine
Jaundice (anecteric)
Labs
Antibodies
Vaccine (prevention)
Hep B
Etiolgoy
Percutaneous and Permucosa route
Hemodyalsis
Homosexual/Bisexual
IV drug users
Mother-Child during delivery
Multiple sexual partners
Tattooes
Management
Vaccine (prevention)
Three doses
Immuneglobulin (passive immunity)
Assesment
S/s
Arthralgia
tender/enlarged liver
spleen enlarged
Blood work
surface antigen on cell
HBsAg
when present this causes inflammatory response
loss appetitie
jaundice
posteric cervical lymphnodes enlarged
antigen inside the cell
HBcAg
marker of active replication
anti-HBc
anti-HBs
antibody levels
Antiviral
Bed rest
Diet
- vir
Alpha-interferon
Manage GI symp (f&e electrolyte)
BMR biologic modifier
modifies de immune system response to the virus
5 million U or 10 million U
antacid
antiemetic
Hep C
etiology
health professional
IV drug users
Management
Interferon
antiviral
rest/diet
no alcohol
no alcohol