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