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Hepatitis for Certified Emergency Nursing (CEN)

Hepatitis for Certified Emergency Nursing (CEN)

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Study Tools For Hepatitis for Certified Emergency Nursing (CEN)

Hepatitis Pathochart (Cheatsheet)
Example Care Plan_Hepatitis (Cheatsheet)
Stages of Hepatitis (Mnemonic)
Hepatitis B (HBV) Assessment (Picmonic)
Hepatitis A (HAV) Assessment (Picmonic)
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Outline

Hepatitis

 

Definition/Etiology:

Hepatitis – Inflammation of the liver

Hep A – fecal/oral route

  • Contaminated food/water

Hep B – transmitted through mucus membranes/body fluids

  • IVDA
  • Sexually transmitted
  • Needle sticks
  • Blood transfusions

Hep C-

  • IVDA
  • Sexually transmitted
  • Needle sticks
  • Blood transfusions
  • Baby boomers (1945-1966) due to lifestyle and medical treatments

Hep D-

  • Usually, a co-infection with Hep B

 

Pathophysiology:

Liver works to:

  • Metabolize toxins from the blood
  • Clears old red blood cells
  • Produces factors to help blood clot
  • Stores glycogen and vitamins
  • Makes bile to break down food

Inflammation damages the liver and impacts its function. It can also lead to long-term liver impairment, cancer, and hardening (cirrhosis)

 

Clinical Presentation:

  • Fatigue
  • N/V
  • Fever
  • Anorexia
  • Jaundice
  • Dark urine
  • RUQ tenderness
  • Hepatomegaly
  • Skin itching
  • Confusion
  • AMS
  • Easy bruising

 

Collaborative Management:

  • Labs
  • Elevated AST/ALT
  • Possible dehydration
  • Hepatitis panel
  • Ammonia Level
  • PT/INR
  • Liver US

 

Evaluation | Patient Monitoring | Education:

Best treatment is prevention

  • Hep A (acute)– vaccine. Offered to endemic areas, those who use illicit drugs, patient with chronic liver disease, men who have sex with men
  • Hep B – Vaccines! Part of the routine immunization schedule.
  • Hep C (chronic)– no vaccine. May be placed on antivirals

 

Linchpins: (Key Points)

  • Hep A (Acute) (Anal/Oral route) (Adventurous travelers get vaccines)
  • Hep B (Babies get vaccines) (Blood/Body fluid)
  • Hep C (chronic) – (Can’t get a vaccine) (Contaminated body fluids)
  • Hep D (Doubles up with Hep B)
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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

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Certified Emergency Nursing (CEN)

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