Hepatitis for Certified Emergency Nursing (CEN)
Included In This Lesson
Study Tools For Hepatitis for Certified Emergency Nursing (CEN)
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)
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:
- Liver: What it does, disorders & symptoms, staying healthy. Cleveland Clinic. (n.d.). Retrieved October 16, 2022, from https://my.clevelandclinic.org/health/articles/21481-liver
- Mehta, P., & Reddivari, A. K. R. (2021). Hepatitis. In StatPearls [Internet]. StatPearls Publishing.
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System