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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:

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.

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Adult 2 Final

Concepts Covered:

Immunological Disorders
Liver & Gallbladder Disorders
Upper GI Disorders
Neurological Emergencies
Emergency Care of the Neurological Patient
Central Nervous System Disorders – Brain
Peripheral Nervous System Disorders
Central Nervous System Disorders – Spinal Cord
Infectious Respiratory Disorder
Respiratory Disorders
Noninfectious Respiratory Disorder
Oncology Disorders
Hematologic Disorders
Oncologic Disorders
Cardiac Disorders
Acute & Chronic Renal Disorders
Renal Disorders
Urinary Disorders
Vascular Disorders
Emergency Care of the Cardiac Patient
Pregnancy Risks

Study Plan Lessons

Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)

Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)

Systemic Lupus Erythematosus (SLE)

Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)

Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)

Nursing Case Study for Rheumatoid Arthritis

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)

AIDS Case Study (45 min)

Hepatitis for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Nursing Care Plan (NCP) for Hepatitis

Nursing Case Study for Hepatitis

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

Nursing Care Plan (NCP) for Pancreatitis

Nursing Care and Pathophysiology for Cholecystitis

Nursing Care Plan (NCP) for Cholecystitis

Cirrhosis Case Study (45 min)

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Nursing Care Plan for Cirrhosis (Liver)

Nursing Care and Pathophysiology for Pancreatitis

Cholecystitis for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

Nursing Care and Pathophysiology for Ischemic Stroke (CVA)

Nursing Care Plan (NCP) for Stroke (CVA)

Stroke (CVA) Management in the ER

Stroke (CVA) Module Intro

Stroke Assessment (CVA)

Stroke Case Study (45 min)

Stroke Concept Map

Stroke for Certified Emergency Nursing (CEN)

Stroke Nursing Care (CVA)

Stroke Therapeutic Management (CVA)

Nursing Care and Pathophysiology for Seizure

Nursing Care Plan (NCP) for Seizures

Seizure Assessment

Seizure Causes (Epilepsy, Generalized)

Seizure Disorders for Certified Emergency Nursing (CEN)

Seizure Management in the ER

Seizure Therapeutic Management

Seizures Case Study (45 min)

Seizures Module Intro

Miscellaneous Nerve Disorders

Neuro Disorders Module Intro

Nursing Care and Pathophysiology for Multiple Sclerosis (MS)

Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)

Nursing Care Plan (NCP) for Multiple Sclerosis (MS)

Nursing Care and Pathophysiology for Tuberculosis (TB)

Nursing Care Plan (NCP) for Tuberculosis

Tuberculosis (TB) Case Study (60 min)

Tuberculosis for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology of Pneumonia

Nursing Care Plan (NCP) for Pneumonia

Nursing Case Study for Pneumonia

Pneumonia Concept Map

Asthma Concept Map

Asthma for Certified Emergency Nursing (CEN)

Corticosteroids

Albuterol (Ventolin) Nursing Considerations

Nursing Care and Pathophysiology for Asthma

Nursing Care Plan (NCP) for Asthma

Nursing Care Plan (NCP) for Asthma / Childhood Asthma

Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)

Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)

COPD Concept Map

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)

Chemotherapy Patients

Hematology/Oncology/Immunology Course Introduction

Colorectal Cancer (colon rectal cancer)

Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)

Nursing Care Plan (NCP) for Prostate Cancer

Prostate Cancer

Breast Cancer Concept Map

Nursing Care Plan (NCP) for Breast Cancer

Nursing Case Study for Breast Cancer

Nursing Care Plan (NCP) for Lung Cancer

Cervical Cancer

Nursing Care Plan (NCP) for Cervical Cancer

Leukemia Case Study (60 min)

Nursing Care Plan (NCP) for Leukemia

Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)

Multiple Myeloma

Cardiovascular Disorders (CVD) Module Intro

Acute Kidney Injury Case Study (60 min)

Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Nursing Care Plan (NCP) for Acute Kidney Injury

Nursing Case Study for Acute Kidney Injury

Renal Failure for Certified Emergency Nursing (CEN)

Chronic Kidney Disease (CKD) Case Study (45 min)

Chronic Renal (Kidney) Module Intro

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care Plan (NCP) for Chronic Kidney Disease

Hemodialysis (Renal Dialysis)

Peritoneal Dialysis (PD)

Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)

Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)

Nursing Care Plan (NCP) for Renal Calculi

Renal Calculi for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology for Aortic Aneurysm

Nursing Care Plan (NCP) for Aortic Aneurysm

Congestive Heart Failure Concept Map

Heart (Cardiac) Failure Module Intro

Heart (Cardiac) Failure Therapeutic Management

Heart (Cardiac) Sound Locations and Auscultation

Heart (Heart) Failure Exacerbation

Heart Failure – Live Tutoring Archive

Heart Failure Case Study (45 min)

Heart Failure for Certified Emergency Nursing (CEN)

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

Myocardial Infarction (MI) Case Study (45 min)

Myocardial Infarction Nursing Mnemonic (MONATAS)

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Nursing Care Plan (NCP) for Myocardial Infarction (MI)

Nursing Care Plan for Coronary Artery Disease (CAD)

Nursing Care and Pathophysiology of Angina

Nursing Care Plan (NCP) for Angina

Hypertension (HTN) Concept Map

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

Hypertension for Certified Emergency Nursing (CEN)

Hypertensive Crisis Case Study (45 min)

Hypertensive Emergency

Nursing Care and Pathophysiology of Hypertension (HTN)

Nursing Care Plan (NCP) for Hypertension (HTN)

Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)

Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology for Arterial Disorders

Nursing Care Plan (NCP) for Arterial Disorders