MindMap Gallery viral hepatitis
This is a mind map about viral hepatitis, including hepatitis A virus HAV, hepatitis B virus HBV, clinical manifestations, laboratory tests, etc.
Edited at 2023-11-13 22:27:05This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
viral hepatitis
Hepatitis A virusHAV
Epidemiology
Source of infection
acute phase patients
Lately infected persons
way for spreading
Fecal-oral route of transmission
Population is susceptible
Anti-HAV negative
Pathogenesis
After HAV invades, it causes a brief viremia, then invades the liver and reproduces in hepatocytes. The virus invades the intestinal lumen from the biliary tract and is finally excreted in the feces.
Prevention
Strengthen the management of food, water and feces
Vaccination
Hepatitis B virus HBV
Epidemiology
Hepadnaviridae
Source of infection
Acute and chronic hepatitis B patients
Virus carriers (important source of infection)
way for spreading
mother and baby
blood
sexual contact
Population is susceptible
HBsAg positive persons
Mainly distributed, with family gatherings
Pathogenesis
Mainly related to immune damage
Normal immune function: normal acute hepatitis B
Immunocompromised: chronic hepatitis
Immune function is too strong: severe hepatitis
No immune response: HBV carriers
Prevention
active immunity
Single-component vaccine
passive immunity
HBIG can be used for emergency prevention
Hepatitis C virus HCV
Epidemiology
Source of infection
Acute and chronic hepatitis C patients
Asymptomatic carriers,
way for spreading
Transfusion of blood or blood products
Population is susceptible
Humans are generally susceptible
Pathogenesis
immune damage direct damage
Prevention
Strict screening of blood donors
Strengthen blood product management
Hepatitis D virus HDV
Epidemiology
defective RNA virus
Source of infection
Similar to Type B
way for spreading
Blood Chuanbo
mother-to-child transmission
Sexual/bodily fluid transmission
Population is susceptible
Humans are generally susceptible
Infectious form
mixed infection
Superinfection
Pathogenesis
immune damage direct damage
Prevention
Strict screening of blood donors
Strengthen blood product management
Hepatitis E virusHEV
Epidemiology
Source of infection
Similar to hepatitis A
way for spreading
Fecal-oral route of transmission
Population is susceptible
Adults, those with existing chronic HBV infection or late-term pregnant women have a high mortality rate after HEV infection
Pathogenesis
immune damage direct damage
Prevention
Strengthen food, water and manure management
Vaccination
sick student
jaundice
hepatic encephalopathy
ascites
Hepatorenal syndrome
Hepatopulmonary syndrome
clinical manifestations
acute hepatitis
acute icteric hepatitis
Pre-jaundice: lasts 5-4 days
Jaundice phase: lasts 2-6 weeks
The recovery period lasts 1-2 months
acute anicteric hepatitis
Within 3 months
Mainly manifested as gastrointestinal symptoms
chronic hepatitis
If the disease lasts for more than half a year, it is divided into mild, moderate and severe.
Severe hepatitis (liver failure)
Clinical manifestations: serum bilirubin>17 micromol/L, PTA<40%, hepatic encephalopathy
Classification
acute liver failure
Liver failure characterized by grade II or above hepatic encephalopathy within two weeks of acute onset. Clinical manifestations and high mortality rate. The duration of the disease does not exceed 3 weeks.
subacute liver failure
The above clinical manifestations of liver failure appear within 15 days to 26 weeks. Once hepatorenal syndrome occurs, the prognosis is extremely poor. The course of the disease can last for several months and can easily transform into chronic hepatitis or cirrhosis.
acute-on-chronic liver failure
Acute liver decompensation occurs on the basis of chronic liver disease
chronic liver failure
On the basis of cirrhosis, liver function gradually decreases, causing ascites, portal hypertension, coagulation dysfunction, and hepatic encephalopathy as the main manifestations of chronic liver decompensation.
biliary hepatitis
Severe jaundice that lasts for more than three weeks
Three separations
Obstructive
posthepatitis cirrhosis
compensated cirrhosis
early cirrhosis
decompensated cirrhosis
Late stage liver cirrhosis
laboratory tests
Serum enzyme test (most commonly used) - ALT - indicator of liver cell damage
Serum protein test - albumin decreased, globulin increased, A/G decreased
Thrombin activity (PTA) test: the lower, the worse the prognosis
Blood ammonia concentration test: hepatic encephalopathy may cause elevated blood pressure
Alpha-fetoprotein (AFP)
Hepatitis virus etiology (marker) detection
Histopathological examination
Nursing Assessment and Nursing Diagnosis
nursing assessment
health history
History of present illness
Past history
personal history
Epidemic history
psychosocial assessment
Physical examination
vital signs, sanity, nutrition
Are there any yellow scars, skin scratches or damage?
Liver and spleen examination
laboratory tests
liver function
Hepatitis marker testing, etc.
Nursing diagnosis
Activity intolerance: related to impaired liver function and energy metabolism disorder
Malnutrition: lower than body requirements: related to loss of appetite, vomiting, diarrhea, digestive and absorptive dysfunction
Anxiety: related to repeated worries about the prognosis of the disease
Potential complications: hemorrhage, hepatic encephalopathy
health guidance
disease prevention guidance
Protect vulnerable groups
Hepatitis B prevention after accidental exposure
Disease knowledge guidance
Medication guidance and condition monitoring