Use the Case Study Workbook for Objectives 1-3.

 

1. Describe liver structure and function to include:

• a. location
• b. location and function of liver components to include hepatocytes, bile canaliculi, and hepatic sinusoids.
• c. pathway of bile flow
• d. function of bile
• e. pathway of venous blood flow to and from the liver starting with the digestive tract and ending with the inferior vena cava.
• f. list nine functions of the liver

2. Describe jaundice to include:

• a. Definition of jaundice
• b. Definition of bilirubin and its origins.
• c. Describe the cause of jaundice in hepatitis.

3. Describe the basic nature of a virus and provide:

• a. Definition of a virus
• b. parts of a virion. Be able to identify the parts of a virion on a graphic.
• c. Five steps of viral replication.
• d. Two methods by which a virus may be released from a host cell.

4. Describe the following components of viral hepatitis:

• a. target organ/cells
• b. modes of acquiring type A, B and C
• c. at-risk populations, behaviors contributing to acquiring viral hepatitis
• d. general symptoms
• e. vaccinations if available

5. Define the following terms:

• a. Endemic
• b. Infectious Disease

6. Describe the roles of the following healthcare practitioners in the diagnosis and treatment of viral hepatitis.

• a physician (internist)
• b. physician (infectious disease specialist)
• c. registered nurse
• d. medical laboratory personnel

7. Discuss the options for prevention of A, B and C viral hepatitis.

 

8. Discuss the options for treatment of A, B and C viral hepatitis.

 

9. Define the tests measured in a hepatic (liver) panel and how each test relates to liver function and to the diagnosis of viral hepatitis: ALT, ALP, AST, bilirubin, and albumin and total protein.

 

10. Discuss dehydration to include:

• a. definition of dehydration
• b. signs of moderate and sever dehydration
• c. treatment

11. Discuss the diagnostic screening methods for Hepatitis to include antigen and antibody screening methods.

• a. Discuss the significance of a positive antigen hepatitis screen.
• b. Discuss the significance of a positive antibody hepatitis screen.  Define the two conditions that would lead to a positive antibody hepatitis screen.

12. Define the precautions health care personnel must use to protect themselves, and prevent the spread of viral hepatitis. Review the essentials of universal precautions (link on online course) and patient confidentiality since these are applicable to all health care professionals.