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Quizlet - Infection Prevention and Control
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Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.
Hepatitis B was the first of the hepatitis viruses to be discovered. There are seven genotypes for hepatitis B (Zein & Edwards, 2009). There are two forms of the disease, acute and chronic. Acute hepatitis B is a form which lasts less than six months, whereas chronic hepatitis B lasts from six months on. Symptoms of acute hepatitis B include: fever, abdominal upset, nausea, decreased appetite, vomiting, and changes in the way things taste or smell (Zein & Edwards, 2009). Some individuals infected with acute hepatitis B display symptoms, while others show no symptoms. Acute hepatitis B often goes undetected as a result.
When acute hepatitis B is suspected the doctor should perform liver function tests (Zein & Edwards, 2009). These tests will reveal raised levels of AST and ALT when infected. Normally the levels will gradually decrease over the passage of the disease. Acute hepatitis B also results in raised levels of bilirubin concentration (Worman, 2006). Acute hepatitis B is often resolved suddenly. Acute hepatitis B can also result in ful...
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...lomavirus (HPV), pelvic inflammatory disease, syphilis, trichomoniasis, vaginal infections, and other sexually transmitted diseases (STDs), including recent facts about prevalence, risk factors, diagnosis, treatment, and prevention : along with tips on discussing and living with STDs, updates on current research and vaccines, a glossary of related terms, and resources for additional help and information (4th ed.). Detroit, MI: Omnigraphics.
Mayo Clinic. (n.d.). Mayo Clinic. Retrieved November 13, 2011, from http://www.mayoclinic.com
Rumack, C. M., Wilson, S. R., & Charboneau, J. W. (2005). Diagnostic ultrasound (3rd ed.). St. Louis: Elsevier Mosby.
Worman, H. J. (2006). The liver disorders and hepatitis sourcebook (Updated ed.). New York: McGraw-Hill.
Zein, N. N., & Edwards, K. (2009). The Cleveland Clinic guide to liver disorders. New York: Kaplan Pub.
This case study is about Abdul Chidiac, a 51 year old male, married with 4 children. He had a medical history of hypertension, hypercholesterolaemia and cirrhosis with two admissions in the last six months. He is a smoker and drinks beer, 5-6 bottles per day. As Carithers & McClain (2010) explained the patient’s medical history is another indicator of the risk for cirrhosis; the progression to cirrhosis is adaptable and may take time over weeks or many years. Cirrhosis is a liver disease characterized by permanent scarring of the liver that interferes with its normal functions including alcoholism. Most people who drink large amounts of alcohol cause harm to the liver in some way (Heidelbaugh & Bruderly, 2006). The cause of cirrhosis is not yet known, but the connection between cirrhosis and excessive alcohol ingestion is established (Jenkins & Johnson, 2010). Common causes of cirrhosis include: alcohol abuse, hepatitis B infection, hepatitis C infection and non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (Schuppan & Afdhal, 2008).
Hepatitis A is a usually short acting virus that occurs in humans and monkeys. It is caused by the Hepatovirus and the species is Hepatitis A Virus. There are two major ways in which Hepatitis A can be transmitted. One way is from person to person. This transmission occurs when the fecal matter of an infected person gets ingested by another person. Other ways Hepatitis A can be transmitted from person to person are through direct contact with an infected person, such as sexual contact, and sharing of needles for intravenous drug use. Hepatitis A can also be transmitted through coming in contact with contaminated food or water. Also foods that are uncooked or undercooked and have been contaminated with Hepatitis A can transmit the virus. (Bennett,
Being able to identify lumps, swelling, tissue damage, cysts, and the overwhelming news of the sex of a baby all have something in common, an ultrasound. Swelling of the spleen, kidney stones, blood clots, aneurysms, cancer and so much more can be identified through the works of an ultrasound’s imaging technique. Ultrasound involves many concepts, procedures, and careers. The amount of medical possibilities involved with ultrasounds is useful in major medical diagnostics. The field of ultrasounds and career opportunities are widely growing. As medical careers flourish, needs for technicians in many fields of medicine are increasing. Instead of a doctor choosing complex and risky surgery to find out problems within the body, they can now choose a safer path; the ultrasound path. Patient’s history and physical evaluation are building blocks to diagnostics but ultrasounds are much greater. They are powerful tools used to see beyond the skin into the depths of a person’s body. What ultrasounds are, what types there are, and what they are used for, and the education and careers available are the major themes found in research on the subject. Knowledge of ultrasound and its background may help one decide what career is best for them. Understanding the wide array of diagnostic tests and their uses are essential to figuring out what a career as a sonographer entails and the type of education that is needed. Because there are plenty of possibilities for specializing with different technologies, there is a wide variety of job opportunities in the medical imaging career. The call for ultrasound’s assistance opens new paths in future high-quality careers.
Pathogens are a type of microorganism that spreads viral and bacterial diseases. These diseases when present in human blood and body fluids are known as blood borne pathogens, and can spread from one person to another. (Worcester polytechnic institute) The most serious types of blood borne diseases are the hepatitis B virus (HBV) and hepatitis C virus (HCV), which can cause liver damage; and HIV (human immunodeficiency virus), which is responsible for causing AIDS (acquired immune deficiency syndrome). The blood borne pathogens can be spread when the blood or body fluids (semen, vaginal fluid, breast milk, and amniotic fluid) of an infected individual comes into contact with mucous membranes or an open sore or cut on the skin of another person. Mucus membranes are located in the eyes, nose, mouth, and other areas as well. ("Bloodborne pathogens: MedlinePlus Medical Encyclopedia") Two of the most common ways that pathogens are transmitted is through the exchange of fluids during sexual intercourse or by sharing infected IV needles. (Worcester polytechnic institute)
The sonographic appearance varies depending on of the Hepatitis is acute or chronic. In acute hepatitis you will see a normal texture or portal veins will be more prominent. The liver appears hypoechoic. Attenuation might be present in acute Hepatitis. Gallbladder walls are thickened and hepatosplenomegaly. In chronic Hepatitis the parenchyma will appear coarsed with decreased brightness of the portal triad. Attentuaion is not as great in chronic Hepatitis. Fibrosis may occur with soft shadowing. The size of the liver is decreased and appears hyperechoic.
Cirrhosis is a deterioration of the liver resulting from heavy scarring, causing the liver to not be able to function properly. If cirrhosis becomes severe, a liver transplant may be the only solution (“Beyond Hangovers: Understanding Alcohol's Impact on Your Health” 14). It is difficult to calculate when a person will develop cirrhosis, because an alcoholic could never develop the disease, but someone who drinks socially could. It is also unknown why cirrhosis is more prevalent in women (Freeman).... ...
The signs are fatigue, sudden nausea, vomiting, loss of appetite, intense itching, dark urine, clay-colored bowel movements, abdominal pain in the right side, joint pain, and a fever up to 102 degrees Fahrenheit. Although the symptoms may be moderate, the outcome of the infection can be a severe illness that lasts for several months. The vaccine of immunoglobulin can protect you from infection if the person receives it within two weeks of being introduced to hep A. If the infected person has a long-term liver disease, then the symptoms also may cause the virus and it also can occur for people over the age of 50. Hepatitis symptoms are so minor, people usually do not realize they are infected with the
Hepatitis A is an acute infection of the liver that travels through your bloodstream and gastrointestinal tract (2). It is transmitted person to person through fecal contamination. Ingesting contaminated food and water is the main source, this usually occurs when an infected food handler prepares food without appropriate hand hygiene (3). Outbreaks are fairly common in institutions, prisons and military forces. An early infection of Hepatitis A can mimic the flu with symptoms such as being febrile, lethargy, nausea, anorexia, abdominal discomfort and eventually causing severe jaundice (1). This virus can progress and cause liver failure and even death if not treated promptly (3).
The signs are fatigue, sudden nausea, vomiting, loss of appetite, intense itching, dark urine, clay colored bowel movements, abdominal pain in the right side, joint pain, and a fever up to 102 degrees Fahrenheit. Although the symptoms may be moderate, the outcome of the infection can be a severe illness that lasts for several months. The vaccine of immunoglobulin can protect you from infection if the person receives it within two weeks of being introduced to hep A. If the infected person has a long-term liver disease, then the symptoms also may cause the virus and it also can occur for people over the age of 50. Hepatitis symptoms are so minor, people usually do not realize they are infected with the
Patient education is of paramount importance if MRSA is to be reduced to its lowest minimum. According to Noble 2009, patient’s education stands a critical component of managing MRSA therefore; nurses are expected to be prompt in educating patients on specific measures in limiting and reducing the spread of MRSA by person to person contact. (Noble, 2009) The specific measures includes definition of MRSA, mode of transmission, the damage it can do to the body, specific treatments available and the process of treatment. This is to help the patient take part in the care. Noble 2009 explains that during care giving nurses and all other healthcare provider involve in giving care to a patient should communicate to patient all the precaution that will prevent the transmission of MRSA, and also giving the scientific rationale for the use of any precaution that is been used in the cause of care giving. (Noble, 2009.)
...s and measurement to decrease healthcare- associated infections. American Journal Of Infection Control, pp. S19-S25. doi:10.1016/j.ajic.2012.02.008.
Hepatitis B, an infectious disease caused by the Hepatitis B virus (HBV, a DNA virus), was formerly called serum hepatitis, inoculation hepatitis and post-transfusion hepatitis. Infection with HBV may result in acute, fulminant or chronic hepatitis, sometimes even resulting in a chronic asymptomatic carrier state, apart from hepatocellular carcinoma and liver cirrhosis (Davis 179). The disease is transmitted when an individual comes in contact with infected blood or objects. It may also be transferred from an infected mother to her infant either during or after birth (Zuckerman et al. 211). Transmission may also occur by accidental inoculation from infected needles and hospital equipment, intravenous drug abuse, body piercing, tattooing, and mouth-mouth kissing (Zuckerman et al. 210). The risk of Hepatitis B is particularly high in individuals with multiple sex partners, and in homosexuals. The HBV virus occurs in morphologically different forms in the serum of infected individuals. HBV infection has an incubation period of about 75 days. Systemic symptoms of the disease include fatigue, fever, dyspepsia, arthralgia, malaise, and rash, while local symptoms include hepatomegaly, jaundice, dark urine, and pale stools (Davis 179; Zuckerman et al. 210).
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
Hepatitis B is a disease of the liver caused by the virus HBV. Known as serum hepatitis or “the silent infection", it could cause liver cirrhosis or liver cancer. Hepatitis B can be as severe as a minor illness enduring a few weeks to a serious, lifetime disease. Hepatitis B is commonly contracted through blood, semen, or other body fluids from an individual infected with the Hepatitis B virus into the body of someone who is not infected by Hepatitis B. Infection of the Hepatitis B can transpire through unprotected sexual contact with an infected person, sharing needles, hypodermics (syringes), or other drug-injection equipment. Infected mothers may also spread Hepatitis B to her baby at birth. Healthcare workers such as nurses and doctors are also at risk of contracting the Hepatitis B virus due to handling blood in the workplace. Hepatitis B is either chronic or acute. Acute Hepatitis B virus infection is a short-range illness that occurs within the first six months after infection of the Hepatitis B virus. Acute infection can lead to chronic infection, but doesn’t always. Chronic Hepatitis B virus infection is the long-lasting illness where the Hepatitis B virus remains in a person’s body throughout their life. Chronic Hepatitis B is a serious disease that can result in long-term health problems, and even death. The best way to prevent Hepatitis B is by getting vaccinated:
“Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver disease and conditions, such as hepatitis and chronic alcoholism” (“Cirrhosis,” n.d.). Any type of scarring results from the remodeling process that the body does in order to help repair itself. This process can be harsh on organs and thus cause damage resulting in decreased function. The same thing happens to the liver from chronic inflammation. The damage that this inflammation creates is more times than not irreversible. Those with liver cirrhosis may have jaundice of the skin and eyes. There are many reasons why a patient may present with jaundice however; hepatic jaundice is pertinent to the liver. It occurs because heme, a molecule in