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Hepatitis Case Study

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Hepatitis Case Study
Lab test results show a positive anti-HCV and confirm that Chad has Hepatitis C. The nurse explains to Chad that Hepatitis is liver disease with inflammation of the cells of the liver. Chad states "I can't have Hepatitis. I had all three of the vaccinations before I started working as a paramedic."
There are five major types of viral Hepatitis: A, B, C, D, and E.

1.
What information about the vaccination series for Hepatitis received by healthcare workers will the nurse use in response to Chad's statement?
A) Each of the injections is specifically formulated to protect against Hepatitis A, B, or C.
INCORRECT
There is currently no vaccination for Hepatitis C.

B) Each of the injections is specifically formulated to protect against Hepatitis B, D, or E.
INCORRECT
There is no separate vaccination for Hepatitis D. The Hepatitis B vaccination protects against both Hepatitis B and D. Hepatitis E has no vaccine.

C) All three injections are given to protect against Hepatitis B.
CORRECT
The three routine Hepatitis vaccinations administered to healthcare workers are the three-part hepatitis B vaccination. All three parts of this vaccination must be administered at the correct intervals (0, 1, and 6 months) to provide maximum protection. This vaccination also protects against hepatitis D. This vaccine is now included in the recommended childhood vaccines.

D) All three injections are given to protect against Hepatitis A.
INCORRECT
There is a vaccination for Hepatitis A. However, it is a single dose with an available booster dose administered after 6-12 months. This vaccination is not routinely recommended for healthcare workers.

Prevention of Hepatitis
Hepatitis can be caused by hepatotoxins or medications, but the primary cause is viral. Viral Hepatitis is transmitted by two major routes: enteral (oral-fecal) and percutaneous/mucosal (blood or blood products, other body fluids, or maternal-fetal transmission). This second route is also
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