Hepatitis Hepatitis Risk factors Nursing Processes Complimentary Therapy Complication/Nursing implications inflammation of the liver usually caused by virus exposure to alcohol, drugs, toxins, pathogens Acute or chronic Report all cases to health department Pathophysiology Inflammatory process; damages hepatic cells and disrupts liver function Impaired bile flow leads to jaundice Liver hyperplasia, necrosis and cellular regeneration Viral Hepatitis Caused by 5 viruses Hepatitis A (HAV) Hepatitis B (HBV) Hepatitis C (HBC) Hepatitis D (HBD) Hepatitis E (HBE) Manifestations Preicteral or Prodromal Phase Flulike symptoms: chills, fever, fatigue, muscle and body aches Gastrointestinal: anorexia, N/V, diarrhea, constipation Mild RUQ abd pain and tenderness Posticteric/ convalescent phase Decreased Serum enzymes/bilirubin Liver pain Gastrointestinal symptoms weakness Hep A and E Oral, Fecal Routh Ingestion of contaminated food/ water Hep B Blood Drug abuse/ sexual contact or healthcare work Hep C Blood Drug abuse/ sexual contact Hep D Co-infection with HBV Drug abuse High Risk behaviors Failure to follow Universal Precautions Percutaneous exposure Unprotected sexual intercourse with a hepatitis: infected person Hemodialysis Infection of food prepared by a hepatitis: infected person Travel/ residence in underdeveloped country Eating and/or living in crowded environments Diagnostic tests Hepatitis Alanine Aminotransferase (ALT) Aspartate Aminotransferase (AST) Alakaline Phosphotase (ALP) Gamm- Glutamyltransferase (GGT) Lactic Dehydrogenase (LDH) Serum Bilirubin Levels Assessments Health hx. Physical Assessment Diagnostic test Pertinent Client Hx. Nursing Diagnoses and Interventions Risk for infection transmission Fatigue Imbalanced Nutrition; less than body requirements Medications Prevention Hep A and B preventable Vaccines to prevent disease following exposure Post exposure prophylaxis Administration of IG for Hep A&B exposure for short term immunity Treatment for Hep C Acute: Interferon alpha and ribavirin Chronic: interferon alpha treats Hep B&C; interferes with viral repillication and reduces viral load Side effects flu-like symptoms, alopecia, bone marrow suppression Silymarin or Milk Thistle Promote liver cell growth Block toxin from entering or damaging liver cells Powerful antioxidant to reduce liver inflammation Chronic Hep: results from Hep B, C, D with increased risk for liver cancer Fulminant Hep: fetal form Cirrhosis of the liver Liver cancer Liver failure
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- Fall '16
- Karen Price