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Flashcards in Hepatitis Deck (20)
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1

Hepatitis

-inflammation of the liver

-impedes processes and function of the liver

-prevalent throughout the world

-acute or chronic

-mild or life threatening

2

Hepatitis generally results from...

underlying infectious agent or virus

3

Hepatitis inflammatory process

-damages hepatic cells

-disrupts liver function

4

What causes Hepatitis

-virus, toxin, other pathogen*

-alcohol or drug abuse

5

Risk Factors of Hepatitis

-autoimmune disorders
-alcoholism
-contaminated food, water
-infected blood
-sexual contact with contaminated blood, body fluids

6

Can manifest with...

no or nonspecific symptoms OR debilitating symptoms

7

Incubation Phase

-usually asymptomatic for acute hepatitis

-HBeAg in blood indicates high degree of HBV infection

-As incubation progresses, HBeAg appears

8

What are the 3 phases after the incubation phase?

1. Prodromal Phase
2. Icteric Phase
3. Convalescent Phase

9

Prodromal Phase

occurs between exposure to virus and appearance of clinical manifestations

-jaundice
-nausea
-vomiting
-malaise
-fatigue
-mild RUQ pain
-fever

10

Icteric Phase

beings 5 to 10 days after initial symptoms manifest

11

Convalescent Phase

follows 2 to 3 weeks of acute illness

12

Tx of Hepatitis

-primarily supportive
-proper nutrition (may need to increase protein)
-avoid alcohol

*Most clients with acute hepatitis recover without pharm tx

13

Client Education

-prevention
-long term management
-address risky behaviors

14

What shows extent of liver impairment

-ALT
-ALP
-LDH
-AST
-GGT
-Serum bilirubin
-Liver biopsy

15

Medications available

-vaccines
-immune globulin
-interferon alpha
-antiretroviral drugs

16

Nursing priority for Hepatitis

-alleviate symptoms
-provide client education regarding nutrition and lifestyle management

17

Physical Assessment for Hepatitis

-abdominal, epigastric pain

-N/V, anorexia

-fever, joint pain, malaise, jaundice

-assess for infection transmission and nutritional status

18

Nursing Diagnosis for Hepatits may include...

-imbalanced nutrition
-risk for impaired skin integrity
-infection
-fatigue
-knowledge deficit
-nausea

19

Nursing goals may include...

-relieving discomfort

-preventing spread of infection

-teaching long term management of hepatitis

20

Nursing interventions may include..

-assessing meds taken to reduce pain and fever

-encouraging client to eat healthy diet, follow nutritionists recommendations

-instructing client to wear cool, lightweight clothes, use cool water for bathing

-preventing spread of infection

-encourage rest

-fatigue level to determine resumption of activities