Hepatitis Flashcards

1
Q

Hepatitis

A
  • inflammation of the liver
  • impedes processes and function of the liver
  • prevalent throughout the world
  • acute or chronic
  • mild or life threatening
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2
Q

Hepatitis generally results from…

A

underlying infectious agent or virus

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3
Q

Hepatitis inflammatory process

A
  • damages hepatic cells

- disrupts liver function

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4
Q

What causes Hepatitis

A
  • virus, toxin, other pathogen*

- alcohol or drug abuse

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5
Q

Risk Factors of Hepatitis

A
  • autoimmune disorders
  • alcoholism
  • contaminated food, water
  • infected blood
  • sexual contact with contaminated blood, body fluids
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6
Q

Can manifest with…

A

no or nonspecific symptoms OR debilitating symptoms

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7
Q

Incubation Phase

A
  • usually asymptomatic for acute hepatitis
  • HBeAg in blood indicates high degree of HBV infection
  • As incubation progresses, HBeAg appears
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8
Q

What are the 3 phases after the incubation phase?

A
  1. Prodromal Phase
  2. Icteric Phase
  3. Convalescent Phase
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9
Q

Prodromal Phase

A

occurs between exposure to virus and appearance of clinical manifestations

  • jaundice
  • nausea
  • vomiting
  • malaise
  • fatigue
  • mild RUQ pain
  • fever
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10
Q

Icteric Phase

A

beings 5 to 10 days after initial symptoms manifest

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11
Q

Convalescent Phase

A

follows 2 to 3 weeks of acute illness

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12
Q

Tx of Hepatitis

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

*Most clients with acute hepatitis recover without pharm tx

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13
Q

Client Education

A
  • prevention
  • long term management
  • address risky behaviors
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14
Q

What shows extent of liver impairment

A
  • ALT
  • ALP
  • LDH
  • AST
  • GGT
  • Serum bilirubin
  • Liver biopsy
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15
Q

Medications available

A
  • vaccines
  • immune globulin
  • interferon alpha
  • antiretroviral drugs
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16
Q

Nursing priority for Hepatitis

A
  • alleviate symptoms

- provide client education regarding nutrition and lifestyle management

17
Q

Physical Assessment for Hepatitis

A
  • abdominal, epigastric pain
  • N/V, anorexia
  • fever, joint pain, malaise, jaundice
  • assess for infection transmission and nutritional status
18
Q

Nursing Diagnosis for Hepatits may include…

A
  • imbalanced nutrition
  • risk for impaired skin integrity
  • infection
  • fatigue
  • knowledge deficit
  • nausea
19
Q

Nursing goals may include…

A
  • relieving discomfort
  • preventing spread of infection
  • teaching long term management of hepatitis
20
Q

Nursing interventions may include..

A
  • 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