NCP for Hepatitis
Hepatitis
Hepatitis is an inflammation of the liver, most commonly caused by a viral infection. There are five main hepatitis viruses, referred to as types A, B, C, D and E.
Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occur as a result of parenteral contact with infected body fluids (e.g. from blood transfusions or invasive medical procedures using contaminated equipment). Hepatitis B is also transmitted by sexual contact.
The symptoms of hepatitis include jaundice (yellowing of the skin and eyes), dark urine, extreme fatigue, nausea, vomiting and abdominal pain.(who.int)
Nursing Care Plan for Hepatitis : Assessment, Diagnosis and Interventions
Assessment
- Activity
- Weakness
- Fatigue
- Depression
- Circulation
- Bradycardia (hiperbilirubin weight)
- Jaundice in the sclera of skin, mucous membranes
- Elimination
- Dark urine
- Diarrhea, clay color stool
- Food and Fluids
- Anorexia
- Weight loss
- Nausea and vomiting
- Increased edema
- Ascites
- Neurosensori
- Be sensitive to stimuli
- Tend to sleep
- Lethargy
- Asteriksis
- Pain / Leisure
- Abdominal Cramps
- Pain hit the right quadrant
- Myalgia
- Atralgia
- Headache
- Itching (pruritus)
- Security
- Fever
- Urticaria
- Lesions makulopopuler
- Erythema
- Splenomegaly
- Enlarged posterior cervical nodes
- Sexuality
- Patterns of life / behavior increases the risk of exposure
Nursing Diagnosis and Nursing Intervention
- Impaired sense of comfort (pain) associated with swelling of the liver, an inflamed liver.
Results :
Showed signs of physical pain and behavior in a pain (do not wince in pain, crying intensity and location)
Intervention :- Collaboration with individuals to determine methods that can be used for pain intensity.
- Show on client acceptance of the client's response to pain.
- Acknowledge the pain
- Listen attentively to the client expression of pain.
- Provide accurate information and explain the causes of pain, how long the pain will end, if known.
- Discuss with your doctor the use of analgesics that do not contain hepatotoksi effect.
- Ineffective breathing pattern related to the collection of intra-abdominal fluid, ascites, decreased lung expansion and accumulation of secretions.
Results :
Adequate breathing pattern
Intervention :- Monitor the frequency, depth and respiratory effort
- Auscultation additional breath sounds
- Give the semi-Fowler position
- Provide training in breath and cough effectively
- Provide oxygen as needed