Nursing Care Plan for Hepatitis

Nursing Care Plan for Hepatitis

Nursing Assessment for 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.

Nursing Assessment for Hepatitis

Nursing Assessment for Hepatitis

1. Main complaint

No appetite, malaise, fever (more frequent in hepatitis A). Taste stiff, and headache on Hepatitis B.

2. Health Assessment

a. Activity

* Weakness
* Fatigue
* Depression

b. Circulation

* Bradycardia (hiperbilirubin weight)
* Jaundice in the sclera of skin, mucous membranes

c. Elimination

* Dark urine
* Diarrhea stool, color clay

d. Food and Fluids

* Anorexia
* Weight loss
* Nausea and vomiting
* Increased edema
* Ascites

e. Neuro Sensory

* Be sensitive to stimuli
* Tend to sleep
* Lethargy
* Asteriksis

f. Pain / Leisure

* Abdominal Cramps
* Pain hit the right quadrant
* Myalgia
* Atralgia
* Headache
* Itching (pruritus)

g. Security

* Fever
* Urticaria
* Erythema
* Splenomegaly
* Enlarged posterior cervical nodes

h. Sexuality

* Patterns of life / behavior increases the risk of exposure.

Source :

Nursing Diagnosis for Hepatitis

  1. Imbalanced nutrition: Less than body requirements related to anorexia, nausea and vomiting.
  2. Impaired skin integrity related to pruritis
  3. Activity Intolerance related to fatigue and generalized malaise
  4. Acute pain related to the tender, Enlarged liver
  5. Hyperthermia related to the body's defensive reaction to invading organisms.
  6. Risk for Infection

Source :

Nursing Intervention for Hepatitis

Nursing Diagnosis for Hepatitis

Activity Intolerance related to fatigue and generalized malaise.

Expected outcome :

Exhibits increased ability to carry out desired activities and allow sufficient periods for rest and relaxation.

Nursing Intervention for Hepatitis
  • Encourage the patient to limit activity when fatigue
  • Assist the patient in planning periods of rest and activity when symptoms begin to subside.
  • Encourage gradual resumption of activities and mild excercise during recovery.

Abdominal pain related to tender, enlarged liver.

Expected outcome :

Report a decrease or absence of abdominal pain and tenderness;restrict activities if pain occurs;participates in planned activities when free of pain; take prescribed analgesic if necessary.

Nursing Intervention for Hepatitis
  • Asses and record presence or absence of abdominal pain or tenderness, hepatomegally and splenomegally.
  • Encourage the patient to maintain bedrest or restrict activities if abdominal pain or tenderness is present.
  • Administer analgesic as prescribed.
  • Notify the physian of sudden occuraence or increase in pain or tenderness.

Source :

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