NCP - Nursing Care Plan 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.
www.who.int
Nursing Assessment for Hepatitis
- Activity
- Weakness
- Fatigue
- Depression
- Circulation
- Bradycardia (hiperbilirubin weight)
- Sclera jaundice on the skin, mucous membranes
- Elimination
- Dark urine
- Diarrhea Stool color clay
- Food and Fluids
- Anorexia
- Weight loss
- Nausea and vomiting
- Increased edema
- Ascites
- Neuro Sensory
- Sensitive to stimuli
- Tend to sleep
- Lethargy
- Asteriksis
- Pain / Leisure
- Abdominal Cramps
- Pain press, 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 for Hepatitis
- Imbalanced Nutrition: Less than Body Requirements related to feelings of discomfort in the upper right quadrant, impaired absorption and digestion of food metabolism, input failure to meet the metabolic demands because of anorexia, nausea and vomiting.
- Pain related to swelling of the liver is inflamed liver.
- Hypertermia related to invasive agent in the blood circulation secondary to hepatic inflammation.
- Fatigue related to chronic inflammatory process secondary to hepatitis.
- Risk for Impaired Skin Integrity related to pruritus secondary to accumulation of bilirubin pigments in bile salts.
- Risk for Infection related to the nature of the infectious viral agent
Nursing Intervention for Hepatitis
Expected results:
Showed increased body weight goals with normal laboratory values and free from signs of mal nutrition.
Nursing Intervention :
- Teach and help the client to rest before eating
R / fatigue continues down the desire to eat. - Watch the dietary intake / amount of calories, offer eating little but often and am most often offer
R / the enlargement of the liver can suppress the gastro intestinal tract and reduce its capacity. - Maintain good oral hygiene before meals and after meals
R / accumulation of food particles in the mouth can add a new and unpleasant taste that reduce appetite. - Encourage eating in an upright sitting position
R / decrease the feeling of fullness in the abdomen and can increase revenue. - Provide high-calorie diet, low fat.
R / glucose in carbohydrates is quite effective for the fulfillment of energy, while fat is difficult to be absorbed / metabolized so that it will burden the liver.
