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.
www.who.int




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.

Nursing Assessment for Hepatitis

Labels: Nursing Assessment for Hepatitis