Medical- Surgical Nursing
Content
2. Pathophysiology Predisposing Factors: Age Race Family history Precipitating Factors: Lifestyle (alcohol consumption, smoking, lack of exercise) Liver trauma
Hepatitis B virus Enters the blood cells Damages the cell in the body Damages the liver and causes trauma Increases bilirubin levels virus spreads via bloodstream into the brain Hepatic Encephalopathy
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Signs and Symptoms: he fatigue, low grade fever, abdominal discomfort, rashes, enlargement and tender liver, light stools, dark urine and jaundice
Nursing Management: Assess degree of comfort, monitor vital signs and neurologic status, monitor intake and output, evaluate electrolyte levels, oxygen therapy, place patient in comfortable position
Medical Management: Urinary catheterization, IV tubing, NGT, administration of medications: amino acid, Bisacodyl, Hydrocortisone, Lactulose, Metronidazole, Piperacillin, Ranitidine, Sucralfate, and Vitamin K
If treated, GOOD PROGNOSIS.
If untreated, COMPLICATIONS arise:
Death
Hepatitis B virus Enters the blood cells Damages the cell in the body Damages the liver and causes trauma Increases bilirubin levels virus spreads via bloodstream into the brain Hepatic Encephalopathy
-
Signs and Symptoms: he fatigue, low grade fever, abdominal discomfort, rashes, enlargement and tender liver, light stools, dark urine and jaundice
Nursing Management: Assess degree of comfort, monitor vital signs and neurologic status, monitor intake and output, evaluate electrolyte levels, oxygen therapy, place patient in comfortable position
Medical Management: Urinary catheterization, IV tubing, NGT, administration of medications: amino acid, Bisacodyl, Hydrocortisone, Lactulose, Metronidazole, Piperacillin, Ranitidine, Sucralfate, and Vitamin K
If treated, GOOD PROGNOSIS.
If untreated, COMPLICATIONS arise:
Death
