(^310) Medical-Surgical Nursing Demystified
- IgM anti-HAV in acute or early convalescent stage of hepatitis A.
- IgG anti-HAV in later convalescent stage of hepatitis A.
- HBeAg indicates current viral replication of hepatitis B and infectivity.
- HBsAg shows presence of the hepatitis B surface antigen which is indicative
of either current or past infection with hepatitis B. - IgM anti-HBc shows acute or recent infection with hepatitis B.
- IgG anti-HBc shows convalescent or past infection with hepatitis B.
- HBV DNA shows presence of hepatitis B DNA, most sensitive.
- Anti-HCV present with hepatitis C infection.
- HCV RNA present with hepatitis C infection.
- Anti-HDV present with hepatitis D infection.
- WBC count normal to low.
- Liver biopsy shows hepatocellular necrosis.
- Urinalysis shows protein and bilirubin.
TREATMENT
- Avoid medications metabolized in the liver.
- Avoid alcohol.
- Remove or discontinue causative agent if drug-induced or toxic hepatitis.
- Intravenous hydration if vomiting during acute hepatitis.
- Activity as tolerated.
- High-calorie diet; breakfast is usually the best tolerated meal.
- Administer interferon or lamivudine for chronic hepatitis B.
- Administer interferon and ribavirin for hepatitis C.
- Administer prednisone in autoimmune hepatitis.
- Liver transplantation.
NURSING DIAGNOSES
- Fatigue
- Risk for injury
- Impaired tissue integrity