for students and teachers inhelath care field

1. HEPATITIS
 DEFINITION
 It is an acute or chronic inflammation of the liver
caused by several different viruses and some toxins
or disease state.
 It can be caused by viral or bacterial agents,
fungal or parasitic infections or chemical agents
(drug toxicity).

2. INCIDENCE
 IT OCCUR IN CHILDREN UNDER 5 YRS OF AGE

3. TYPES
 Five types of viral hepatitis, such as Hepatitis
A, Hepatitis B, Hepatitis C, Hepatitis D and
Hepatitis E

4.  CMV
 RUBELLA
 EBV
 HERPES SIMPLEX VIRUS

5. pathophysiology
Virus causes local necrosis
Infiltration of inflammatory cells
Further destruction of hepatic cells
Biliary stasis
Alcoholic stool urobilinogen jaundice

6. CLINICAL FEATURES
ANICTERIC PHASE ICTERIC PHASE
 ANOREXIA JAUNDICE
 NAUSEA URTICARIA
 VOMITTING DARK URINE
 EPIGASTRIC PAIN LIGHT COLOURED STOOLS
 FEVER
 MALAISE
 DEPRESSION
 IRRITABILITY


7. DIAGNOSTIC EVALUATION
 HISTORY COLLECTION
 LFT
 BILIRUBIN LEVELS
 ANTIGENS
 LIVER BIOPSY

8. MANAGEMENT
 Maintaining comfort and adequate
nutritional balance
 Low fat diet

9. Nursing diagnosis
 Imbalance nutrition less than body requirement related to
anorexia
 Risk for infection related to exposure of family members
to infectious agent
 Risk for injury related to fulminant hepatitis
 Deficient knowledge related to incomplete information
about homecare and longterm prognosis