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NCP Nursing Care Plans For Nonviral Hepatitis. Hepatitis can be caused by bacteria, by hepatotoxic agents (drugs, alcohol, industrial chemicals), or most commonly, by a virus. In Non viral hepatitis Classified as toxic or drug-induced (idiosyncratic) hepatitis, nonviral hepatitis is an inflammation of the liver. Most patients recover from this illness, although a few develop fulminating hepatitis or cirrhosis
Causes For Nonviral Hepatitis
  • Alcohol overuse
  • Direct hepatotoxicity hepatocellular damage and necrosis usually caused by toxins
  • Cholestatic reactions
  • Metabolic and autoimmune disorders
  • Infectious agents
Complications For Nonviral Hepatitis
Complications may include cirrhosis, hepatitis, and liver failure.
Nursing Assessment Nursing Care Plan For Nonviral Hepatitis
Patient history of alcohol use or recent infection. His medication history may include one implicated in causing the disorder, as stated above.
Clinical features of toxic and drug-induced hepatitis vary with the severity of the liver damage and the causative agent. In most patients, symptoms resemble those of viral hepatitis: anorexia, nausea, vomiting, jaundice, dark urine, hepatomegaly, possibly abdominal pain, clay-colored stools, and pruritus with the cholestatic form of hepatitis.
Diagnostic tests For Nonviral Hepatitis
Diagnostic findings include elevations in serum aspartate aminotransferase, alanine aminotransferase, both total and direct bilirubin (with cholestasis), and alkaline phosphatase levels; white blood cell (WBC) count; and eosinophil count (possible in the drug-induced type).
  • Liver function tests
  • Liver scan: May be indicated for differential diagnosis, to identify underlying chronic liver disease, or for evaluating organ function.
  • Liver biopsy: Considered if diagnosis is uncertain or if clinical course is atypical or unduly prolonged.
  • Urinalysis: Checks the urine for bilirubin for the nonjaundiced client with suspected viral hepatitis.
Nursing diagnosis Nursing Care Plan For Nonviral Hepatitis
  • Acute pain
  • Activity intolerance
  • Anxiety
  • Deficient knowledge (diagnosis and treatment)
  • Fear
  • Imbalanced nutrition: Less than body requirements
  • Risk for infection
  • Risk for injury
Nursing Key outcomes NCP Nursing Care Plan For Nonviral Hepatitis
  • Pain Level Control: Severity of reported or demonstrated pain, Personal actions to control pain, Report pain is relieved/controlled. Demonstrate use of relaxation skills and diversional activities as indicated for individual situation
  • The patient will perform activities of daily living within the confines of the disease process, Extent of active management of energy to initate and sustain activity.
  • The patient will identify strategies to reduce anxiety, Personal actions to eliminate or reduce feelings of apprehension and tension from an unidentifiable source.
  • The patient and family will express an understanding of the disease process and treatment regimen Ability to acquire, organize, and use information. Verbalize understanding of condition/disease process and treatment.
  • The patient will discuss fears and concerns, Acknowledge and discuss fears, recognizing healthy versus unhealthy fears.
  • The patient will achieve adequate caloric and nutritional intake, Display normalization of laboratory values and be free of signs of malnutrition.
  • The patient will remain free from signs and symptoms of infection, patient will Identify interventions to prevent/reduce risk of infection.
  • The patient will avoid complications, Demonstrate behaviors, lifestyle changes to reduce risk factors and protect self from injury.
Nursing interventions NCP Nursing Care Plan For Nonviral Hepatitis
  • Pain Management: Alleviation of pain or a reduction in pain to a level of comfort that is acceptable to the patient. Analgesic Administration: Use of pharmacologic agents to reduce or eliminate pain. Environmental Management: Comfort: Manipulation of the patient’s surroundings for promotion of optimal comfort
  • Activity Therapy: Prescription of and assistance with specific physical, cognitive, social, and spiritual activities to increase the range, frequency, or duration of an individual’s (or group’s) activity. Energy Management: Regulating energy use to treat or prevent fatigue and optimize function. Exercise Promotion: Facilitation of regular physical exercise to maintain or advance to a higher level of fitness and health
  • Anxiety Reduction: Minimizing apprehension, dread, foreboding, or uneasiness related to an unidentified source or anticipated danger. Calming Technique: Reducing anxiety in patient experiencing acute distress
  • Teaching Individual about disease, diagnosis and treatment. Learning Facilitation: Promoting the ability to process and comprehend information. Learning Readiness Enhancement: Improving the ability and willingness to receive information.
  • Anxiety Reduction: Minimizing apprehension, dread, foreboding, or uneasiness related to an unidentified source or anticipated danger. Security Enhancement: Intensifying a patient’s sense of physical and psychological safety. Coping Enhancement: Assisting a patient to adapt to perceived stressors, changes, or threats that interfere with meeting life demands and roles
  • Nutrition Management: Assisting with or providing a balanced dietary intake of foods and fluids. Weight Gain Assistance: Facilitating gain of body weight
  • Infection Protection: Prevention and early detection of infection in a patient at risk. Infection Control: Minimizing the acquisition and transmission of infectious agents. Surveillance: Purposeful and ongoing acquisition, interpretation, and synthesis of patient data for clinical decision making
  • Surveillance: Safety: Purposeful and ongoing collection and analysis of information about the patient and the environment for use in promoting and maintaining patient safety. Analysis of potential risk factors, determination of health risks, and prioritization of risk reduction strategies for an individual or group. Environmental Management Manipulation of the patient’s surroundings for therapeutic benefit

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