NURS-3084EL Lecture Notes - Viral Hepatitis, Percutaneous, Blood Donation
Document Summary
Acute inflammation of the liver marked by liver-cell destruction, necrosis, and autolysis. Acute viral is most common (a, b, c, d, e, g). Only way to distinguish is looking at the presence of antigens and antibodies. Hep b must precede hep d; percutaneous, venereal, perinatal. Etiology: cytomegalovirus, epstein-barr virus, herpes virus, coxsackievirus, rubella virus. Inflammation of the periportal areas may interrupt bile flow function. Clinical manifestations: 30% of clients with hbv are asymptomatic, 80% of clients with acute hcv will be asymptomatic, hepatitis classified into 3 phases, preicteric or prodromal (1 21 days) Icteric (2 4 weeks: posticteric or convalescent (average 2 4 months) Preicteric phase: fever, possibly with liver and lymph node enlargement: fatigue, malaise, arthralgia, myalgia, photophobia, and headache loss of appetite, n&v, altered sense of taste and smell, the icteric phase lasts 1 to 2 weeks. Signs and symptoms include: mild weight loss: dark urine and clay-colored stools, yellow sclera and skin, continued hepatomegaly with tenderness.
