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Activity Intolerance - Nursing Diagnosis Interventions for Hepatitis B

Nursing Care Plan for Hepatitis B




Hepatitis B is a potentially life-threatening liver infection caused by the hepatitis B virus. It is a major global health problem and the most serious type of viral hepatitis. It can cause chronic liver disease and puts people at high risk of death from cirrhosis of the liver and liver cancer.

The hepatitis B virus reproduces in liver cells, but the virus itself is not the direct cause of damage to the liver. Rather, the presence of the virus triggers an immune response from the body as the body tries to eliminate the virus and recover from the infection. This immune response causes inflammation and may seriously injure liver calls. Therefore, there is a balance between the protective and destructive effects of the immune response to the hepatitis B virus.

Symptoms

Most people do not experience any symptoms during the acute infection phase. However, some people have acute illness with symptoms that last several weeks, including yellowing of the skin and eyes (jaundice), dark urine, extreme fatigue, nausea, vomiting and abdominal pain.

In some people, the hepatitis B virus can also cause a chronic liver infection that can later develop into cirrhosis of the liver or liver cancer.

Nursing Diagnosis for Hepatitis B



Activity intolerance related to general weakness, decreased strength / endurance; pain, have limited activity; depression


characterized by: a report weakness, decreased muscle strength, refused to move.


Goal: Clients showed improvement on activity.


Expected outcomes: expressed understanding of the situation / risk factors and individual treatment programs.


Intervention and Rational:


1. Increase bed rest, create a tranquil environment.

Rationale: Increasing rest, and provides the energy used for healing.


2. Change position often, give a good skin care.

Rational: improving respiratory function and minimizes pressure on certain areas to reduce the risk of tissue damage.


3. Increase activity as tolerated premises.

Rational: prolonged bed rest can reduce the ability.


4. Encourage stress management techniques, examples of progressive
relaxation, visualization, imagination guidance, provide appropriate
entertainment activities.

Rationale: increased relaxation and increased energy.


5. Monitor recurrence of anorexia and enlarged liver tenderness.

Rational: shows a lack of resolution of the disease, requiring a break-up.


6. Assist in the procedure as indicated

Rational: removing the causative agent of toxic hepatitis can limit the degree of tissue damage.


7. Give medications as indicated: sedative, anti-anxiety agents.

Rational: to assist in the management of sleep needs.


8. Monitor liver enzyme levels.

Rational: to help determine the appropriate level of activity as a potential increase in the risk of recurrent preterm.
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