7 Hepatitis Nursing Care Plans


Hepatitis is a widespread inflammation of the liver that results in degeneration and necrosis of liver cells. Inflammation of the liver can be due to bacterial invasion, injury by physical or toxic chemical agents (e.g., drugs, alcohol, industrial chemicals), viral infections (hepatitis A, B, C, D, E, G), or autoimmune response. Although most hepatitis is self-limiting, approximately 20% of acute hepatitis B and 50% of hepatitis C cases progress to a chronic state or cirrhosis and can be fatal.

Nursing Care Plans

Nursing care planning and management for patients with hepatitis includes: reducing the demands of the liver while promoting physical well-being, preventing complications of hepatitis, enhance self-concept, acceptance of situation, and providing information about the disease process, prognosis, and treatment.

This post includes seven (7) nursing care plans and nursing diagnosis for patients with hepatitis:

  1. Imbalanced Nutrition: Less Than Body Requirements
  2. Risk for Deficient Fluid Volume
  3. Fatigue
  4. Risk for Impaired Skin Integrity
  5. Deficient Knowledge
  6. Situational Low Self-Esteem
  7. Risk for Infection
  8. Other Possible Nursing Care Plans


Nursing Diagnosis

May be related to

  • Decreased metabolic energy production
  • States of discomfort
  • Altered body chemistry (e.g., changes in liver function, effect on target organs)

Possibly evidenced by

  • Reports of lack of energy/inability to maintain usual routines.
  • Decreased performance
  • Increase in physical complaints

Desired Outcomes

  • Report improved sense of energy.
  • Perform ADLs and participate in desired activities at level of ability.
Nursing Interventions Rationale
Institute bed red or chair rest during toxic state. Provide quiet environment; limit visitors as needed. Promotes rest and relaxation. Available energy is used for healing. Activity and an upright position are believed to decrease hepatic blood flow, which prevents optimal circulation to the liver cells.
Recommend changing position frequently. Provide and instruct caregiver in good skin care. Promotes optimal respiratory function and minimizes pressure areas to reduce risk of tissue breakdown.
Do necessary tasks quickly and at one time as tolerated. Allows for extended periods of uninterrupted rest.
Determine and prioritize role responsibilities and alternative providers and possible community resources available Promotes problem solving of most pressing needs of individual and family.
Identify energy-conserving techniques: sitting to shower and brush teeth, planning steps of activity so that all needed materials are at hand, scheduling rest periods. Helps minimize fatigue, allowing patient to accomplish more and feel better about self.
Increase activity as tolerated, demonstrate passive or active ROM exercises. Prolonged bedrest can be debilitating. This can be offset by limited activity alternating with rest periods.
Encourage use of stress management techniques: progressive relaxation, visualization, guided imagery. Discuss appropriate diversional activities: radio, TV, reading Promotes relaxation and conserves energy, redirects attention, and may enhance coping.
Monitor for recurrence of anorexia and liver tenderness or enlargement. Indicates lack of resolution and exacerbation of the disease, requiring further rest, change in therapeutic regimen.
Administer medications as indicated: sedatives, antianxiety agents: diazepam (Valium), lorazepam (Ativan). Assists in managing required rest. Use of barbiturates and antianxiety agents, such as prochlorperazine (Compazine) and chlorpromazine (Thorazine), is contraindicated because of hepatotoxic effects.
Monitor serial liver enzyme levels. Aids in determining appropriate levels of activity because premature increase in activity potentiates risk of relapse.
Administer antidote or assist with inpatient procedures as indicated (lavage, catharsis, hyperventilation) depending on route of exposure. Removal of causative agent in toxic hepatitis may limit degree of tissue involvement and damage.

See Also

You may also like the following posts and care plans:

Gastrointestinal Care Plans

Care plans covering the disorders of the gastrointestinal and digestive system:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.

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