Acute Viral Hepatitis


Background

Pathophysiology

Diagnostics

Treatment

  1. Initial/Prep/Goals
  2. Medical/Pharmaceutical
  3. Surgical/Procedural

Complications

Prevention

Disposition

  1. Admission Criteria
  2. Consults
  3. Discharge/Follow-up instructions

Admit Orders: Viral Hepatitis

1. Admit to:

2. Diagnosis: Hepatitis

3. Condition:

4. Vital Signs: qid. Call physician if BP <90/60; T >38.5°C.

5. Activity:

6. Nursing: Stool isolation.

7. Diet: Clear liquid (if nausea), low fat (if diarrhea).

8. Special Medications:

-Famotidine (Pepcid) 20 mg IV/PO q12h.

-Multivitamin PO qd.
 

9. Symptomatic Medications:

-Trimethobenzamide (Tigan) 250 mg PO q6-8h prn pruritus or nausea q6-8h prn.

-Hydroxyzine (Vistaril) 25 mg IM/PO q4-6h prn pruritus or nausea.

-Diphenhydramine (Benadryl) 25-50 mg PO/IV q4-6h prn pruritus.
 

10. Extras: Ultrasound, GI consult.

11. Labs: CBC, chem 7&12, GGT, LDH, amylase, lipase, INR/PTT, IgM anti-HAV, IgM anti-HBc, HBsAg, anti-HCV