Viral Hepatitis

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: -Ranitidine (Zantac) 150 mg PO bid. -Vitamin K 10 mg SQ qd for 3d. -Multivitamin PO qd.

9. Symptomatic Medications:

-Meperidine (Demerol) 50-100 mg IM q4-6h prn pain. -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: Liver/spleen scan, ultrasound, GI consult.

11. Labs: CBC, SMA 7&12, GGT, LDH, amylase, lipase, INR/PTT, IgM anti-HAV, IgM anti-HBc, HBsAg, anti-HCV; alpha-1-antitrypsin, ANA, ferritin, ceruloplasmin, urine copper.

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