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Pathophysiology: Hepatitis A Virus

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Pathophysiology Hepatitis A virus, HAV is a nonenveloped, RNA virus. The virus is resistant to bile lysis due to lack of a lipid envelope. The virus is resistant to freezing, detergents, and acids. It is inactivated by formalin and chlorine. The virus survives on human hands and fomites and requires temperatures higher than 185°F (85°C) for inactivation. HAV survives for extended periods in seawater, fresh water, wastewater, and soil. The virus is transmitted by close contact with an infected person or by contact with contaminated food or water products.” Expected disease course/ prognosis Hepatitis A has an incubation period estimated at 2 and 6 weeks, with a mean of 4 weeks. The infection is known to last longer and to be more severe in adults older than 40 years of age. It rarely progresses to acute liver necrosis or hepatic failure. There is a mortality rate of hepatitis is approximately 0.5% for those younger than 40 years …show more content…

Rest is extremely crucial with fatigue being one of the most prevalent signs and symptoms. A nutritious diet is also important to combat anorexia. Patients may feel discourage or lack an appetite. Small frequent meals are to be encourage. Patients who refuse to eat should receive IV fluids with glucose. If anorexia, nausea, and vomiting persist enteral feedings may be necessary. The nurse should emphasize on hand washing frequently throughout the day. Especially after utilizing the restroom and prior to meals. As well as environmental sanitation. As a nurse promotion of vaccination of the family members who have not been infected by the disease is also vital. The avoidance of alcohol is also important in treatment of patients with hepatitis. Alcohol should also be avoided up to six months after recovery. This is because the liver is the main site for metabolizing and breaking down alcohol

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