Preview

Acute Hepatitis B

Powerful Essays
Open Document
Open Document
2452 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Acute Hepatitis B
Acute Hepatitis B
GNUR543
St. John Fisher College

Mr. Wilson is a 47 year old man being evaluated for complaints of fatigue, anorexia and abdominal distention. On examination, it is noted that the skin is jaundiced and the liver enlarged. D.W. denies significant alcohol or drug use. He denies any known exposure to hepatitis and has never been vaccinated for hepatitis. He is taking no medication. Laboratory tests reveal the following and a diagnosis of acute hepatitis B is made:

1. Review and analyze the laboratory data. What diagnosis is supported by these values? Give your rationale.
Mr. Wilson’s lab work is reviewed below: * AST 142 IU/L * AST (Aspartate aminotransferase) is an enzyme and blood sample results can detect if there is liver damage. AST is found in the heart and liver with much lower levels in muscles and kidneys. In a healthy person the AST is between 10-40 IU/L. If the liver is damaged, AST is released into the blood stream (Hepatitis B, 2011). * ALT 120 IU/L * ALT (Alanine aminotransferase), if elevated can also be an indication of liver damage. ALT is an enzyme that is normally in the liver and kidneys. If the individual is healthy, the ALT is low, between 7-56 IU/L. Elevated ALT is an early indicator of liver damage usually elevating prior to a patient becoming jaundice (Hepatitis B, 2011). * GGT 42 IU/L * GGT (Gamma-glutamyl transferase) is an enzyme that is found in the liver but may also be in the spleen, kidneys and pancreas. As with AST/ALT, GGT is elevated when there is liver damage. The normal test range is 0 – 51 IU/L. GGT will be elevated when there is acute damage to the liver (or bile ducts) (Hepatitis B, 2011). * Alk Phos 84 IU/L * Alk Phos (Alkaline Phosphatase or ALP) is an enzyme found in the liver, bone, kidney and GI tract. Normal range for this blood test is 44 – 147 IU/L. Alk Phos, if elevated generally indicates that there is a blockage in the bile



References: Copstead, L.-E. C. (2010). Pathophysiology. St. Louis: Saunders. Hepatitis. (2011, July 6). Retrieved March 26, 2012, from Lab Tests Online: http://labtestsonline.org Hepatitis B. (2011, July 6). Retrieved March 25, 2012, from Lab Tests Online: http://labtestsonline.org Hepatitis B. (2011, September 1). Retrieved March 24, 2012, from Mayo Clinic: http://www.mayoclinic.com/health Kukka, C. M. (2010). Hepatitis B Fact Sheet. HCSP Publications. Lexicomp. (2012). Retrieved February 5, 2012, from Lexicomp: https://online-lexi.com Liver Blood Tests. (2012, March 28). Retrieved March 30, 2012, from e Medicine Health: http://www.emedicinehealth.com/ Lok, A. S. (2011, February 16). Overview of the management of hepatitis B. Retrieved March 24, 2012, from UpToDate: http://www.uptodate.com Lok, A. S., & McMahon, B. J. (2009). Chronic Hepatitis B: Update 2009. Alexandria: American Association for the Study of Liver Diseases. Mani, H., & Kleiner, D. E. (2009, May 1). Liver Biopsy Findings in Chronic Hepatitis B. Retrieved April 1, 2012, from University of Pennsylvania, Department of Medicine: http://webdev.med.upenn.edu

You May Also Find These Documents Helpful

  • Good Essays

    Hepatitis B

    • 1391 Words
    • 4 Pages

    Hepatitis B is a global health problem, it is a liver infection that can cause serious complications and is potentially life threatening arising from the Hepatitis B virus (HBV). This paper will provide an overview of hepatitis B, including demographic information, determinants of health, the epidemiological triangle, the role of the community health nurse and a national organization that addresses the communicable disease.…

    • 1391 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Hepatitis b

    • 963 Words
    • 3 Pages

    Some people go on to develop chronic hepatitis B infection. Most of them do not have symptoms, but the infection is still very serious, and can lead to liver damage, liver cancer, and death.Chronic infection is more common among infants and children than among adults. People who are chronically infected can spread hepatitis B virus to others, even if they don’t look or feel sick. Up to 1.4 million people in the United States may have chronic hepatitis B infection.…

    • 963 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Urine Sample

    • 455 Words
    • 2 Pages

    Unknown B has a high pH, a mild amount of protein and a mild amount of blood. The amount of protein is with in normal limits but the high pH could be due to medications, prolonged vomiting or a UTI. Because this patient is also showing some blood in their urine it is likely that they have a Urinary Tract Infection.…

    • 455 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Lippincott Q A Liver

    • 2403 Words
    • 10 Pages

    College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on:…

    • 2403 Words
    • 10 Pages
    Good Essays
  • Powerful Essays

    Hesi Case Study Essay

    • 4002 Words
    • 17 Pages

    Often with cirrhosis the liver is smaller, but the edge is firmer than normal, and the edge is easily palpable.…

    • 4002 Words
    • 17 Pages
    Powerful Essays
  • Better Essays

    Hepatitis B Research Paper

    • 1324 Words
    • 6 Pages

    Hepatitis B is one of the most serious communicable diseases. This disease attacks the liver one of our major organs of the body.” The virus, which is called hepatitis B virus (HBV), can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death.” (Hepatitis B Vaccination, 2014)Hepatitis means inflammation of the liver. The Hepatitis B infection is caused by the hepatitis B virus (HBV). There are different types of Hepatitis, A, B, C, D, and E.These viral infections causes 78% of liver cancers and HBV alone infects an one in three worldwide. (Global Health Topics Communicable…

    • 1324 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Hepatitis C

    • 1029 Words
    • 5 Pages

    According to the U.S. Centers for Disease Control and Prevention, approximately 1.8% of the U.S. population, or 3.9 million Americans, have been infected with this chronic blood-borne virus. About 50,000 new cases of hepatitis C are estimated to occur in the United States each year. Without proper and effective treatment the death rate is expected to triple in the next fifteen years (Turkington 9). Seventy-five percent of those infected with the virus will develop chronic hepatitis and half of those people will develop cirrhosis of the liver…

    • 1029 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Frequently Asked Questions

    • 4922 Words
    • 20 Pages

    The blood levels he will find will support the doc as high protein diets elevate liver enzymes but that is COMPLETELY FINE. They are only marker's of kidney/liver dysfunction and do not cause…

    • 4922 Words
    • 20 Pages
    Powerful Essays
  • Powerful Essays

    Sofosbuvir Essay

    • 1661 Words
    • 7 Pages

    This study’s purpose was to assess the safety and effectiveness of sofosbuvir and ribavirin (either weight based or low dose) in patients who are of black race, have advanced liver fibrosis, elevated baseline HCV viral loads, IL28B CT or TT genotypes or previous treatment experience.…

    • 1661 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    It should be stated at the start that swollen liver is not a disease itself. It is a sign of some specific liver infection, damage or a part of an abnormal body metabolism that the whole body is suffering from.…

    • 450 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Hepatitis B Essay

    • 1266 Words
    • 6 Pages

    One group in particular that is at risk of contracting and spreading the infection are the health care professional such as doctors, interns, dentists, surgeons and nurses. A dentist, for example, who is Hepatitis B carrier has a chance of passing on the disease to a patient. Hospital administrations and other agencies immediately recognized the potential danger of the above at risk population. They wanted to “down play” the danger of the risk of infection to spear themselves lawsuits and to avoid public panic. Public panic has the potential of causing havoc in the professional field. Hence, it was falsely concluded that health care workers carriers were not a major source of infection.…

    • 1266 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    Hyperemesis Gravidarum

    • 273 Words
    • 2 Pages

    •The following labs need to be monitored with this condition: urinalysis, serum levels, liver enzymes & bilirubin levels, urine culture, the patients calcium level & hematocrit level, as well as amylase levels.…

    • 273 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Liver

    • 2063 Words
    • 9 Pages

    * May report: History of/recent onset of heart failure, pericarditis, rheumatic heart disease, or cancer (causing liver impairment leading to failure)…

    • 2063 Words
    • 9 Pages
    Good Essays
  • Better Essays

    Hepatitis C

    • 1046 Words
    • 5 Pages

    progressing disorder. In its more advanced stages it can lead to serious and permanent liver…

    • 1046 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Miss

    • 1210 Words
    • 5 Pages

    • Liver disease (possibly presenting as yellowing of the eyes and/or skin), liver failure (very rare),…

    • 1210 Words
    • 5 Pages
    Good Essays