Wirusowe zapalenie wątroby typu c
Charakterystyka, pielęgnacja i opieka

Wirusowe zapalenie wątroby typu C (WZW C) jest przewlekłą infekcją wirusową prowadzącą do uszkodzenia wątroby, w tym marskości i raka wątrobowokomórkowego, z często bezobjawowym przebiegiem. Diagnostyka opiera się na wykrywaniu przeciwciał anty-HCV oraz potwierdzeniu aktywnej infekcji testem PCR RNA HCV. Ocena stopnia uszkodzenia wątroby (włóknienie F3-F4) jest kluczowa dla decyzji terapeutycznych i monitorowania powikłań, takich jak wodobrzusze, encefalopatia czy krwawienia z żylaków przełyku. Nowoczesne leczenie oparte na bezpośrednio działających lekach przeciwwirusowych (DAA) trwa 8-12 tygodni i osiąga skuteczność powyżej 95% w uzyskaniu trwałej odpowiedzi wirusologicznej (SVR). Terapia jest dobrze tolerowana, a działania niepożądane, takie jak nudności, zmęczenie czy ból brzucha, są łagodne i możliwe do kontrolowania farmakologicznie. Pielęgniarki odgrywają kluczową rolę w edukacji pacjentów, monitorowaniu terapii, zarządzaniu objawami oraz koordynacji opieki multidyscyplinarnej.

Wprowadzenie do wirusowego zapalenia wątroby typu C

Wirusowe zapalenie wątroby typu C (WZW C) jest zakażeniem wirusowym powodującym stan zapalny i uszkodzenie wątroby, przenoszonym przez kontakt z krwią osoby zakażonej. Choroba może przebiegać jako ostra (krótkotrwała) lub przewlekła (długotrwała) infekcja, która nieleczona może prowadzić do poważnych powikłań, w tym marskości wątroby, niewydolności wątroby, raka wątrobowokomórkowego, a nawet śmierci.12

Większość osób zakażonych wirusem HCV nie ma żadnych objawów lub ma jedynie łagodne dolegliwości, co sprawia, że często nie są świadome infekcji. U niektórych pacjentów, z biegiem czasu, przewlekłe zakażenie wirusem HCV może prowadzić do uszkodzenia wątroby i marskości.34 Szacuje się, że nawet 75% pacjentów z WZW C nie zostało jeszcze zdiagnozowanych.5

Wczesne wykrycie i leczenie może zapobiec poważnym uszkodzeniom wątroby i poprawić długoterminowy stan zdrowia. Obecnie dostępne są skuteczne metody leczenia, a celem terapii jest wyleczenie choroby i zapobieganie długoterminowym uszkodzeniom wątroby.6

Diagnostyka i ocena WZW C w praktyce pielęgniarskiej

Ocena pielęgniarska pacjentów z WZW C jest procesem krytycznym, mającym na celu identyfikację, zrozumienie i zaspokojenie unikalnych potrzeb osób dotkniętych tą infekcją wirusową. Jako personel pierwszego kontaktu, pielęgniarki odgrywają kluczową rolę we wczesnym wykrywaniu, ocenie i bieżącym monitorowaniu pacjentów z WZW C.78

Ocena pielęgniarska obejmuje poszukiwanie objawów i symptomów WZW C, takich jak:9

  • Zmęczenie
  • Nudności i wymioty
  • Utrata apetytu
  • Ból brzucha, szczególnie w okolicy wątroby
  • Zażółcenie skóry i oczu (żółtaczka)
  • Ciemny mocz i jasne stolce
  • Bóle stawów

10

W ramach procesu diagnostycznego pielęgniarki współpracują przy wykonywaniu i interpretacji różnych badań:11

  • Test przeciwciał przeciwko HCV: Jest to badanie krwi wykrywające przeciwciała, które wskazują na ekspozycję na wirusa HCV
  • Test RNA HCV: W przypadku dodatniego wyniku testu przeciwciał, badanie PCR RNA wirusa potwierdza aktywne zakażenie
  • Testy określające stopień uszkodzenia wątroby: Nieinwazyjne badania obrazowe (USG, TK, MRI) lub w niektórych przypadkach biopsja wątroby

1213

Po zdiagnozowaniu przewlekłego zakażenia HCV należy przeprowadzić ocenę stopnia uszkodzenia wątroby (włóknienie i marskość). Można to zrobić za pomocą biopsji wątroby lub różnych nieinwazyjnych testów. Stopień uszkodzenia wątroby jest wykorzystywany do podejmowania decyzji dotyczących leczenia i zarządzania chorobą.14

Priorytety pielęgnacyjne

Priorytety pielęgnacyjne dla pacjentów z WZW C obejmują:15

  • Zarządzanie objawami i zapewnienie opieki wspierającej
  • Zapobieganie dalszemu uszkodzeniu wątroby i promowanie zdrowia wątroby
  • Monitorowanie funkcji wątroby i ocenę progresji choroby
  • Podawanie leków przeciwwirusowych, jeśli są wskazane
  • Edukacja pacjentów na temat modyfikacji stylu życia w celu zminimalizowania obciążenia wątroby
  • Zapobieganie przenoszeniu WZW C na inne osoby
  • Rozwiązywanie problemów związanych z powikłaniami lub chorobami współistniejącymi

16

Interwencje pielęgniarskie w leczeniu WZW C

Opieka pielęgniarska nad pacjentami z WZW C została znacznie uproszczona dzięki zastosowaniu nowoczesnych leków przeciwwirusowych o bezpośrednim działaniu (DAA). Czas terapii został skrócony z 44 tygodni do 12 tygodni, ryzyko poważnych powikłań wywołanych lekami zostało drastycznie zmniejszone, a w przeciwieństwie do schematów opartych na interferonie, działania niepożądane tych leków są łagodne i dobrze tolerowane.17

Podawanie leków przeciwwirusowych

Współczesne leczenie WZW C opiera się głównie na bezpośrednio działających lekach przeciwwirusowych (DAA). Te doustne terapie mają wskaźniki skuteczności przekraczające 95%, przy minimalnych działaniach niepożądanych:1819

  • Elbaswir/grazoprewir (Zepatier)
  • Glekaprewir/pibrentaswir (Mavyret)
  • Ledipaswir/sofosbuwir (Harvoni)
  • Sofosbuwir/welpataswir (Epclusa)
  • Sofosbuwir/welpataswir/woksylaprewir (Vosevi)

20

Leczenie zwykle trwa od 8 do 12 tygodni, przy czym ponad 95% pacjentów osiąga trwałą odpowiedź wirusologiczną (SVR), co jest równoznaczne z wyleczeniem.2122 Rola pielęgniarki w tym procesie obejmuje:23

  • Edukację pacjenta na temat przyjmowania leków zgodnie z zaleceniami
  • Monitorowanie przestrzegania zaleceń terapeutycznych
  • Obserwację i zarządzanie potencjalnymi działaniami niepożądanymi, takimi jak:
    • Ból brzucha
    • Biegunka
    • Zmęczenie
    • Ból głowy
    • Nudności i wymioty
    • Duszność
  • Pobieranie próbek do badań kontrolnych sprawdzających skuteczność leczenia

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Leczenie objawowe i opieka wspierająca

Oprócz terapii przeciwwirusowej, pielęgniarka uczestniczy w łagodzeniu objawów i zapewnianiu komfortu pacjentom:25

  • Podawanie leków przeciwwymiotnych (np. metoklopramid (Reglan), trimetobenzamid (Tigan)) – podawane 30 minut przed posiłkami, mogą zmniejszyć nudności i zwiększyć tolerancję pokarmową. Należy pamiętać, że prochlorperazyna (Compazine) jest przeciwwskazana w chorobach wątroby.
  • Podawanie leków zobojętniających (np. Mylanta, Titralac) – neutralizują kwas żołądkowy, zmniejszając podrażnienie żołądka i ryzyko krwawienia.
  • Podawanie leków przeciwbólowych zgodnie z zaleceniami.
  • Podawanie płynów dożylnych zgodnie z zaleceniami.
  • Podawanie witaminy K – Korekta niedoborów albuminy i białek może pomóc w powrocie płynów z tkanek do układu krążenia.

26

Monitorowanie i ocena

Stały monitoring stanu pacjenta jest kluczowy dla zapewnienia skuteczności leczenia:27

  • Monitorowanie bilansu płynów i porównywanie z okresowymi pomiarami masy ciała
  • Obserwacja strat jelitowych: wymioty i biegunka
  • Obserwacja oznak krwawienia: krwiomocz, smoliste stolce, wybroczyny, sączenie z dziąseł, miejsc nakłuć
  • Monitorowanie wyników badań laboratoryjnych, w tym:
    • Poziom enzymów wątrobowych
    • Poziom RNA HCV (miano wirusa)
    • Czas protrombinowy
    • Albuminy i białka całkowitego
  • Ocena objawów encefalopatii wątrobowej

28

U pacjentów leczonych z powodu WZW C należy wykonać badanie krwi 12 tygodni po zakończeniu leczenia, aby potwierdzić, że wirus HCV zniknął. Jest to tzw. trwała odpowiedź wirusologiczna (SVR), która wskazuje na wyleczenie.2930

Wsparcie żywieniowe i restowe

Odpowiednie odżywianie i wypoczynek są istotnym elementem leczenia WZW C. Pielęgniarki odgrywają kluczową rolę w zapewnieniu wsparcia w tym zakresie:31

Interwencje żywieniowe

Pacjenci z WZW C mogą doświadczać trudności z utrzymaniem odpowiedniego stanu odżywienia z powodu takich objawów jak nudności, wymioty czy brak apetytu. Pielęgniarki mogą zastosować następujące interwencje:32

  • Zachęcanie do higieny jamy ustnej przed posiłkami – poprawia apetyt poprzez eliminację nieprzyjemnych smaków
  • Zalecanie spożywania posiłków w pozycji wyprostowanej – zmniejsza uczucie pełności brzucha i może poprawić przyjmowanie pokarmów
  • Zachęcanie do spożywania soków owocowych, napojów gazowanych i twardych cukierków w ciągu dnia – dostarczają dodatkowych kalorii i mogą być łatwiej trawione lub tolerowane niż inne pokarmy
  • Konsultacja z dietetykiem i zespołem wsparcia żywieniowego w celu zapewnienia diety dostosowanej do potrzeb pacjenta, z zawartością tłuszczu i białka w zależności od tolerancji
  • Monitorowanie spożycia pokarmów
  • Zapewnienie małych posiłków w ciągu dnia

33

W przypadku znacznych niedoborów i przedłużających się objawów, może być konieczne zapewnienie suplementacji diety i żywienia pozajelitowego (TPN).34

Zapewnienie odpoczynku

Zmęczenie jest powszechnym objawem u pacjentów z WZW C, dlatego odpowiedni odpoczynek jest istotny:35

  • Zachęcanie do odpoczynku w łóżku
  • Identyfikacja technik oszczędzających energię
  • Zapewnienie pomocy w czynnościach życia codziennego w razie potrzeby
  • Organizacja opieki tak, aby pacjent mógł odpoczywać między zabiegami
  • Pomoc w znalezieniu równowagi między aktywnością a odpoczynkiem

36

Oczekiwane efekty odpowiedniego wsparcia żywieniowego i restowego obejmują:37

  • Osiągnięcie i utrzymanie odpowiedniego przyrostu masy ciała
  • Wykazanie zwiększenia poziomu energii
  • Zdolność do uczestniczenia w pożądanych aktywnościach na poziomie adekwatnym do możliwości

38

Edukacja pacjenta z WZW C

Edukacja pacjenta jest kluczowym elementem opieki pielęgniarskiej nad osobami z WZW C. Właściwa edukacja pomaga pacjentom zrozumieć swoją chorobę, aktywnie uczestniczyć w leczeniu i zapobiegać rozprzestrzenianiu się infekcji.39

Informacje o chorobie i leczeniu

Pielęgniarka powinna przekazać pacjentowi następujące informacje:40

  • Podstawowe informacje o WZW C, jego przyczynach i przebiegu
  • Znaczenie wczesnego leczenia i regularnej kontroli medycznej
  • Informacje o przepisanych lekach, ich działaniu i potencjalnych skutkach ubocznych
  • Znaczenie przestrzegania zaleceń dotyczących przyjmowania leków – podkreślenie, że leki należy przyjmować dokładnie tak, jak zalecono, aby były skuteczne
  • Oczekiwania dotyczące okresu zdrowienia – okres rekonwalescencji może być przedłużony (do 6 miesięcy), co może potencjalnie nasilać stres rodzinny i/lub sytuacyjny

41

Modyfikacje stylu życia

Ważnym elementem edukacji są zalecenia dotyczące stylu życia, które mogą pomóc chronić wątrobę:42

  • Unikanie alkoholu – alkohol może uszkodzić wątrobę. Należy poinformować pacjenta o dostępności poradnictwa, grup wsparcia lub leków, które mogą pomóc w zachowaniu trzeźwości.
  • Odpowiednia dieta – zachęcanie do utrzymywania zdrowej diety i aktywnego stylu życia.
  • Ostrożność z lekami – upewnienie się, że lekarz wie o wszystkich przyjmowanych lekach. Niektóre leki, takie jak paracetamol (Tylenol), mogą pogorszyć problemy z wątrobą. Pacjent nie powinien przyjmować żadnych nowych leków, w tym dostępnych bez recepty, bez konsultacji z lekarzem.
  • Zarządzanie objawami depresji – jeśli pacjent czuje się przygnębiony, powinien porozmawiać z lekarzem o leczeniu. Należy pamiętać, że leki przeciwwirusowe mogą nasilać depresję.

4344

Zapobieganie transmisji

Edukacja pacjenta powinna obejmować informacje na temat zapobiegania przenoszeniu wirusa na inne osoby:45

  • Poinformowanie osób, które mogły mieć kontakt z krwią pacjenta, o konieczności wykonania badań (kontakty mogą wymagać podania immunoglobuliny)
  • Nieudostępnianie osobistych przedmiotów (np. maszynek do golenia, szczoteczek do zębów)
  • Ścisłe przestrzeganie mycia rąk i dezynfekcji ubrań, naczyń i urządzeń sanitarnych, gdy enzymy wątrobowe są podwyższone
  • Unikanie bliskiego kontaktu, takiego jak całowanie i kontakt seksualny, oraz narażenia na infekcje, szczególnie górnych dróg oddechowych
  • Poinformowanie lekarza, dentysty i innych osób, które mogą mieć kontakt z krwią pacjenta, o chorobie
  • Zabezpieczanie ran, skaleczeń lub pęcherzy

4647

Rozpoznawanie powikłań

Pacjent powinien zostać poinformowany o sygnałach ostrzegawczych, które wymagają natychmiastowej konsultacji medycznej:48

  • Nasilone zmęczenie
  • Ból brzucha
  • Żółtaczka
  • Zmiany w wyglądzie stolca
  • Wymioty krwią
  • Obrzęki nóg
  • Dezorientacja lub senność

49

Opieka pielęgniarska nad pacjentem z marskością wątroby spowodowaną WZW C

U pacjentów, u których WZW C doprowadziło do marskości wątroby, opieka pielęgniarska wymaga specjalistycznego podejścia. Marskość wątroby jest zaawansowanym stadium choroby wątroby, charakteryzującym się bliznowaceniem, które zaburza normalną strukturę i funkcję wątroby.50

Monitorowanie powikłań marskości

Pacjenci z zaawansowanym włóknieniem (F3 lub F4) w badaniach stopniujących przed leczeniem WZW C są zagrożeni rakiem wątrobowokomórkowym (HCC) i dekompensacją, nawet po wyleczeniu zakażenia. Wymagają oni:
51

  • Nadzoru za pomocą USG i badania alfa-fetoproteiny co 6 miesięcy
  • Monitorowania pod kątem żylaków przełyku za pomocą gastroskopii co 2-3 lata
  • Regularnej oceny funkcji wątroby przy użyciu badań laboratoryjnych
  • Obserwacji pod kątem objawów dekompensacji wątroby, takich jak:
    • Wodobrzusze
    • Krwawienie z żylaków przełyku
    • Encefalopatia wątrobowa

52

Interwencje w przypadku powikłań

Pielęgniarki muszą być przygotowane do rozpoznawania i reagowania na powikłania związane z marskością:53

  • Wodobrzusze: Monitorowanie przyrostu masy ciała, obwodu brzucha, bilans płynów, wykonywanie paracentezy zgodnie z zaleceniami
  • Zapalenie otrzewnej: Obserwacja pod kątem gorączki, bólu brzucha, zaburzeń świadomości
  • Krwawienie z żylaków: Monitorowanie objawów krwawienia, podawanie leków wazopresyjnych, przygotowanie do endoskopii
  • Encefalopatia wątrobowa: Ocena stanu neurologicznego, podawanie laktulozy i antybiotyków zgodnie z zaleceniami, kontrola poziomu amoniaku

54

Przygotowanie do przeszczepu wątroby

W przypadku pacjentów z niewydolnością wątroby spowodowaną WZW C, przeszczep wątroby może być konieczną opcją leczenia:55

  • Pacjenci są zazwyczaj kwalifikowani do przeszczepu, gdy wątroba funkcjonuje na poziomie około 10-20% normalnej funkcji
  • Rola pielęgniarki obejmuje:
    • Edukację pacjenta na temat procesu przeszczepu
    • Pomoc w przygotowaniu do badań kwalifikacyjnych
    • Wsparcie emocjonalne dla pacjenta i rodziny
    • Koordynację opieki z zespołem transplantacyjnym
  • Przeszczep wątroby nie leczy WZW C – jeśli infekcja jest nadal obecna w momencie przeszczepu, nowa wątroba zostanie zakażona

5657

Należy pamiętać, że skuteczne leczenie WZW C przed rozwojem marskości zapobiega tym powikłaniom. Nawet u osób, u których już rozwinęła się marskość wątroby z powodu WZW C, wyleczenie infekcji zmniejsza ryzyko powikłań związanych z wątrobą i śmierci.58

Koordynacja opieki i wsparcie psychospołeczne

Rola pielęgniarki w koordynacji opieki

Pielęgniarki odgrywają kluczową rolę w koordynowaniu opieki nad pacjentami z WZW C, zapewniając ciągłość i kompleksowość leczenia:59

  • Działanie jako łącznik między pacjentem a różnymi specjalistami opieki zdrowotnej (hepatologami, specjalistami chorób zakaźnych, farmaceutami, dietetykami)
  • Koordynowanie skierowań do specjalistów
  • Nawigowanie procesu umawiania wizyt
  • Monitorowanie przestrzegania planu leczenia
  • Zapewnienie, że badania kontrolne są wykonywane zgodnie z harmonogramem

60

Zarządzanie przypadkiem przez pielęgniarkę (NCM – Nurse Case Management) wykazało się skutecznością w łączeniu osób z WZW C z opieką, szczególnie w przypadku pacjentów współzakażonych HIV, którzy nie są dobrze zaangażowani w opiekę.61

Wsparcie emocjonalne i psychologiczne

Diagnoza WZW C i proces leczenia mogą mieć znaczący wpływ na dobrostan psychiczny pacjenta. Pielęgniarki powinny:62

  • Oceniać poziom zrozumienia choroby przez pacjenta
  • Oceniać, w jaki sposób pacjent się uczy
  • Zapewniać edukację na temat procesu chorobowego i leczenia
  • Kierować do poradnictwa lub grup wsparcia
  • Wspierać pacjenta w radzeniu sobie z diagnozą i leczeniem

63

Dzielenie się obawami z innymi osobami z tą samą diagnozą może pomóc pacjentom nauczyć się żyć z WZW C.64

Wsparcie w zakresie dostępu do leczenia

Pielęgniarki mogą pomóc pacjentom w pokonywaniu barier w dostępie do leczenia:65

  • Informowanie o opcjach ubezpieczenia i programach pomocy finansowej
  • Współpraca z aptekami specjalistycznymi w celu ułatwienia procesu autoryzacji ubezpieczenia dla leków
  • Pomoc w uzyskaniu wsparcia w pokryciu współpłatności
  • Zapewnienie dodatkowego osobistego poradnictwa w zakresie leków

66

Oczekiwane efekty właściwej koordynacji opieki i wsparcia psychospołecznego to:67

  • Werbalizacja zrozumienia procesu chorobowego
  • Demonstracja skutecznego radzenia sobie
  • Przestrzeganie zaleceń terapeutycznych
  • Lepsze wyniki leczenia

Zapobieganie reinfekcji po leczeniu WZW C

Zapobieganie reinfekcji jest ważnym aspektem opieki po wyleczeniu i kluczem do eliminacji zakażenia HCV na całym świecie.68

Edukacja na temat dróg transmisji

Po wyleczeniu WZW C pacjenci powinni być świadomi, że mogą zostać ponownie zakażeni. Wirusowe zapalenie wątroby typu C jest przenoszone głównie przez:69

  • Kontakt z krwią: Dzielenie się igłami, niewysterylizowanym sprzętem do tatuażu lub piercingu, lub narażenie na zakażoną krew podczas pracy w ochronie zdrowia
  • Z matki na dziecko: WZW C może być przenoszone z zakażonej matki na dziecko podczas porodu
  • Inne drogi: Chociaż rzadziej, WZW C może być przenoszone przez dzielenie się osobistymi przedmiotami, takimi jak maszynki do golenia, jeśli zostały skontaminowane zakażoną krwią

70

Strategie zmniejszania ryzyka

Pielęgniarki powinny edukować pacjentów na temat strategii zmniejszających ryzyko ponownego zakażenia:71

  • Unikanie dzielenia się igłami lub „sprzętem” do iniekcji
  • Unikanie dzielenia się przedmiotami osobistymi, które mogłyby być zanieczyszczone krwią (np. maszynki do golenia, szczoteczki do zębów)
  • Praktykowanie bezpieczniejszego seksu – używanie prezerwatyw i innych metod barierowych
  • Czyszczenie rozlanej krwi wybielaczem i noszenie rękawiczek przy kontakcie z krwią

72

Monitorowanie i regularne badania

Pacjenci z grup wysokiego ryzyka powinni być regularnie badani na obecność WZW C, nawet po wyleczeniu:73

  • Osoby aktywnie przyjmujące narkotyki drogą iniekcji
  • Mężczyźni mający kontakty seksualne z mężczyznami
  • Osoby przebywające w więzieniach
  • Osoby z HIV

74

Regularne badania umożliwiają wczesne wykrycie ponownego zakażenia i szybkie rozpoczęcie leczenia.75

Znaczenie leczenia uzależnień

Dla osób z uzależnieniem od narkotyków lub alkoholu ważne jest skierowanie do odpowiednich programów leczenia:76

  • Programy wymiany igieł i strzykawek
  • Programy leczenia uzależnień
  • Ogólne informacje dotyczące redukcji szkód
  • Wsparcie w zaprzestaniu spożywania alkoholu

77

Przestrzeganie zaleceń dotyczących leków jest niezbędne do wyleczenia wirusa. Zawsze istnieje ryzyko ponownego zakażenia, jeśli dana osoba nadal podejmuje ryzykowne zachowania, takie jak wstrzykiwanie narkotyków, dzielenie się słomkami do kokainy lub angażowanie się w ryzykowne zachowania seksualne.78

Specjalistyczna opieka nad wybranymi grupami pacjentów z WZW C

Opieka nad kobietami ciężarnymi z WZW C

Kobiety ciężarne z WZW C wymagają specjalistycznej opieki ze względu na potencjalne ryzyko przeniesienia wirusa na dziecko:79

  • WZW C jest infekcją wątroby wywołaną przez wirusa. Wirus rozprzestrzenia się przez kontakt z krwią zakażonej osoby, więc istnieje szansa, że mógł zostać przeniesiony na dziecko przed lub podczas porodu. Jest to bardziej prawdopodobne, jeśli matka ma również HIV.
  • Ważne jest przeprowadzenie badań dziecka na obecność WZW C. Zazwyczaj wykonuje się je, gdy dziecko ma 12-18 miesięcy. Jednak badanie może być przeprowadzone wcześniej.
  • Jeśli dziecko jest zakażone wirusem, badanie powtarza się w wieku 3 lat lub później. To poinformuje lekarza, czy dziecko wymaga leczenia. Czasami organizm dziecka pozbędzie się wirusa bez leczenia.

80

Zalecenia dla kobiet ciężarnych z WZW C:81

  • Leczenie WZW C – zazwyczaj po zakończeniu karmienia piersią (lub po porodzie, jeśli kobieta nie karmi piersią)
  • Regularne wizyty kontrolne
  • Natychmiastowy kontakt z lekarzem w przypadku:
    • Bólu brzucha
    • Objawów grypopodobnych (bóle ciała, gorączka, nudności, biegunka)
    • Skrajnego zmęczenia, utrudniającego opiekę nad dzieckiem
    • Utraty apetytu

82

Amerykańskie Kolegium Położników i Ginekologów (ACOG) zaleca, aby pacjentki, u których wykryto zakażenie wirusem zapalenia wątroby typu C podczas ciąży, były kierowane do opieki hepatologicznej, aby mogły rozpocząć leczenie po porodzie i po zakończeniu laktacji, oraz aby łączyć pacjentki, które uzyskały wynik dodatni testu na obecność wirusa zapalenia wątroby typu C przed ciążą, z leczeniem, aby mogły zakończyć leczenie przed zajściem w ciążę.83

Pacjenci współzakażeni HIV i HCV

Współistnienie HIV i WZW C komplikuje leczenie i wymaga specjalistycznego podejścia:84

  • Osoby żyjące z HIV powinny być badane w kierunku WZW C podczas diagnozy HIV i rozpoczęcia leczenia
  • Osoby z HIV, które mają czynniki ryzyka zakażenia wirusem zapalenia wątroby typu B lub C, powinny być badane corocznie
  • Zarówno HIV, jak i WZW C mogą być leczone jednocześnie
  • Bezpośrednio działające leki przeciwwirusowe (DAA) stosowane w leczeniu WZW C są skuteczne również u osób z HIV, z podobnymi wysokimi wskaźnikami wyleczenia

8586

Wyniki badań wykazały wyższy odsetek uczestników, którzy otrzymali zarządzanie przypadkiem pielęgniarskim (NCM) w zakresie WZW C, którzy zostali skierowani na leczenie WZW C w porównaniu do standardowej opieki w rzeczywistych warunkach praktyki HIV.87

Pacjenci z niewydolnością nerek

Leczenie WZW C u pacjentów z niewydolnością nerek może wymagać dostosowania dawki leków i ścisłego monitorowania:88

  • Ocena funkcji nerek przed rozpoczęciem leczenia
  • Wybór schematu leczenia odpowiedniego dla pacjentów z niewydolnością nerek
  • Regularne monitorowanie funkcji nerek podczas leczenia
  • Szczególna uwaga na potencjalne interakcje między lekami na WZW C a lekami stosowanymi w leczeniu niewydolności nerek

Pacjenci z niewydolnością nerek powinni być leczeni przez zespół multidyscyplinarny, obejmujący hepatologa, nefrologa i pielęgniarkę specjalizującą się w WZW C.89

Podsumowanie roli pielęgniarki w opiece nad pacjentem z WZW C

Pielęgniarki odgrywają kluczową rolę w opiece nad pacjentami z WZW C na wszystkich etapach procesu diagnostyczno-terapeutycznego:90

  • Badania przesiewowe i ocena ryzyka – identyfikacja osób wymagających badań w kierunku WZW C
  • Komunikacja wyników badań – przekazywanie informacji o diagnozie w sposób wspierający i edukacyjny
  • Monitorowanie leczenia – nadzór nad przestrzeganiem zaleceń, ocena skuteczności terapii i działań niepożądanych
  • Edukacja pacjenta – przekazywanie informacji o wirusie, jego potencjalnych powikłaniach, opcjach leczenia i wynikach

91

Plan opieki pielęgniarskiej koncentruje się na wczesnym wykrywaniu, ocenie i bieżącym monitorowaniu pacjentów z WZW C, zapewniając szybkie interwencje w celu zarządzania objawami, zapobiegania powikłaniom i promowania ogólnego dobrostanu.92

Poprzez edukowanie pacjentów na temat transmisji WZW C, strategii zapobiegania i opcji leczenia, pielęgniarki wzmacniają pozycję osób do aktywnego uczestnictwa w ich opiece i podejmowania świadomych decyzji dotyczących ich zdrowia.93

Ostatecznie, sukces planu opieki pielęgniarskiej nad WZW C zależy od zaangażowania pielęgniarek w zapewnienie troskliwej, opartej na dowodach opieki, która uwzględnia fizyczne, emocjonalne i edukacyjne potrzeby pacjentów.94

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1
    https://www.who.int/news-room/fact-sheets/detail/hepatitis-c
    Hepatitis C is a viral infection that affects the liver. It can cause both acute (short term) and chronic (long term) illness. It can be life-threatening. […] Early detection and treatment can prevent serious liver damage and improve long-term health. […] After a person has been diagnosed with chronic HCV infection, an assessment should be conducted to determine the degree of liver damage (fibrosis and cirrhosis). This can be done by liver biopsy or through a variety of non-invasive tests. The degree of liver damage is used to guide treatment decisions and management of the disease. […] There are effective treatments for hepatitis C. The goal of treatment is to cure the disease and prevent long-term liver damage. […] People with hepatitis C may also benefit from lifestyle changes, such as avoiding alcohol and maintaining a healthy weight. With proper treatment, many people can be cured from hepatitis C infection and live healthy lives.
  • #2 Hepatitis C – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hepatitis-c/symptoms-causes/syc-20354278
    Hepatitis C is a viral infection that causes liver swelling, called inflammation. Hepatitis C can lead to serious liver damage. […] Newer antiviral medicines are the treatment of choice for most people with the ongoing, called chronic, hepatitis C infection. These medicines often can cure chronic hepatitis C. […] The U.S. Preventive Services Task Force recommends that all adults ages 18 to 79 years be screened for hepatitis C. Screening is for everyone, even those who don’t have symptoms or known liver disease. […] Chronic hepatitis C usually has no symptoms for many years. Symptoms appear only after the virus damages the liver enough to cause them. […] Hepatitis C infection that continues over many years can cause serious complications, such as scarring of the liver, called cirrhosis. Scarring can occur after decades of hepatitis C infection. Liver scarring makes it hard for the liver to work. […] Hepatitis C care at Mayo Clinic.
  • #3 Patient education: Hepatitis C (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hepatitis-c-beyond-the-basics
    Patient education: Hepatitis C (Beyond the Basics) […] Most people infected with the hepatitis C virus have no or only mild symptoms, so they do not always know they are infected. […] In some people, over time, chronic infection with the hepatitis C virus can damage the liver and lead to cirrhosis. […] People diagnosed with hepatitis C must decide – in conjunction with their health care providers – whether and when to treat their infection. In general, treatment is safe and effective, and anyone with hepatitis C should consider getting treatment. […] People who do undergo treatment use one or more medications for several months. The specific combination of agents and the duration of treatment are determined based on the genotype involved and the person’s individual characteristics.
  • #4 Patient education: Hepatitis C (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hepatitis-c-beyond-the-basics/print
    Patient education: Hepatitis C (Beyond the Basics) […] Most people infected with the hepatitis C virus have no or only mild symptoms, so they do not always know they are infected. […] In some people, over time, chronic infection with the hepatitis C virus can damage the liver and lead to cirrhosis. […] People diagnosed with hepatitis C must decide – in conjunction with their health care providers – whether and when to treat their infection. In general, treatment is safe and effective, and anyone with hepatitis C should consider getting treatment. […] People who do undergo treatment use one or more medications for several months. The specific combination of agents and the duration of treatment are determined based on the genotype involved and the person’s individual characteristics.
  • #5 Hepatitis C Care | Ochsner Health
    https://www.ochsner.org/services/hepatitis-c-clinic/
    It is estimated that up to 75% of patients with Hepatitis C have not yet been diagnosed. […] If you suspect yourself or a loved one could have Hepatitis C, we encourage you to participate in one-time screening. Its done with a simple blood test and can be performed at any Ochsner lab site near you. […] All Ochsner labs are currently offering a Hepatitis C blood test for all patients that meet the screening criteria. No appointment needed. […] The Hepatitis C Clinic at Ochsner Medical Center offers comprehensive care for patients diagnosed with Hepatitis C. The Clinic’s team provides our patients with a multidisciplinary, collaborative approach. Personalized care plans are tailored to meet your medical needs. […] Patients will be scheduled for laboratory and imaging studies prior to their initial clinic appointment with an Advanced Practice Provider (APP). By arranging these in advance we can reduce the number of clinic appointments a patient requires before Hepatitis C treatment can be initiated.
  • #6
    https://www.who.int/news-room/fact-sheets/detail/hepatitis-c
    Hepatitis C is a viral infection that affects the liver. It can cause both acute (short term) and chronic (long term) illness. It can be life-threatening. […] Early detection and treatment can prevent serious liver damage and improve long-term health. […] After a person has been diagnosed with chronic HCV infection, an assessment should be conducted to determine the degree of liver damage (fibrosis and cirrhosis). This can be done by liver biopsy or through a variety of non-invasive tests. The degree of liver damage is used to guide treatment decisions and management of the disease. […] There are effective treatments for hepatitis C. The goal of treatment is to cure the disease and prevent long-term liver damage. […] People with hepatitis C may also benefit from lifestyle changes, such as avoiding alcohol and maintaining a healthy weight. With proper treatment, many people can be cured from hepatitis C infection and live healthy lives.
  • #7 Nursing Care Plan For Hepatitis C (HCV) – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-hepatitis-c-hcv/
    The nursing care plan for Hepatitis C Virus (HCV) is a comprehensive and patient-centered approach to managing individuals affected by this viral infection. […] Nursing care for HCV is crucial in addressing the physical, emotional, and psychosocial needs of patients, as well as preventing potential complications and promoting health promotion and disease prevention strategies. […] Nurses, as frontline healthcare providers, play a vital role in early identification, assessment, and ongoing management of HCV cases. […] By collaborating with other healthcare professionals and educating patients and their families, nurses can contribute significantly to HCV treatment success and overall well-being. […] The nursing assessment for Hepatitis C Virus (HCV) is a critical process aimed at identifying, understanding, and addressing the unique needs of individuals affected by this viral infection.
  • #8 Nursing Care Plan For Hepatitis C (HCV) – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-hepatitis-c-hcv/
    As frontline healthcare providers, nurses play a crucial role in early detection, assessment, and ongoing monitoring of patients with HCV. […] The nursing diagnosis for Hepatitis C Virus (HCV) address the multifaceted needs of individuals affected by this chronic viral infection. […] Through careful assessment and identification of nursing diagnoses, nurses can develop tailored care plans to address the physical, emotional, and educational aspects of HCV management. […] The nursing interventions for Hepatitis C Virus (HCV) focus on promoting patient education, symptom management, psychosocial support, and preventive care. […] By addressing these interventions in a patient-centered manner, nurses can empower individuals affected by HCV to actively participate in their care, enhance their quality of life, and minimize the impact of the disease on their overall well-being.
  • #9 Hepatitis C: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/hepatitis-c/?srsltid=AfmBOoqalA6C8_L0DgjkiP3lX_zwCQuc-M4l0uwZkIxFthyEpFdbUG_y
    Assess for signs and symptoms of hepatitis C, such as: […] Monitor dietary intake. […] Consult with dietitian for nutritional support. […] Provide small meals throughout the day. […] Encourage bed rest. […] Identify energy-conserving techniques. […] Provide assistance with activities of daily living when needed. […] Determine individuals level of understanding. […] Evaluate how the individual learns. […] Provide education on disease process and treatment. […] Achieves and maintains adequate weight gain […] Demonstrates an increase in energy level […] Verbalizes understanding of disease process […] Demonstrates effective coping […] Condition, treatment, and outcomes […] Review medication and side effects […] Importance to adhering to medication regimen […] Avoid alcohol and medications that can damage the liver […] Follow-up with healthcare provider […] Notify healthcare provider or seek medical care for the following: […] Increased fatigue […] Abdominal pain […] Jaundice […] Changes in the appearance of stool.
  • #10 Urgent Care for Hepatitis C: Rapid Hep C Test & Treatment – Same Day Results | NextCare
    https://nextcare.com/what-we-treat/std-testing-screening/urgent-care-hepatitis-c/
    Because Hepatitis C often shows no early symptoms, regular testing is essential, particularly for those at higher risk. […] Hepatitis C Symptoms […] Fatigue […] Nausea or vomiting […] Loss of appetite […] Abdominal pain, especially near the liver […] Yellowing of the skin and eyes (jaundice) […] Dark urine and pale stools […] Joint pain […] If you experience these Hepatitis C symptoms or have had potential exposure, seek prompt testing and treatment. A rapid Hepatitis C test can provide early detection and help protect your health. […] When to Visit Urgent Care for Hepatitis C […] Consider visiting urgent care for Hepatitis C testing if you: […] Have a history of injection drug use, even if used only once […] Work in a healthcare setting with potential exposure to blood, such as through needlestick injuries […] Received a blood transfusion or organ transplant before 1992, when screening protocols were improved […] Have been exposed to Hepatitis C through unsterilized tattoo or piercing equipment […] Are experiencing symptoms such as fatigue, abdominal pain, or jaundice […] Were born between 1945 and 1965 (Baby Boomers), as the CDC recommends regular screening for this group […] Have HIV, abnormal liver tests, or liver disease […] Are pregnant, as screening can help reduce the risk of mother-to-child transmission […] Are experiencing symptoms such as fatigue, abdominal pain, or jaundice
  • #11 Decision Making In Hepatitis C | ASHM Health
    https://ashm.org.au/resource/decision-making-in-hepatitis-c/
    Decision Making in Hepatitis C resource is a 2-page guide designed to support general practitioners (GPs), nurse practitioners, and other primary care providers in effectively managing hepatitis C. This resource provides a concise yet comprehensive overview of the diagnosis, treatment, and follow-up of hepatitis C, empowering healthcare professionals to deliver optimal care to their patients. […] Page 1 of the resource presents a clear and straightforward step-by-step approach to aid primary care providers in diagnosing hepatitis C. It outlines the indications for testing and provides guidance on interpreting hepatitis C serology results, allowing healthcare professionals to accurately diagnose their patients with hepatitis C. By following the guidelines on this page, healthcare providers can ensure timely and accurate diagnoses, enabling prompt initiation of appropriate management strategies.
  • #12 Urgent Care for Hepatitis C: Rapid Hep C Test & Treatment – Same Day Results | NextCare
    https://nextcare.com/what-we-treat/std-testing-screening/urgent-care-hepatitis-c/
    Rapid Hepatitis C Test: Our rapid Hepatitis C test provides same-day results, allowing for immediate diagnosis and timely treatment decisions. […] Hepatitis C Antibody Test: This blood test detects antibodies to determine if you have been exposed to the Hepatitis C virus. […] Hepatitis C Viral Load Test: If the antibody test is positive, a follow-up viral load test may be conducted to check the amount of HCV in your blood and confirm active infection. […] What to Expect During Your Hepatitis C Test […] Our testing process is simple, private, and designed to provide peace of mind. During your visit, a healthcare provider will discuss your symptoms, risk factors, and any recent exposures. Your test will typically involve a blood sample to screen for Hepatitis C antibodies, which indicate whether you’ve been exposed to the virus in the past. […] If the antibody test is positive, a follow-up RNA test may be recommended to confirm if the infection is currently active. This follow-up test detects the presence of the virus in your blood and provides an accurate diagnosis. Results from the initial antibody test may be available the same day, allowing you to make informed decisions promptly. […] Our staff is here to support you at every step, answer any questions, and ensure you feel confident and informed throughout the testing process.
  • #13 Hepatitis C Care | UC San Diego Health
    https://health.ucsd.edu/care/liver-disease/hepatitis-c/
    Hepatitis C is a liver infection caused by the hepatitis C virus (HCV). Hepatitis C is spread through contact with blood from an infected person. It is often caused by sharing needles or other items used to prepare and inject drugs. […] For the most experienced and customized care, turn to our team of liver experts (hepatologists), infectious disease experts, and specialty pharmacists. Our collaborative efforts improve quality of life for many patients with difficult cases, including those co-infected with HIV. […] UC San Diego Health also is a leader in the development of new, more effective treatments with cure rates of over 90 percent. […] Its important that you get tested for hepatitis C often if youre at higher risk of contracting the disease. […] Once HCV infection is confirmed, the next step is determining the extent of damage. Non-invasive tests such as a CT scan, MRI or ultrasound can provide detailed images of the liver. A liver biopsy may be necessary to determine the degree of liver damage.
  • #14
    https://www.who.int/news-room/fact-sheets/detail/hepatitis-c
    Hepatitis C is a viral infection that affects the liver. It can cause both acute (short term) and chronic (long term) illness. It can be life-threatening. […] Early detection and treatment can prevent serious liver damage and improve long-term health. […] After a person has been diagnosed with chronic HCV infection, an assessment should be conducted to determine the degree of liver damage (fibrosis and cirrhosis). This can be done by liver biopsy or through a variety of non-invasive tests. The degree of liver damage is used to guide treatment decisions and management of the disease. […] There are effective treatments for hepatitis C. The goal of treatment is to cure the disease and prevent long-term liver damage. […] People with hepatitis C may also benefit from lifestyle changes, such as avoiding alcohol and maintaining a healthy weight. With proper treatment, many people can be cured from hepatitis C infection and live healthy lives.
  • #15 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Use this nursing care plan and management guide to help care for patients with hepatitis. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of individuals facing hepatitis. This guide equips you with the necessary information to provide effective and specialized care to patients dealing with hepatitis. […] 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. […] The following are the nursing priorities for patients with hepatitis: Manage symptoms and provide supportive care. Prevent further liver damage and promote liver health. Monitor liver function and assess disease progression. Administer antiviral medications, if applicable. Educate patients on lifestyle modifications to minimize liver stress. Prevent transmission of hepatitis to others. Address complications or comorbidities associated with hepatitis.
  • #16 11.15 Hepatitis – Health Alterations
    https://wtcs.pressbooks.pub/healthalts/chapter/11-15-hepatitis/
    Hepatitis can also be caused by the misuse of alcohol or drugs that can lead to death of liver cells, but the exact mechanism of action is unclear. […] Nursing priorities for clients with hepatitis include managing fatigue, promoting adequate nutrition, reducing the risk for bleeding, and providing health teaching. Common nursing diagnoses for clients with hepatitis are as follows: Fatigue, Imbalanced Nutrition: Less Than Body Requirements, Risk for Bleeding, Readiness for Enhanced Knowledge. […] Nursing priorities for clients with hepatitis include managing symptoms, providing supportive care, preventing further liver damage, monitoring liver function and disease progression, and administering antiviral medications as prescribed. […] Nurses monitor vital signs, 24-hour input and output, daily weight trends, and for signs of edema.
  • #17 Hepatitis C: Beyond the Basics | Nursing CEU | CEUfast
    https://ceufast.com/course/hepatitis-c-beyond-the-basics
    Nursing care for patients who have HCV has been greatly simplified by the use of up-to-date DAAs. The course of therapy has been reduced from 44 weeks to 12 weeks, the risk of serious drug-induced complications has been dramatically reduced, and unlike interferon-based regimens, the side effects of these drugs are mild and well-tolerated. […] Nursing care for a patient who has HCV will involve: Knowledge of the extrahepatic complications of HCV. Knowledge of the signs, symptoms, and complications of cirrhosis. Knowledge of the medications and their potential side effects. Patient education, specifically about extrahepatic complications of HCV and the safe and effective use of antiviral drugs. Patient education, specifically about the risks of alcohol use/abuse, diabetes, obesity, and smoking, about HCV. Support and education, specifically about the beneficial effects of alcohol abstinence, exercise, smoking cessation, and weight loss about HCV. Assess the patient’s level of knowledge regarding HCV transmission and behaviors that can put them at risk for reinfection.
  • #18 Clinical Care of Hepatitis C | Hepatitis C | CDC
    https://www.cdc.gov/hepatitis-c/hcp/clinical-care/index.html
    Hepatitis C can be cured in more than 95% of cases with just 8-12 weeks of well-tolerated oral-only treatment with direct-acting antiviral (DAA) agents. […] Curative DAA treatment is recommended for essentially everyone with hepatitis C. […] Clinicians can mitigate risk for advanced liver disease progressing with lifestyle counseling, co-infection monitoring, and recommendations for vaccination against hepatitis A and hepatitis B. […] Except for pregnant patients and children under 3, clinicians should treat people with detectable HCV RNA in their blood with oral DAA therapy. There is no need to wait for potential spontaneous viral resolution. […] Clinicians should also: Conduct a full medical evaluation for chronic liver disease. […] Conduct a risk assessment and testing for HBV and HIV.
  • #19
  • #20 Hepatitis C: Symptoms, What It Is, How You Get It, Treatment
    https://my.clevelandclinic.org/health/diseases/15664-hepatitis-c
    Hepatitis C is a liver infection that the hepatitis C virus (HCV) causes. It can lead to long-term infection and serious diseases like cirrhosis, liver cancer and liver failure. There are medications that cure hepatitis C and reduce the risk of serious complications. Screening tests can detect infection early on. […] The most common treatment for chronic hepatitis C is direct-acting antiviral (DAA) medication. DAAs reduce the amount of virus in your body. DAAs commonly used for initial treatment include: Elbasvir/grazoprevir (Zepatier), Glecaprevir/pibrentasvir (Mavyret), Ledipasvir/sofosbuvir (Harvoni), Sofosbuvir/velpatasvir (Epclusa), Sofosbuvir/velpatasvir/voxilaprevir (Vosevi). […] Common DAA side effects include: Abdominal pain, Diarrhea, Fatigue, Headache, Nausea and vomiting, Shortness of breath (dyspnea).
  • #21
    https://www.nhs.uk/conditions/hepatitis-c/treatment/
    Hepatitis C can often be treated successfully by taking medicines for several weeks. […] If the infection continues for several months, known as chronic hepatitis, treatment will usually be recommended. […] Treatment for chronic hepatitis C (those infected for 6 months or more) involves: tablets to fight the virus, a test to see if your liver is damaged, lifestyle changes to prevent further damage. […] You’ll be offered the medicine most appropriate for your type of hepatitis C. […] During treatment, you should have blood tests to check that your medicine is working. […] At the end of your treatment, you’ll have a blood test to see if the virus has been cleared and a second blood test 12 or 24 weeks after treatment has stopped. […] If both tests show no sign of the virus, this means treatment has been successful.
  • #22
    https://www.nhs.uk/conditions/hepatitis-c/treatment/
    Hepatitis C is treated using direct-acting antiviral (DAA) tablets. […] DAA tablets are the safest and most effective medicines for treating hepatitis C. […] They’re highly effective at clearing the infection in more than 90% of people. […] The tablets are taken for 8 to 12 weeks. […] You need to complete the full course of treatment to ensure you clear the hepatitis C virus from your body. […] If you have any problems with your medicines, speak to your doctor or nurse straight away. […] Direct-acting antivirals (DAAs) cure 9 out of 10 patients with hepatitis C. […] Successful treatment does not give you any protection against another hepatitis C infection. […] If treatment does not work, it may be repeated, extended, or a different combination of medicines may be tried. […] There are some things you can do to help limit any damage to your liver and prevent the infection spreading to others.
  • #23 Hepatitis C: Beyond the Basics | Nursing CEU | CEUfast
    https://ceufast.com/course/hepatitis-c-beyond-the-basics
    Nursing care for patients who have HCV has been greatly simplified by the use of up-to-date DAAs. The course of therapy has been reduced from 44 weeks to 12 weeks, the risk of serious drug-induced complications has been dramatically reduced, and unlike interferon-based regimens, the side effects of these drugs are mild and well-tolerated. […] Nursing care for a patient who has HCV will involve: Knowledge of the extrahepatic complications of HCV. Knowledge of the signs, symptoms, and complications of cirrhosis. Knowledge of the medications and their potential side effects. Patient education, specifically about extrahepatic complications of HCV and the safe and effective use of antiviral drugs. Patient education, specifically about the risks of alcohol use/abuse, diabetes, obesity, and smoking, about HCV. Support and education, specifically about the beneficial effects of alcohol abstinence, exercise, smoking cessation, and weight loss about HCV. Assess the patient’s level of knowledge regarding HCV transmission and behaviors that can put them at risk for reinfection.
  • #24 Hepatitis C: Symptoms, What It Is, How You Get It, Treatment
    https://my.clevelandclinic.org/health/diseases/15664-hepatitis-c
    Hepatitis C is a liver infection that the hepatitis C virus (HCV) causes. It can lead to long-term infection and serious diseases like cirrhosis, liver cancer and liver failure. There are medications that cure hepatitis C and reduce the risk of serious complications. Screening tests can detect infection early on. […] The most common treatment for chronic hepatitis C is direct-acting antiviral (DAA) medication. DAAs reduce the amount of virus in your body. DAAs commonly used for initial treatment include: Elbasvir/grazoprevir (Zepatier), Glecaprevir/pibrentasvir (Mavyret), Ledipasvir/sofosbuvir (Harvoni), Sofosbuvir/velpatasvir (Epclusa), Sofosbuvir/velpatasvir/voxilaprevir (Vosevi). […] Common DAA side effects include: Abdominal pain, Diarrhea, Fatigue, Headache, Nausea and vomiting, Shortness of breath (dyspnea).
  • #25 Hepatitis C: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/hepatitis-c/?srsltid=AfmBOoqalA6C8_L0DgjkiP3lX_zwCQuc-M4l0uwZkIxFthyEpFdbUG_y
    Hepatitis C is a viral infection that causes inflammation and damage to the liver and is spread through contact with the blood of an infected individual (National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK], 2020). […] Treatment and management of hepatitis C may include: […] Administer antiviral medications: […] Administer antiemetics for nausea. […] Administer appetite stimulant as ordered. […] Administer pain medications as ordered. […] Administer IV fluids as ordered. […] Refer to counseling or support groups. […] Refer to surgeon for liver transplant. […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for hepatitis C are listed below.
  • #26 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Administer medications as indicated: Antiemetics: metoclopramide (Reglan), trimethobenzamide (Tigan) Given 1/2 hr before meals, may reduce nausea and increase food tolerance. Prochlorperazine (Compazine) is contraindicated in hepatic disease. Antacids: Mylanta, Titralac Counteracts gastric acidity, reducing gastric irritation and risk of bleeding. […] Provide supplemental feedings and TPN if needed. May be necessary to meet caloric requirements if marked deficits are present and symptoms are prolonged. […] Monitor IO, and compare with periodic weight. Note enteric losses: vomiting and diarrhea. Provides information about replacement needs and effects of therapy. […] Observe for signs of bleeding: hematuria, melena, ecchymosis, oozing from gums, puncture sites Prothrombin levels are reduced and coagulation times prolonged when vitamin K absorption is altered in the GI tract and synthesis of prothrombin is decreased in the affected liver.
  • #27 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Administer medications as indicated: Antiemetics: metoclopramide (Reglan), trimethobenzamide (Tigan) Given 1/2 hr before meals, may reduce nausea and increase food tolerance. Prochlorperazine (Compazine) is contraindicated in hepatic disease. Antacids: Mylanta, Titralac Counteracts gastric acidity, reducing gastric irritation and risk of bleeding. […] Provide supplemental feedings and TPN if needed. May be necessary to meet caloric requirements if marked deficits are present and symptoms are prolonged. […] Monitor IO, and compare with periodic weight. Note enteric losses: vomiting and diarrhea. Provides information about replacement needs and effects of therapy. […] Observe for signs of bleeding: hematuria, melena, ecchymosis, oozing from gums, puncture sites Prothrombin levels are reduced and coagulation times prolonged when vitamin K absorption is altered in the GI tract and synthesis of prothrombin is decreased in the affected liver.
  • #28 Just Diagnosed: Entire Lesson – Viral Hepatitis and Liver Disease
    https://www.hepatitis.va.gov/hcv/patient/diagnosis/single-page.asp
    It can take up to 30 years for liver damage to turn in to cirrhosis. […] People with cirrhosis are at increased risk of developing liver cancer. […] Patients are typically considered for transplant when the liver is working at roughly 10-20 percent of what is considered normal functioning. […] If you have hepatitis C, you can give the virus to other people. […] To protect others from getting hepatitis C: Do not donate blood, body organs, tissues, or sperm. […] Once you have been diagnosed with hepatitis C, you need to pay closer attention to your health. […] Showing up to your medical appointments and communicating with your health care provider on a regular basis is essential to staying health, minimizing treatment-related side effects and increasing your chance of treatment success.
  • #29 Hepatitis C | Norton Healthcare
    https://nortonhealthcare.com/services-and-conditions/infectious-disease/services/hepatitis-c/
    Treatment is in tablet form and usually lasts eight to 12 weeks. […] A follow-up visit with labs is required after completing four weeks of treatment. […] Finally, you will return for a blood test 12 weeks after your last dose of treatment, to confirm that the hepatitis C virus is gone. If you’re pregnant or nursing, your care plan may be different. Learn more about our pregnancy and hepatitis C program.
  • #30 Hepatitis C: Diagnosis and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2021/1200/p626.html
    In patients with compensated cirrhosis, posttreatment surveillance for hepatocellular carcinoma and esophageal varices should include abdominal ultrasonography (with or without alpha fetoprotein) every six months and upper endoscopy every two to three years. […] All people should receive education about preventing HCV transmission and reducing the progression of hepatic disease. […] Direct-acting antiviral therapy is more effective, better tolerated, and the treatment course is shorter than older interferon and ribavirin-based regimens. […] Undetectable HCV RNA 12 weeks after completion of treatment indicates a sustained virologic response and is indicative of a virologic cure as reflected by the high concordance at the five-year mark. […] Patients with treatment-naive HCV with compensated cirrhosis (Child-Pugh classification A) who qualify for the simplified treatment regimen need a clinical evaluation to rule out ascites and hepatic encephalopathy.
  • #31 Hepatitis C: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/hepatitis-c/?srsltid=AfmBOoqalA6C8_L0DgjkiP3lX_zwCQuc-M4l0uwZkIxFthyEpFdbUG_y
    Assess for signs and symptoms of hepatitis C, such as: […] Monitor dietary intake. […] Consult with dietitian for nutritional support. […] Provide small meals throughout the day. […] Encourage bed rest. […] Identify energy-conserving techniques. […] Provide assistance with activities of daily living when needed. […] Determine individuals level of understanding. […] Evaluate how the individual learns. […] Provide education on disease process and treatment. […] Achieves and maintains adequate weight gain […] Demonstrates an increase in energy level […] Verbalizes understanding of disease process […] Demonstrates effective coping […] Condition, treatment, and outcomes […] Review medication and side effects […] Importance to adhering to medication regimen […] Avoid alcohol and medications that can damage the liver […] Follow-up with healthcare provider […] Notify healthcare provider or seek medical care for the following: […] Increased fatigue […] Abdominal pain […] Jaundice […] Changes in the appearance of stool.
  • #32 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Goals and expected outcomes may include: The client will maintain adequate hydration, as evidenced by stable vital signs, good skin turgor, capillary refill, strong peripheral pulses, and individually appropriate urinary output. The client will report an improved sense of energy. The client will perform ADLs and participate in desired activities at the level of ability. The client will verbalize understanding of the disease process, prognosis, and potential complications. The client will identify the relationship between signs/symptoms of the disease and correlate symptoms with causative factors. The client will verbalize understanding of therapeutic needs. The client will initiate necessary lifestyle changes and participate in treatment regimen. […] Therapeutic interventions and nursing actions for patients with hepatitis may include: Encourage mouth care before meals. Enhances appetite by eliminating unpleasant tastes. Recommend eating in an upright position. Reduces the sensation of abdominal fullness and may enhance intake. Encourage the intake of fruit juices, carbonated beverages, and hard candy throughout the day. These supply extra calories and may be more easily digested or tolerated than other foods. Consult with the dietitian, and nutritional support team to provide a diet according to the patients needs, with fat and protein intake as tolerated.
  • #33 Hepatitis C: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/hepatitis-c/?srsltid=AfmBOoqalA6C8_L0DgjkiP3lX_zwCQuc-M4l0uwZkIxFthyEpFdbUG_y
    Assess for signs and symptoms of hepatitis C, such as: […] Monitor dietary intake. […] Consult with dietitian for nutritional support. […] Provide small meals throughout the day. […] Encourage bed rest. […] Identify energy-conserving techniques. […] Provide assistance with activities of daily living when needed. […] Determine individuals level of understanding. […] Evaluate how the individual learns. […] Provide education on disease process and treatment. […] Achieves and maintains adequate weight gain […] Demonstrates an increase in energy level […] Verbalizes understanding of disease process […] Demonstrates effective coping […] Condition, treatment, and outcomes […] Review medication and side effects […] Importance to adhering to medication regimen […] Avoid alcohol and medications that can damage the liver […] Follow-up with healthcare provider […] Notify healthcare provider or seek medical care for the following: […] Increased fatigue […] Abdominal pain […] Jaundice […] Changes in the appearance of stool.
  • #34 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Administer medications as indicated: Antiemetics: metoclopramide (Reglan), trimethobenzamide (Tigan) Given 1/2 hr before meals, may reduce nausea and increase food tolerance. Prochlorperazine (Compazine) is contraindicated in hepatic disease. Antacids: Mylanta, Titralac Counteracts gastric acidity, reducing gastric irritation and risk of bleeding. […] Provide supplemental feedings and TPN if needed. May be necessary to meet caloric requirements if marked deficits are present and symptoms are prolonged. […] Monitor IO, and compare with periodic weight. Note enteric losses: vomiting and diarrhea. Provides information about replacement needs and effects of therapy. […] Observe for signs of bleeding: hematuria, melena, ecchymosis, oozing from gums, puncture sites Prothrombin levels are reduced and coagulation times prolonged when vitamin K absorption is altered in the GI tract and synthesis of prothrombin is decreased in the affected liver.
  • #35 Hepatitis C: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/hepatitis-c/?srsltid=AfmBOoqalA6C8_L0DgjkiP3lX_zwCQuc-M4l0uwZkIxFthyEpFdbUG_y
    Assess for signs and symptoms of hepatitis C, such as: […] Monitor dietary intake. […] Consult with dietitian for nutritional support. […] Provide small meals throughout the day. […] Encourage bed rest. […] Identify energy-conserving techniques. […] Provide assistance with activities of daily living when needed. […] Determine individuals level of understanding. […] Evaluate how the individual learns. […] Provide education on disease process and treatment. […] Achieves and maintains adequate weight gain […] Demonstrates an increase in energy level […] Verbalizes understanding of disease process […] Demonstrates effective coping […] Condition, treatment, and outcomes […] Review medication and side effects […] Importance to adhering to medication regimen […] Avoid alcohol and medications that can damage the liver […] Follow-up with healthcare provider […] Notify healthcare provider or seek medical care for the following: […] Increased fatigue […] Abdominal pain […] Jaundice […] Changes in the appearance of stool.
  • #36 Nursing Care Plan & Diagnosis for Hepatitis | Fatigue & Imbalanced Nutrition
    https://www.registerednursern.com/nursing-care-plan-diagnosis-for-hepatitis-fatigue-imbalanced-nutrition/
    Nursing Outcomes: -The patient will participate in activities that stimulate and balance physical and cognitive areas of the body within 48 hours of hospitalization. -The patient will rate his energy level greater than 5 on 1-10 scale with 10 being very energetic before discharge. -The patient’s caloric intake will equal his recommended daily caloric intake within 48 hours. […] Nursing Interventions: -The nurse will encourage and assist the patient to the bedside chair three times a day with each meal. -The nurse will encourage and assist the patient with performing bedside exercises and provide him with reading material to stimulate cognitive function daily. -The nurse will assess the patient’s energy level before and after each nursing shift. -The nurse will collaborate with the nutritionist about patient’s current caloric intake and recommended daily caloric intake on day 1 of patient’s hospitalization. -The nurse will follow out the nutritionist’s plan of care regarding patient caloric intake daily for each meal and snacks. -The nurse will administer Zofran 4mg IV every 8 hours for nausea and vomiting. -The nurse will teach the patient 2 non-pharmacological ways to decrease nausea within 24 hours of admission.
  • #37 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Goals and expected outcomes may include: The client will maintain adequate hydration, as evidenced by stable vital signs, good skin turgor, capillary refill, strong peripheral pulses, and individually appropriate urinary output. The client will report an improved sense of energy. The client will perform ADLs and participate in desired activities at the level of ability. The client will verbalize understanding of the disease process, prognosis, and potential complications. The client will identify the relationship between signs/symptoms of the disease and correlate symptoms with causative factors. The client will verbalize understanding of therapeutic needs. The client will initiate necessary lifestyle changes and participate in treatment regimen. […] Therapeutic interventions and nursing actions for patients with hepatitis may include: Encourage mouth care before meals. Enhances appetite by eliminating unpleasant tastes. Recommend eating in an upright position. Reduces the sensation of abdominal fullness and may enhance intake. Encourage the intake of fruit juices, carbonated beverages, and hard candy throughout the day. These supply extra calories and may be more easily digested or tolerated than other foods. Consult with the dietitian, and nutritional support team to provide a diet according to the patients needs, with fat and protein intake as tolerated.
  • #38 Nursing Care Plan & Diagnosis for Hepatitis | Fatigue & Imbalanced Nutrition
    https://www.registerednursern.com/nursing-care-plan-diagnosis-for-hepatitis-fatigue-imbalanced-nutrition/
    Nursing Outcomes: -The patient will participate in activities that stimulate and balance physical and cognitive areas of the body within 48 hours of hospitalization. -The patient will rate his energy level greater than 5 on 1-10 scale with 10 being very energetic before discharge. -The patient’s caloric intake will equal his recommended daily caloric intake within 48 hours. […] Nursing Interventions: -The nurse will encourage and assist the patient to the bedside chair three times a day with each meal. -The nurse will encourage and assist the patient with performing bedside exercises and provide him with reading material to stimulate cognitive function daily. -The nurse will assess the patient’s energy level before and after each nursing shift. -The nurse will collaborate with the nutritionist about patient’s current caloric intake and recommended daily caloric intake on day 1 of patient’s hospitalization. -The nurse will follow out the nutritionist’s plan of care regarding patient caloric intake daily for each meal and snacks. -The nurse will administer Zofran 4mg IV every 8 hours for nausea and vomiting. -The nurse will teach the patient 2 non-pharmacological ways to decrease nausea within 24 hours of admission.
  • #39 Nursing Care Plan For Hepatitis C (HCV) – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-hepatitis-c-hcv/
    By employing evidence-based nursing interventions, promoting education, and providing emotional support, nurses can play a crucial role in improving the quality of life for patients living with HCV. […] The nursing care plan focuses on early detection, assessment, and ongoing monitoring of HCV patients, ensuring prompt interventions to manage symptoms, prevent complications, and promote overall well-being. […] By educating patients about HCV transmission, prevention strategies, and treatment options, nurses empower individuals to actively participate in their care and make informed decisions regarding their health. […] Ultimately, the success of the nursing care plan for HCV lies in the dedication of nurses to provide compassionate, evidence-based care that addresses the physical, emotional, and educational needs of patients.
  • #40 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Administer medications as indicated: Vitamin K Correction of albumin and protein deficits can aid in the return of fluid from tissues to the circulatory system. […] Discuss recovery expectations. Recovery period may be prolonged (up to 6 mo), potentiating family and/or situational stress and necessitating need for planning, support, and follow-up. […] Provide specific information regarding prevention and transmission of disease: contacts may require gamma-globulin; personal items should not be shared; observe strict handwashing and sanitizing of clothes, dishes, and toilet facilities while liver enzymes are elevated. Avoid intimate contact, such as kissing and sexual contact, and exposure to infections, especially URI. […] Discuss the side effects and dangers of taking OTC and prescribed drugs (acetaminophen, aspirin, sulfonamides, some anesthetics) and necessity of notifying future healthcare providers of diagnosis. Some drugs are toxic to the liver; many others are metabolized by the liver and should be avoided in severe liver diseases because they may cause cumulative toxic effects and chronic hepatitis.
  • #41 Discharge Instructions for Hepatitis C | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/discharge-instructions-hepatitis-c
    You have been diagnosed with hepatitis C. This is an inflammation of the liver caused by a viral infection. Hepatitis C can damage your liver without your knowing it. If you are diagnosed with long-term (chronic) hepatitis C, you should ask about treatment to get rid of the virus. There are now very effective treatments that can cure hepatitis C. Most people can be cured. Stay in regular contact with your health care provider and health care team. They can keep track of your liver for any complications. Here’s what you can do to stay healthier and prevent its spread. […] Don’t put stress on your liver: […] Take medicines prescribed by your provider to try to get rid of the virus: […] Most hepatitis C can be cured by taking oral medicines for about 8 to 12 weeks. […] It’s very important that you take the prescribed medicines as directed. […] Make a follow-up appointment as directed. If your hepatitis C has caused a lot of liver scarring, such as cirrhosis, you will need follow up or more testing even if your hepatitis C is cured. […] Contact your health care provider or get medical care right away if you have any of the following:
  • #42
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7910
    Do not drink alcohol. Alcohol can damage the liver. Tell your doctor if you need help to quit. Counselling, support groups, and sometimes medicines can help you stay sober. […] Make sure your doctor knows all of the medicines you take. Some medicines, such as acetaminophen (Tylenol), can make liver problems worse. Do not take any new medicines including over-the-counter ones unless your doctor tells you to. […] If you feel depressed, talk to your doctor about treatment. Many people who have long-term illnesses get depressed. Keep in mind that antiviral medicine can make depression worse. […] Tell your doctor, dentist, and anyone else who may come in contact with your blood about your illness. […] Prevent others from coming in contact with your blood and other body fluids. Keep any cuts, scrapes, or blisters covered. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.
  • #43 Controlling Spread of Hepatitis C | Health & Human Services
    https://hhs.iowa.gov/center-acute-disease-epidemiology/epi-manual/reportable-diseases/hepatitis-c-0
    Educate on the need to completely abstain from alcohol to help protect the liver. If a patient needs or wants support to stop drinking, provide referrals to appropriate treatment or support services. […] Discuss medications that should be avoided (e.g., acetaminophen) as high doses of certain medications can damage the liver. All patients should discuss any medications (including over-the-counter medications), dietary supplements, and herbs with a healthcare provider prior to taking them to be certain they will not damage their liver. […] Discuss sexual transmission of HCV. Indicate that HCV may be transmitted during sex. All contact with blood during sex should be avoided. Emphasize latex barrier protection as a way to prevent the spread of HCV, as well as being a way to prevent the exposure to and transmission of other pathogens.
  • #44 Hepatitis C Self-Care and Home Remedy Tips
    https://www.healthline.com/health/hepatitis-c/self-care-tips
    Hepatitis C is a virus that causes inflammation in your liver. Treatment may have side effects. Here are things you can do to feel better during treatment. […] HCV and the treatment for it may cause side effects, but there are things you can do to feel better. Here are 10 tips for feeling better during treatment for hepatitis C. […] Most people with hepatitis C don’t need to follow a special diet, but eating a generally nutritious diet will give you energy and help you feel your best during treatment. […] Hepatitis C weakens your liver, and drinking alcohol causes inflammation of your liver. Heavy alcohol consumption can speed up the progression of liver disease, and reducing or eliminating alcohol can help slow the progression. […] It’s always a good idea to stay well hydrated, but it’s especially important if you’re taking medication to treat hepatitis C. Drinking plenty of water (6-8 glasses a day) can help reduce side effects such as dry mouth, headaches, and dry skin.
  • #45 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Administer medications as indicated: Vitamin K Correction of albumin and protein deficits can aid in the return of fluid from tissues to the circulatory system. […] Discuss recovery expectations. Recovery period may be prolonged (up to 6 mo), potentiating family and/or situational stress and necessitating need for planning, support, and follow-up. […] Provide specific information regarding prevention and transmission of disease: contacts may require gamma-globulin; personal items should not be shared; observe strict handwashing and sanitizing of clothes, dishes, and toilet facilities while liver enzymes are elevated. Avoid intimate contact, such as kissing and sexual contact, and exposure to infections, especially URI. […] Discuss the side effects and dangers of taking OTC and prescribed drugs (acetaminophen, aspirin, sulfonamides, some anesthetics) and necessity of notifying future healthcare providers of diagnosis. Some drugs are toxic to the liver; many others are metabolized by the liver and should be avoided in severe liver diseases because they may cause cumulative toxic effects and chronic hepatitis.
  • #46
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7910
    Do not drink alcohol. Alcohol can damage the liver. Tell your doctor if you need help to quit. Counselling, support groups, and sometimes medicines can help you stay sober. […] Make sure your doctor knows all of the medicines you take. Some medicines, such as acetaminophen (Tylenol), can make liver problems worse. Do not take any new medicines including over-the-counter ones unless your doctor tells you to. […] If you feel depressed, talk to your doctor about treatment. Many people who have long-term illnesses get depressed. Keep in mind that antiviral medicine can make depression worse. […] Tell your doctor, dentist, and anyone else who may come in contact with your blood about your illness. […] Prevent others from coming in contact with your blood and other body fluids. Keep any cuts, scrapes, or blisters covered. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.
  • #47 Hepatitis C | Texas DSHS
    https://www.dshs.texas.gov/hivstd/info/hepatitis-c
    CDC recommends hepatitis C testing if you: Are 18 years of age and older (get tested at least once in your lifetime) […] Do not share needles or „works.” Do not share personal items which could be contaminated with blood (i.e. razors, toothbrushes). Avoid unprotected vaginal, oral, and anal sex. Clean up spilled blood with bleach and wear gloves when touching blood. […] There is no vaccine for hepatitis C.
  • #48 Hepatitis C: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/hepatitis-c/?srsltid=AfmBOoqalA6C8_L0DgjkiP3lX_zwCQuc-M4l0uwZkIxFthyEpFdbUG_y
    Assess for signs and symptoms of hepatitis C, such as: […] Monitor dietary intake. […] Consult with dietitian for nutritional support. […] Provide small meals throughout the day. […] Encourage bed rest. […] Identify energy-conserving techniques. […] Provide assistance with activities of daily living when needed. […] Determine individuals level of understanding. […] Evaluate how the individual learns. […] Provide education on disease process and treatment. […] Achieves and maintains adequate weight gain […] Demonstrates an increase in energy level […] Verbalizes understanding of disease process […] Demonstrates effective coping […] Condition, treatment, and outcomes […] Review medication and side effects […] Importance to adhering to medication regimen […] Avoid alcohol and medications that can damage the liver […] Follow-up with healthcare provider […] Notify healthcare provider or seek medical care for the following: […] Increased fatigue […] Abdominal pain […] Jaundice […] Changes in the appearance of stool.
  • #49 Hepatitis C: Symptoms, What It Is, How You Get It, Treatment
    https://my.clevelandclinic.org/health/diseases/15664-hepatitis-c
    Contact your healthcare provider if your symptoms get worse or you develop new symptoms. For example, liver damage from chronic hepatitis C can cause serious issues like vomiting blood. That would be a reason to call your provider. […] Untreated hepatitis can cause liver damage or failure. Cleveland Clinics expert providers offer you the latest treatments and caring support.
  • #50 Hepatitis C | HCV | MedlinePlus
    https://medlineplus.gov/hepatitisc.html
    Hepatitis C can be acute or chronic: […] Chronic hepatitis C is a long-lasting infection. If it is not treated, it can last for a lifetime and cause serious health problems, including liver damage, cirrhosis (scarring of the liver), liver cancer, and even death. […] Without treatment, hepatitis C may lead to cirrhosis, liver failure, and liver cancer. Early diagnosis and treatment of hepatitis C can prevent these complications. […] Treatment for hepatitis C is with antiviral medicines. They can cure the disease in most cases. […] If your hepatitis C causes cirrhosis, you should see a doctor who specializes in liver diseases. Treatments for health problems related to cirrhosis include medicines, surgery, and other medical procedures. If your hepatitis C leads to liver failure or liver cancer, you may need a liver transplant. […] There is no vaccine for hepatitis C. But you can help protect yourself from hepatitis C infection by: Not sharing drug needles or other drug materials. […] If you are at high risk for hepatitis C, your health care provider will likely recommend that you get tested for it.
  • #51 Care of Patients Following Cure of Hepatitis C Virus Infection
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6284341/
    Thus, it is important to provide counseling messages to patients for lifelong liver health. […] For patients with advanced fibrosis (F3 or F4) on staging tests prior to HCV treatment are at risk for hepatocellular carcinoma (HCC) and decompensation, even with cure. […] These patients should undergo surveillance with ultrasound and -fetoprotein every 6 months. […] The rationale for keeping cured patients under the care of a specialist is to prevent and manage the complications of liver disease that can occur in spite of cure. […] Overall, an approximately 70% reduction in HCC occurs with cure, […] Specialists play a key role in educating nonspecialists regarding appropriate follow-up postcure and in caring for patients with advanced fibrosis and liver-related complications.
  • #52 Hepatitis C: Diagnosis and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2021/1200/p626.html
    In patients with compensated cirrhosis, posttreatment surveillance for hepatocellular carcinoma and esophageal varices should include abdominal ultrasonography (with or without alpha fetoprotein) every six months and upper endoscopy every two to three years. […] All people should receive education about preventing HCV transmission and reducing the progression of hepatic disease. […] Direct-acting antiviral therapy is more effective, better tolerated, and the treatment course is shorter than older interferon and ribavirin-based regimens. […] Undetectable HCV RNA 12 weeks after completion of treatment indicates a sustained virologic response and is indicative of a virologic cure as reflected by the high concordance at the five-year mark. […] Patients with treatment-naive HCV with compensated cirrhosis (Child-Pugh classification A) who qualify for the simplified treatment regimen need a clinical evaluation to rule out ascites and hepatic encephalopathy.
  • #53 Home Page – Hepatitis C Online
    https://www.hepatitisc.uw.edu/
    In this hepatitis C fundamentals 5-hour, highly interactive module, health care providers will develop core proficiency in screening and diagnosing hepatitis C, providing simplified treatment of hepatitis C with direct acting antivirals (DAAs), and assessing for cure. […] Explore in depth epidemiology related to hepatitis C virus (HCV) and then learn how to screen and diagnose chronic and acute HCV, as well as counsel on how to prevent HCV transmission. […] Delve into how to manage persons with chronic hepatitis C. Seven lessons address initial evaluation, natural history, liver damage prevention, evaluation for cirrhosis, and surveillance for hepatocellular carcinoma. […] Explore how to diagnosis and manage complications that may arise with chronic hepatitis C infection, including ascites, bacterial peritonitis, varicies, and hepatic encephalopathy. Also learn about referral for liver transplantation evaluation.
  • #54 Home Page – Hepatitis C Online
    https://www.hepatitisc.uw.edu/
    In this hepatitis C fundamentals 5-hour, highly interactive module, health care providers will develop core proficiency in screening and diagnosing hepatitis C, providing simplified treatment of hepatitis C with direct acting antivirals (DAAs), and assessing for cure. […] Explore in depth epidemiology related to hepatitis C virus (HCV) and then learn how to screen and diagnose chronic and acute HCV, as well as counsel on how to prevent HCV transmission. […] Delve into how to manage persons with chronic hepatitis C. Seven lessons address initial evaluation, natural history, liver damage prevention, evaluation for cirrhosis, and surveillance for hepatocellular carcinoma. […] Explore how to diagnosis and manage complications that may arise with chronic hepatitis C infection, including ascites, bacterial peritonitis, varicies, and hepatic encephalopathy. Also learn about referral for liver transplantation evaluation.
  • #55 Hepatitis C Basics | HHS.govLock
    https://www.hhs.gov/hepatitis/learn-about-viral-hepatitis/hepatitis-c-basics/index.html
    Hepatitis C is a liver infection caused by the hepatitis C virus (HCV) that can lead to chronic infection causing cirrhosis, liver cancer, liver failure and death if left untreated. […] Safe and effective treatments can cure hepatitis C in almost everyone who takes them and can reduce risk for long-term complications, such as liver cancer. They are called direct acting antivirals or DAAs. […] One-time universal hepatitis C screening is recommended for all adults aged 18 years and older and for all pregnant women during each pregnancy. […] Regular hepatitis C testing is recommended for people with ongoing risk factors. […] About 40% of people with chronic hepatitis C are unaware of their infection. The only way to find out if you have an HCV infection is to get tested through a simple blood test. Awareness of hepatitis C status is important because treatments are available that can cure HCV and reduce the chance of developing liver disease and liver cancer.
  • #56 Just Diagnosed: Entire Lesson – Viral Hepatitis and Liver Disease
    https://www.hepatitis.va.gov/hcv/patient/diagnosis/single-page.asp
    It can take up to 30 years for liver damage to turn in to cirrhosis. […] People with cirrhosis are at increased risk of developing liver cancer. […] Patients are typically considered for transplant when the liver is working at roughly 10-20 percent of what is considered normal functioning. […] If you have hepatitis C, you can give the virus to other people. […] To protect others from getting hepatitis C: Do not donate blood, body organs, tissues, or sperm. […] Once you have been diagnosed with hepatitis C, you need to pay closer attention to your health. […] Showing up to your medical appointments and communicating with your health care provider on a regular basis is essential to staying health, minimizing treatment-related side effects and increasing your chance of treatment success.
  • #57 Hepatitis C Care | UC San Diego Health
    https://health.ucsd.edu/care/liver-disease/hepatitis-c/
    Your level of hepatitis C virus will be periodically checked through the course of treatment. Expect to see your provider regularly for evaluation while on antiviral medications to monitor for side effects and response to treatment. […] Untreated hepatitis C can eventually develop into end-stage liver disease (decompensated cirrhosis), in which case liver transplantation is necessary. […] Liver transplantation does not cure hepatitis C. If your infection is still present at the time of transplant, the new liver will become infected. However, treatment can be started after you recover from surgery.
  • #58 Patient education: Hepatitis C (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hepatitis-c-beyond-the-basics/print
    If you are being treated for hepatitis C and you take the medications the wrong way, they probably will not work as well as they should. […] Successful treatment of hepatitis C prior to the development of cirrhosis prevents this complication. […] Even people who have already developed cirrhosis from hepatitis C have a reduced risk of liver-related complications and death after being cured of hepatitis C. […] There are aspects of treating hepatitis C not directly related to tackling the infection. People with the disease need certain vaccines, and they need to avoid alcohol, recreational drugs, and certain medications. […] Vaccines against hepatitis A and B (in those who are not already immune) can help prevent further damage to the liver. […] People with hepatitis C should avoid all substances that are known to damage the liver.
  • #59 Nurse case management to improve the hepatitis C care continuum in HIV co-infection: Results of a randomized controlled trial
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7080578/
    The opportunity to eliminate hepatitis C virus (HCV) is at hand, but challenges remain that negatively influence progress through the care continuum, particularly for persons co-infected with HIV who are not well engaged in care. […] Our results support provision of NCM as a successful strategy to link persons co-infected with HIV to HCV care, but interventions should persist beyond linkage to care. […] While necessary, DAAs alone are not sufficient to ensure HCV elimination without first linking patients to HCV care. […] Strategies to link PLWH to HCV care and minimize barriers to initiating treatment are needed to eliminate HCV. […] Our results showed a higher proportion of participants who received HCV NCM linked to HCV care compared to UC in a real-world HIV practice setting. […] The NCM intervention bypassed the scheduling barrier, but persistently low scheduling and attendance rates underscore a need to expand HCV treatment to non-specialist or community-based providers who may already have trusting relationships with patients and are equally effective in achieving sustained virologic response (SVR) compared to HCV specialists.
  • #60 Nurse case management to improve the hepatitis C care continuum in HIV co-infection: Results of a randomized controlled trial
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7080578/
    The lack of integration of HIV and HCV-treating providers in our practice, including few HIV providers choosing to treat HCV, limited follow-up for HCV care regardless of NCM efforts. […] Case management can improve linkage to HCV care among vulnerable persons co-infected with HIV by coordinating specialty referrals, navigating appointment scheduling, providing strengths-based education, and tailoring appointment reminders.
  • #61 Nurse case management to improve the hepatitis C care continuum in HIV co-infection: Results of a randomized controlled trial
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7080578/
    The opportunity to eliminate hepatitis C virus (HCV) is at hand, but challenges remain that negatively influence progress through the care continuum, particularly for persons co-infected with HIV who are not well engaged in care. […] Our results support provision of NCM as a successful strategy to link persons co-infected with HIV to HCV care, but interventions should persist beyond linkage to care. […] While necessary, DAAs alone are not sufficient to ensure HCV elimination without first linking patients to HCV care. […] Strategies to link PLWH to HCV care and minimize barriers to initiating treatment are needed to eliminate HCV. […] Our results showed a higher proportion of participants who received HCV NCM linked to HCV care compared to UC in a real-world HIV practice setting. […] The NCM intervention bypassed the scheduling barrier, but persistently low scheduling and attendance rates underscore a need to expand HCV treatment to non-specialist or community-based providers who may already have trusting relationships with patients and are equally effective in achieving sustained virologic response (SVR) compared to HCV specialists.
  • #62 Hepatitis C: Nursing Diagnosis & Interventions | Nurse.com
    https://www.nurse.com/clinical-guides/hepatitis-c/?srsltid=AfmBOoqalA6C8_L0DgjkiP3lX_zwCQuc-M4l0uwZkIxFthyEpFdbUG_y
    Hepatitis C is a viral infection that causes inflammation and damage to the liver and is spread through contact with the blood of an infected individual (National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK], 2020). […] Treatment and management of hepatitis C may include: […] Administer antiviral medications: […] Administer antiemetics for nausea. […] Administer appetite stimulant as ordered. […] Administer pain medications as ordered. […] Administer IV fluids as ordered. […] Refer to counseling or support groups. […] Refer to surgeon for liver transplant. […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for hepatitis C are listed below.
  • #63 Hepatitis C Self-Care and Home Remedy Tips
    https://www.healthline.com/health/hepatitis-c/self-care-tips
    You may feel overwhelmed when you start treatment, and it’s normal to experience feelings of fear, sadness, or anger. Some medications used to treat hepatitis C can increase your risk of developing these feelings, as well as anxiety and depression. […] As you start treatment for hepatitis C, it’s important to take care of your mental and physical health. You can take steps such as eating a nutritious diet, trying to get enough sleep, and talking with your doctor about any mental health concerns you experience.
  • #64 Patient education: Hepatitis C (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hepatitis-c-beyond-the-basics
    If you take your medications exactly as directed, the chances of being cured are excellent. […] Successful treatment of hepatitis C prior to the development of cirrhosis prevents this complication. […] People with hepatitis C should avoid all substances that are known to damage the liver. […] Vaccines against hepatitis A and B (in those who are not already immune) can help prevent further damage to the liver. […] Sharing your concerns with others who have the same diagnosis can help you learn to live with hepatitis C.
  • #65 Hepatitis C | Norton Healthcare
    https://nortonhealthcare.com/services-and-conditions/infectious-disease/services/hepatitis-c/
    Norton Infectious Diseases Institute offers a special treatment plan for pregnant mothers, in conjunction with patients’ OB/GYN, to make sure mom and baby receive the care they need. […] At Norton Infectious Diseases Institute, we take a comprehensive approach to treating your hepatitis C. Treatment plans typically consist of around four to five appointments in total through the entire treatment process. […] Our specialists will start your treatment plan by gathering your medical history and may include blood tests. They will order a painless, noninvasive scan to determine the health of your liver. […] After the scan, you will follow up in the clinic, where you will receive your results from the lab and scan testing, and details on the recommended hepatitis C treatment. […] You will see a pharmacist from Norton Specialty Pharmacy to discuss the specific treatment that will be ordered for you, and staff will walk you through the process for getting your medication.
  • #66 Hepatitis C | Norton Healthcare
    https://nortonhealthcare.com/services-and-conditions/infectious-disease/services/hepatitis-c/
    Norton Infectious Diseases Institute offers a special treatment plan for pregnant mothers, in conjunction with patients’ OB/GYN, to make sure mom and baby receive the care they need. […] At Norton Infectious Diseases Institute, we take a comprehensive approach to treating your hepatitis C. Treatment plans typically consist of around four to five appointments in total through the entire treatment process. […] Our specialists will start your treatment plan by gathering your medical history and may include blood tests. They will order a painless, noninvasive scan to determine the health of your liver. […] After the scan, you will follow up in the clinic, where you will receive your results from the lab and scan testing, and details on the recommended hepatitis C treatment. […] You will see a pharmacist from Norton Specialty Pharmacy to discuss the specific treatment that will be ordered for you, and staff will walk you through the process for getting your medication.
  • #67 6 Hepatitis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/hepatitis-nursing-care-plans/
    Goals and expected outcomes may include: The client will maintain adequate hydration, as evidenced by stable vital signs, good skin turgor, capillary refill, strong peripheral pulses, and individually appropriate urinary output. The client will report an improved sense of energy. The client will perform ADLs and participate in desired activities at the level of ability. The client will verbalize understanding of the disease process, prognosis, and potential complications. The client will identify the relationship between signs/symptoms of the disease and correlate symptoms with causative factors. The client will verbalize understanding of therapeutic needs. The client will initiate necessary lifestyle changes and participate in treatment regimen. […] Therapeutic interventions and nursing actions for patients with hepatitis may include: Encourage mouth care before meals. Enhances appetite by eliminating unpleasant tastes. Recommend eating in an upright position. Reduces the sensation of abdominal fullness and may enhance intake. Encourage the intake of fruit juices, carbonated beverages, and hard candy throughout the day. These supply extra calories and may be more easily digested or tolerated than other foods. Consult with the dietitian, and nutritional support team to provide a diet according to the patients needs, with fat and protein intake as tolerated.
  • #68 Care of Patients Following Cure of Hepatitis C Virus Infection
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6284341/
    The vast majority of persons with chronic hepatitis C virus (HCV) infection will achieve virologic cure with the current direct-acting antiviral therapies. […] Prevention of reinfection is an important aspect of postcure management and key to the elimination of HCV infection globally. […] Equally important aspects of postcure care are the prevention of liver disease progression and the management of complications in patients who have significant fibrosis at the time of achieving cure. […] Patients with advanced fibrosis need to remain under surveillance for liver complications, including hepatocellular carcinoma. […] Strong counseling messages and ongoing monitoring are key. […] The achievement of HCV cure substantially reduces the risk of liver disease progression, but some patients remain at risk.
  • #69 Hepatitis C | Texas DSHS
    https://www.dshs.texas.gov/hivstd/info/hepatitis-c
    Hepatitis C (HCV) is transmitted when the infected blood of one person gets into the blood stream of another person. […] Treatment is recommended for all people, including non-pregnant women, with acute or chronic hepatitis C (including children three years or older and adolescents). Current treatments usually involve just 812 weeks of oral therapy (pills) and cure over 90% with few side effects. The FDA has approved several medications to treat hepatitis C. […] People with chronic Hepatitis C should be monitored regularly by an experienced doctor. They should avoid alcohol because it can cause additional liver damage. They also should check with a health professional before taking any prescription pills, supplements, or over-the-counter medications, as these can potentially damage the liver. If liver damage is present, a person should check with his or her doctor about getting vaccinated against Hepatitis A and Hepatitis B.
  • #70 Urgent Care for Hepatitis C: Rapid Hep C Test & Treatment – Same Day Results | NextCare
    https://nextcare.com/what-we-treat/std-testing-screening/urgent-care-hepatitis-c/
    Adhering to the full course of prescribed medication is crucial to effectively managing Hepatitis C and reducing the likelihood of complications. […] What is Hepatitis C? […] Hepatitis C is a liver infection caused by the Hepatitis C virus (HCV), which can lead to severe liver damage if untreated. Hepatitis C is primarily spread through blood-to-blood contact and can become a chronic infection that may require ongoing management. Early diagnosis and treatment are essential to prevent long-term liver complications. […] How Hepatitis C is Transmitted […] Hepatitis C is typically spread through exposure to infected blood. Here’s how it commonly occurs: […] Blood-to-Blood Contact: Sharing needles, unsterilized tattoo or piercing equipment, or exposure to infected blood during healthcare work can increase risk. […] Mother to Child: Hepatitis C can be transmitted from an infected mother to her baby during childbirth. […] Other Routes: Although less common, Hepatitis C can be spread through sharing personal items like razors if they have been contaminated with infected blood.
  • #71 Clinical Care of Hepatitis C | Hepatitis C | CDC
    https://www.cdc.gov/hepatitis-c/hcp/clinical-care/index.html
    Vaccinate against hepatitis A and hepatitis B as recommended. […] Your patient is considered cured of hepatitis C if there is no detectable HCV RNA after 12 weeks of treatment. This indicates they have had a sustained virologic response to therapy. […] To help your patient stay well, you should also talk to them about: Maintaining a healthy diet and active lifestyle. […] Avoiding excessive alcohol intake. […] Checking with a provider before taking new prescription pills, over-the-counter drugs, or supplements. […] You should remind patients of proper practices to avoid HCV transmission while on treatment and to avoid reinfection after successfully completing treatment.
  • #72 Hepatitis C | Texas DSHS
    https://www.dshs.texas.gov/hivstd/info/hepatitis-c
    CDC recommends hepatitis C testing if you: Are 18 years of age and older (get tested at least once in your lifetime) […] Do not share needles or „works.” Do not share personal items which could be contaminated with blood (i.e. razors, toothbrushes). Avoid unprotected vaginal, oral, and anal sex. Clean up spilled blood with bleach and wear gloves when touching blood. […] There is no vaccine for hepatitis C.
  • #73 Hepatitis C Basics | HHS.govLock
    https://www.hhs.gov/hepatitis/learn-about-viral-hepatitis/hepatitis-c-basics/index.html
    Hepatitis C is a liver infection caused by the hepatitis C virus (HCV) that can lead to chronic infection causing cirrhosis, liver cancer, liver failure and death if left untreated. […] Safe and effective treatments can cure hepatitis C in almost everyone who takes them and can reduce risk for long-term complications, such as liver cancer. They are called direct acting antivirals or DAAs. […] One-time universal hepatitis C screening is recommended for all adults aged 18 years and older and for all pregnant women during each pregnancy. […] Regular hepatitis C testing is recommended for people with ongoing risk factors. […] About 40% of people with chronic hepatitis C are unaware of their infection. The only way to find out if you have an HCV infection is to get tested through a simple blood test. Awareness of hepatitis C status is important because treatments are available that can cure HCV and reduce the chance of developing liver disease and liver cancer.
  • #74 Clinical Care of Hepatitis C | Hepatitis C | CDC
    https://www.cdc.gov/hepatitis-c/hcp/clinical-care/index.html
    Hepatitis C can be cured in more than 95% of cases with just 8-12 weeks of well-tolerated oral-only treatment with direct-acting antiviral (DAA) agents. […] Curative DAA treatment is recommended for essentially everyone with hepatitis C. […] Clinicians can mitigate risk for advanced liver disease progressing with lifestyle counseling, co-infection monitoring, and recommendations for vaccination against hepatitis A and hepatitis B. […] Except for pregnant patients and children under 3, clinicians should treat people with detectable HCV RNA in their blood with oral DAA therapy. There is no need to wait for potential spontaneous viral resolution. […] Clinicians should also: Conduct a full medical evaluation for chronic liver disease. […] Conduct a risk assessment and testing for HBV and HIV.
  • #75 Hepatitis B & C
    https://www.hiv.gov/hiv-basics/staying-in-hiv-care/other-related-health-issues/hepatitis-b-and-c
    Like treatment for HIV, hepatitis B treatment may need to be taken for the rest of your life. […] Some HIV medications can also treat hepatitis B. […] Hepatitis C is a curable disease. […] However, new treatments for hepatitis C have been approved in recent years. […] These direct-acting antiviral treatments are much better than the previously available treatment because they have few side effects and do not need to be injected. […] These treatments for HCV infection cure about 97% of people, including those living with HIV, with just 8-12 weeks of oral therapy (pills).
  • #76 Controlling Spread of Hepatitis C | Health & Human Services
    https://hhs.iowa.gov/center-acute-disease-epidemiology/epi-manual/reportable-diseases/hepatitis-c-0
    Educate on the need to completely abstain from alcohol to help protect the liver. If a patient needs or wants support to stop drinking, provide referrals to appropriate treatment or support services. […] Discuss medications that should be avoided (e.g., acetaminophen) as high doses of certain medications can damage the liver. All patients should discuss any medications (including over-the-counter medications), dietary supplements, and herbs with a healthcare provider prior to taking them to be certain they will not damage their liver. […] Discuss sexual transmission of HCV. Indicate that HCV may be transmitted during sex. All contact with blood during sex should be avoided. Emphasize latex barrier protection as a way to prevent the spread of HCV, as well as being a way to prevent the exposure to and transmission of other pathogens.
  • #77 Controlling Spread of Hepatitis C | Health & Human Services
    https://hhs.iowa.gov/center-acute-disease-epidemiology/epi-manual/reportable-diseases/hepatitis-c-0
    No restrictions except for exclusion from organ and blood donation and counseling to modify activities in order to prevent transmission. […] The role of the local health department in managing hepatitis C is largely educating infected persons how to care for themselves and avoid spreading infection to others. […] Provide basic instruction on transmission of HCV and emphasize the need for ongoing medical evaluation. Treatment is available and the patient should be referred to their healthcare provider for treatment options. […] If the patient is currently injecting drugs, provide referrals to syringe access and disposal programs (if available), substance use treatment programs, and general harm reduction information. This will help prevent the spread of hepatitis C to other individuals.
  • #78 Hepatitis C Care
    https://www.trilliumhealth.org/healthcare/hepatitis-c-care
    Up to 75% of people living with Hep C don’t even know they have it. Thankfully, Hep C is curable, and 93% of our patients achieve a sustained virologic response (SVR) effectively curing them of the disease. But, if left untreated, it can cause liver damage, liver cancer, or death. […] As a leader in Hepatitis C Care, Trillium Health is expertly staffed to treat infected patients including board-certified infectious disease physicians, pharmacists, and coordinators who can get you from diagnosis to cure. […] Adhering to medications is essential to be cured of the virus. There is always a risk of reinfection if an individual continues to engage in risk factors such as injecting drugs, sharing cocaine straws, or engaging in high-risk sexual behaviors. […] Get tested for Hep C at Trillium Health today.
  • #79
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acn5030
    Hepatitis C is an infection of the liver caused by a virus. The virus is spread by contact with an infected person’s blood. So there’s a chance that you could have spread it to your baby before or during childbirth. This is more likely to happen if you also have HIV. […] It will be important to get your baby tested for hepatitis C. This is usually done when a baby is 12 to 18 months old. But testing may be done sooner. […] If your baby is infected with the virus, the test is repeated at or after age 3. This will tell the doctor if your child needs to be treated. Sometimes a child’s body will get rid of the virus without treatment. […] You need to be treated for hepatitis C, even if you feel fine now. It’s important for your health, for your baby, and for others you’re close to. Over time, the virus can damage your liver. Treatment can usually cure hepatitis C. It can also keep you from spreading the virus to others.
  • #80
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acn5030
    Hepatitis C is an infection of the liver caused by a virus. The virus is spread by contact with an infected person’s blood. So there’s a chance that you could have spread it to your baby before or during childbirth. This is more likely to happen if you also have HIV. […] It will be important to get your baby tested for hepatitis C. This is usually done when a baby is 12 to 18 months old. But testing may be done sooner. […] If your baby is infected with the virus, the test is repeated at or after age 3. This will tell the doctor if your child needs to be treated. Sometimes a child’s body will get rid of the virus without treatment. […] You need to be treated for hepatitis C, even if you feel fine now. It’s important for your health, for your baby, and for others you’re close to. Over time, the virus can damage your liver. Treatment can usually cure hepatitis C. It can also keep you from spreading the virus to others.
  • #81
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acn5030
    Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It’s also a good idea to know your child’s test results and keep a list of the medicines your child takes. […] Get treated for hepatitis C. You’ll probably be treated after breastfeeding is done (or after delivery if you don’t breastfeed). […] Take good care of yourself too. Call your doctor or nurse advice line right away if you have any belly pain. […] You have flu-like symptoms, such as body aches, fever, nausea, or diarrhea. […] You are extremely tired (more than expected) and find it hard to care for your baby. […] You have lost your appetite.
  • #82
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acn5030
    Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It’s also a good idea to know your child’s test results and keep a list of the medicines your child takes. […] Get treated for hepatitis C. You’ll probably be treated after breastfeeding is done (or after delivery if you don’t breastfeed). […] Take good care of yourself too. Call your doctor or nurse advice line right away if you have any belly pain. […] You have flu-like symptoms, such as body aches, fever, nausea, or diarrhea. […] You are extremely tired (more than expected) and find it hard to care for your baby. […] You have lost your appetite.
  • #83 We Treat Hep C – Resources for Michigan Providers
    https://www.michigan.gov/mdhhs/keep-mi-healthy/chronicdiseases/hepatitis/hep-c/we-treat-hep-c/providers
    Any provider with prescriptive authority can cure hepatitis C. […] ACOG recommends pregnant patients who screen positive for hepatitis C infection during pregnancy are connected with hepatitis care so they can begin treatment postpartum and after completion of lactation, and to connect patients who test positive for hepatitis C before pregnancy to treatment so they can complete treatment before becoming pregnant. […] We Treat Hep C Clinician Newsletter (March 2024) – Clinical newsletter highlighting Michigan’s statewide initiative to eliminate hepatitis C among Michigan Medicaid and Healthy Michigan Plan beneficiaries by removing barriers to curing hepatitis C, highlighting adult universal hepatitis C testing recommendations, and spotlighting Dr. Elaine Engelsman, a nurse practitioner specializing in the treatment of infectious diseases, including hepatitis C. […] Henry Ford Health System Hepatitis C Clinical Consult Program – a free consultation line is available Monday-Friday 8am-5pm for all health care professionals with questions about HCV disease management and treatment (313) 575-0332.
  • #84 Just Diagnosed: Entire Lesson – Viral Hepatitis and Liver Disease
    https://www.hepatitis.va.gov/hcv/patient/diagnosis/single-page.asp
    Your provider will use laboratory tests to check your health. […] Treatment for hepatitis C is now done with all-oral medications. […] The purpose of taking medications to treat hepatitis C is to: Clear the virus from your bloodstream, Slow the advancement of inflammation and scarring of your liver, Lower your chances of developing cirrhosis or liver cancer. […] The goal of all hepatitis C treatment is to achieve SVR. This is considered a cure. […] Adherence to prescribed medication regimens will increase your chances of a cure and minimize your risk for long-term complications associated with hepatitis C. […] The most important thing you can do for your hepatitis C is to talk to your provider about treatment. […] If you need help to stop drinking alcohol or taking drugs, talk with your VA provider. […] If you are living with both HIV and hepatitis C, then you have HIV and hepatitis C coinfection. […] Anyone known to have one of these viral infections will be checked for coinfection with the other virus.
  • #85 Hepatitis B & C
    https://www.hiv.gov/hiv-basics/staying-in-hiv-care/other-related-health-issues/hepatitis-b-and-c
    Hepatitis B and C are common liver infections among people living with HIV. […] Given the risks of hepatitis B or hepatitis C coinfection to people with HIV, it is important to understand these risks, take steps to prevent infection, know your status, and, if necessary, get medical care from a health care provider who is experienced in treating people who are coinfected with HIV and HBV, or HIV and HCV. […] Viral hepatitis screening and care prevention are important parts of HIV care. […] Yes. Everyone with HIV should be tested for HBV and HCV when they are first diagnosed with HIV and begin treatment. People with HIV who have ongoing risk factors for getting hepatitis B or hepatitis C should be tested annually. […] For hepatitis B, treatment can delay or limit liver damage by suppressing the virus.
  • #86 Hepatitis B & C
    https://www.hiv.gov/hiv-basics/staying-in-hiv-care/other-related-health-issues/hepatitis-b-and-c
    Like treatment for HIV, hepatitis B treatment may need to be taken for the rest of your life. […] Some HIV medications can also treat hepatitis B. […] Hepatitis C is a curable disease. […] However, new treatments for hepatitis C have been approved in recent years. […] These direct-acting antiviral treatments are much better than the previously available treatment because they have few side effects and do not need to be injected. […] These treatments for HCV infection cure about 97% of people, including those living with HIV, with just 8-12 weeks of oral therapy (pills).
  • #87 Nurse case management to improve the hepatitis C care continuum in HIV co-infection: Results of a randomized controlled trial
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7080578/
    The opportunity to eliminate hepatitis C virus (HCV) is at hand, but challenges remain that negatively influence progress through the care continuum, particularly for persons co-infected with HIV who are not well engaged in care. […] Our results support provision of NCM as a successful strategy to link persons co-infected with HIV to HCV care, but interventions should persist beyond linkage to care. […] While necessary, DAAs alone are not sufficient to ensure HCV elimination without first linking patients to HCV care. […] Strategies to link PLWH to HCV care and minimize barriers to initiating treatment are needed to eliminate HCV. […] Our results showed a higher proportion of participants who received HCV NCM linked to HCV care compared to UC in a real-world HIV practice setting. […] The NCM intervention bypassed the scheduling barrier, but persistently low scheduling and attendance rates underscore a need to expand HCV treatment to non-specialist or community-based providers who may already have trusting relationships with patients and are equally effective in achieving sustained virologic response (SVR) compared to HCV specialists.
  • #88 Home Page – Hepatitis C Online
    https://www.hepatitisc.uw.edu/
    Learn about goals of HCV treatment, what to consider prior to initiating hepatitis C treatment in persons with chronic HCV infection, and how to address barriers that may interfere with persons receiving hepatitis C treatment. […] Learn about simplified HCV treatment for all HCV genotypes and how to treat persons with prior HCV treatment experience, cirrhosis, or acute HCV infection. […] Examine how to treat HCV in persons with HIV coinfection, renal impairment, and substance use. Develop an understanding of how to manage exposure to HCV in the workplace and learn about perinatal HCV transmission. […] Review CDC HCV screening guidelines, available HCV diagnostic tests, and diagnostic testing sequence.
  • #89 Home Page – Hepatitis C Online
    https://www.hepatitisc.uw.edu/
    Learn about goals of HCV treatment, what to consider prior to initiating hepatitis C treatment in persons with chronic HCV infection, and how to address barriers that may interfere with persons receiving hepatitis C treatment. […] Learn about simplified HCV treatment for all HCV genotypes and how to treat persons with prior HCV treatment experience, cirrhosis, or acute HCV infection. […] Examine how to treat HCV in persons with HIV coinfection, renal impairment, and substance use. Develop an understanding of how to manage exposure to HCV in the workplace and learn about perinatal HCV transmission. […] Review CDC HCV screening guidelines, available HCV diagnostic tests, and diagnostic testing sequence.
  • #90 Hepatitis C: Updates and beyond
    https://www.myamericannurse.com/hepatitis-c-updates-and-beyond/
    Your role in the care of patients with HCV includes screening and risk assessment; communication of test results; treatment monitoring; and patient education regarding the virus, its potential complications, treatment options, and outcomes. […] The development of protease inhibitors as part of an antiviral regimen revolutionized treatment and rendered HCV not only treatable, but curable with direct-acting antivirals. […] The United States Preventive Services Task Force recommends that all adults between the ages of 18 and 79 be tested once, using an anti-HCV blood test, regardless of risk. Other populations may require more frequent screening. […] In October 2021, the Infectious Diseases Society of America (IDSA) and the American Association for the Study of Liver Diseases (AASLD) updated their hepatitis C virus (HCV) guidelines with simplified pathways to extend treatment options and help providers remove barriers and accelerate virus eradication. […] Your knowledge of HCV and the new guidelines can help ensure treatment adherence and aid HCV eradication.
  • #91 Nursing Care Plan For Hepatitis C (HCV) – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-hepatitis-c-hcv/
    By employing evidence-based nursing interventions, promoting education, and providing emotional support, nurses can play a crucial role in improving the quality of life for patients living with HCV. […] The nursing care plan focuses on early detection, assessment, and ongoing monitoring of HCV patients, ensuring prompt interventions to manage symptoms, prevent complications, and promote overall well-being. […] By educating patients about HCV transmission, prevention strategies, and treatment options, nurses empower individuals to actively participate in their care and make informed decisions regarding their health. […] Ultimately, the success of the nursing care plan for HCV lies in the dedication of nurses to provide compassionate, evidence-based care that addresses the physical, emotional, and educational needs of patients.
  • #92 Nursing Care Plan For Hepatitis C (HCV) – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-hepatitis-c-hcv/
    By employing evidence-based nursing interventions, promoting education, and providing emotional support, nurses can play a crucial role in improving the quality of life for patients living with HCV. […] The nursing care plan focuses on early detection, assessment, and ongoing monitoring of HCV patients, ensuring prompt interventions to manage symptoms, prevent complications, and promote overall well-being. […] By educating patients about HCV transmission, prevention strategies, and treatment options, nurses empower individuals to actively participate in their care and make informed decisions regarding their health. […] Ultimately, the success of the nursing care plan for HCV lies in the dedication of nurses to provide compassionate, evidence-based care that addresses the physical, emotional, and educational needs of patients.
  • #93 Nursing Care Plan For Hepatitis C (HCV) – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-hepatitis-c-hcv/
    By employing evidence-based nursing interventions, promoting education, and providing emotional support, nurses can play a crucial role in improving the quality of life for patients living with HCV. […] The nursing care plan focuses on early detection, assessment, and ongoing monitoring of HCV patients, ensuring prompt interventions to manage symptoms, prevent complications, and promote overall well-being. […] By educating patients about HCV transmission, prevention strategies, and treatment options, nurses empower individuals to actively participate in their care and make informed decisions regarding their health. […] Ultimately, the success of the nursing care plan for HCV lies in the dedication of nurses to provide compassionate, evidence-based care that addresses the physical, emotional, and educational needs of patients.
  • #94 Nursing Care Plan For Hepatitis C (HCV) – Made For Medical
    https://www.madeformedical.com/nursing-care-plan-for-hepatitis-c-hcv/
    By employing evidence-based nursing interventions, promoting education, and providing emotional support, nurses can play a crucial role in improving the quality of life for patients living with HCV. […] The nursing care plan focuses on early detection, assessment, and ongoing monitoring of HCV patients, ensuring prompt interventions to manage symptoms, prevent complications, and promote overall well-being. […] By educating patients about HCV transmission, prevention strategies, and treatment options, nurses empower individuals to actively participate in their care and make informed decisions regarding their health. […] Ultimately, the success of the nursing care plan for HCV lies in the dedication of nurses to provide compassionate, evidence-based care that addresses the physical, emotional, and educational needs of patients.