Hepatitis B

Key Points

  • Hepatitis B (HBV) is a blood-borne virus transmitted via contaminated blood, sexual contact, and perinatal routes; it can become a chronic, lifelong infection.
  • Unlike hepatitis A, HBV can progress to cirrhosis, liver failure, and hepatocellular carcinoma.
  • Vaccine is available — HBV vaccine is on the standard newborn schedule and is recommended for all unvaccinated adults at risk.
  • Chronic HBV is treated with antiviral agents (tenofovir, entecavir) to suppress viral replication.
  • Nursing priorities: bleeding risk monitoring, fatigue management, nutrition support, and transmission prevention education.

Pathophysiology

HBV is a DNA virus that infects hepatocytes, triggering an immune-mediated inflammatory response. The liver becomes inflamed, and cellular necrosis occurs in varying degrees. When the infection lasts more than 6 months, it is classified as chronic hepatitis B.

Chronic HBV can progress to:

  • Cirrhosis — irreversible hepatic fibrosis
  • Liver failure — impaired synthetic and detoxification functions
  • Hepatocellular carcinoma (HCC) — significantly elevated risk in chronic HBV carriers

Transmission Routes

RouteDetails
Blood/ParenteralNeedle sharing, needlestick injuries, blood transfusions (rare with current screening)
Sexual contactUnprotected intercourse with infected partner
PerinatalMother-to-infant transmission during delivery or through breast milk

Clinical Manifestations

  • Early (acute): Fatigue, anorexia, nausea, vomiting — may be asymptomatic
  • Progressing: Right upper quadrant (RUQ) pain, jaundice, dark urine, light-colored stools, enlarged liver
  • Advanced/chronic: Ascites, hepatic encephalopathy (altered mental status from ammonia buildup), bleeding tendency

Nursing Assessment

NCLEX Focus

Monitor for signs of bleeding (elevated PT/INR, ecchymosis, gum bleeding) and hepatic encephalopathy (confusion, asterixis, elevated ammonia). These indicate severe hepatic dysfunction requiring escalation.

  • Assess for jaundice: skin, sclerae, mucous membranes.
  • Assess RUQ tenderness and hepatomegaly on abdominal exam.
  • Assess for ascites: abdominal girth measurement, shifting dullness on percussion.
  • Monitor vital signs, intake/output, and daily weight (fluid shifts).
  • Monitor laboratory values: ALT/AST (elevated = hepatocyte damage), bilirubin (elevated = impaired bile excretion), PT/INR (elevated = impaired clotting factor synthesis), albumin (decreased = impaired protein synthesis), ammonia (elevated = encephalopathy risk).
  • Assess for bleeding: hematuria, melena, ecchymosis, oozing from IV sites.
  • Screen for serologic markers:
    • HBsAg (hepatitis B surface antigen) = active infection
    • Anti-HBs = immunity (past infection or vaccination)
    • HBcAb = prior exposure

Nursing Interventions

  • Activity: Prescribe bed rest during acute illness; schedule planned rest periods; energy-conserving techniques (sitting during activities).
  • Nutrition: Consult dietician; high-carbohydrate, moderate-protein diet; small frequent meals; administer antiemetics before meals; avoid hepatotoxic substances (alcohol, acetaminophen, paracetamol, aspirin, sulfonamides).
  • Fluid balance: Monitor for fluid overload (ascites); implement fluid restrictions if ordered; administer prescribed IV fluids.
  • Bleeding precautions: Use electric razor, soft-bristle toothbrush, gentle oral care; monitor for melena and ecchymosis; avoid IM injections when INR is elevated.
  • Skin integrity: Cool showers for pruritus (itching from bilirubin deposits); baking soda baths; avoid alkaline soaps; keep fingernails short.
  • Emotional support: Non-judgmental communication; active listening; referral to support groups.

Hepatotoxic Drug Avoidance

Acetaminophen (paracetamol), aspirin, sulfonamides, and many anesthetics are hepatotoxic and must be avoided in hepatitis B patients. Notify all future health care providers of the hepatitis diagnosis before prescribing medications.

Pharmacology

DrugClassNotes
Tenofovir (TDF, TAF)Nucleotide reverse transcriptase inhibitorPreferred first-line antiviral for chronic HBV; suppresses viral replication
EntecavirNucleoside analogAlternative first-line agent; low resistance barrier; preferred if tenofovir contraindicated
Pegylated interferon-alfaImmunomodulatorFinite treatment course; significant side effects (flu-like, depression, neutropenia)
HBV vaccinePreventive3-dose series; part of newborn schedule; recommended for all high-risk unvaccinated adults
Hepatitis B immune globulin (HBIG)Post-exposure prophylaxisAdministered after known HBV exposure (e.g., needlestick) or to newborns of HBsAg+ mothers

Clinical Judgment Application

Clinical Scenario

A 42-year-old patient with chronic hepatitis B has increasing confusion, abdominal distension, and a serum ammonia level of 105 mcg/dL (normal <35).

  • Recognize Cues: Mental status changes, ascites, elevated ammonia in chronic HBV patient.
  • Analyze Cues: Hepatic encephalopathy is developing due to impaired ammonia detoxification.
  • Prioritize Hypotheses: Neurological deterioration from hepatic encephalopathy is the priority concern.
  • Generate Solutions: Notify provider; assess mental status and orientation; prepare for lactulose administration; restrict protein intake per orders.
  • Take Action: Implement fall precautions, monitor ammonia levels, administer lactulose, restrict dietary protein.
  • Evaluate Outcomes: Mental status normalizes, ammonia levels decrease with treatment.

Self-Check

  1. What serologic marker confirms active hepatitis B infection?
  2. Why must acetaminophen be avoided in patients with hepatitis B?
  3. What clinical finding indicates hepatic encephalopathy in a patient with chronic HBV?