Republic of the Philippines

ISABELA STATE UNIVERSITY

City of Ilagan Campus

HEPATITIS
PATHOPHYSIOLGY
PREDISPOSING FACTORS:

PRECIPITATING FACTORS:

Walking barefoot on soils puts one risk of acquiring the infection. Irritation of the skin at the site of penetration may be seen, as well as inflammatory reactions in the lungs
during the larval phase. The major damage to the host is due to chronic blood loss at the site of attachment in the small intestines. 

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Jomari Jimenez BSN 3-C
 Republic of the Philippines
ISABELA STATE UNIVERSITY
City of Ilagan Campus

DISEASE PROCESS WITH SIGNS AND SYMPTOMS

Penetration of skin When the invasive filariform larvae penetrate the skin
they may cause a stinging sensation, followed by
irritation, erythema, oedema and a papulovesicular
eruption the so-called ground itch.

Small hemorrhages and leukocytosis or

eosinophilic infiltrations may occur where larvae
pass through the alveolar walls of the lungs.
Migration of larvae through the respiratory tract Migration of larvae
may cause coughing, due to irritation of the
bronchial and tracheal mucous membranes.

In the duodenum and jejunum, hookworms

attach themselves to the intestine by engulfing a
part of the intestinal mucosa in their buccal
cavities. There they feed blood from cut vessels
and on mucosal tissue. At the points of
Established intestinal infection
attachment there is usually some bleeding and
inflammatory reaction. Those infected may have
epigastric duodenal type of pain, indigestion, loss
of appetite or diarrhea.
The most serious consequences of hookworm
infection are chronic blood loss from the
duodenum and jejunum. If the infection is not
adequately treated blood loss may continue
for many years, leading to depletion of body
iron stirs and the development of iron
Chronic blood loss 2
deficiency anemia.
Jomari Jimenez BSN 3-C
 Republic of the Philippines
ISABELA STATE UNIVERSITY
City of Ilagan Campus

Nursing Care Plan

Assessment Diagnosis Planning Intervention Rationale Evaluation

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Jomari Jimenez BSN 3-C
 Republic of the Philippines
ISABELA STATE UNIVERSITY
City of Ilagan Campus

Assessment Diagnosis Planning Intervention Rationale Evaluation

4
Jomari Jimenez BSN 3-C
 Republic of the Philippines
ISABELA STATE UNIVERSITY
City of Ilagan Campus

Drug Study
Drug Name Action Dosage/Route Indication/Uses Contraindication Adverse Reaction Nursing Management

Albendazole Albendazole is a PO  Echinococcosis Hypersensitivity Patient with

broad-spectrum Adult: <60kg: 15  Neurocysticercosis neurocysticercosis,
anthelmintic. The mg/kg daily in 2  Ascariasis, Pregnancy retinal lesions. May
principal mode of divide doses. Max: Enterobiasis, cause inflammatory
action for 800mg daily >60 Hookworm reaction within the
albendazole is by its kg 400 mg BID. Infection, brain. Increased risk of
inhibitory effect on Duration of Trichuriasis. bone marrow
tubulin treatment: 8-30  Clonorchiasis, suppressions in patient
polymerization which days Opisthorchiasis with liver disease.
results in the loss of  Tapeworm Hepatic impairment.
cytoplasmic Child: same as infections Lactation
microtubules. adult  Cutaneous larva
migrans
Should be taken
 Giardiasis
with food. For
systemic
infections,
administer w/
high-fat meal to
increase
absorption. For
patients w/
swallowing
difficulty, tab may
be
crushed/chewed.

Should be taken
on an empty
stomach. For
intraluminal

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Jomari Jimenez BSN 3-C
 Republic of the Philippines
ISABELA STATE UNIVERSITY
City of Ilagan Campus

infections w/ o
systemic
involvement, take
on an empty
stomach. For
patients w/
swallowing
difficulty, tab may
be
crushed/chewed.

Drug Name Action Dosage/Route Indication/Uses Contraindication Adverse Reaction Nursing Management

6
Jomari Jimenez BSN 3-C
 Republic of the Philippines
ISABELA STATE UNIVERSITY
City of Ilagan Campus

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Jomari Jimenez BSN 3-C