. complete bed rest till serum bilirubin comes down to common level and jaundice subsides.
.2.In case of hepatitis B, the patient should be isolated.
3. Patient with serious illness should be hospitalized.
4.abundance of water and glucose by mouth ,if the patient vomits, glucose may be given by i. v route,5% dextrose in aqua 500ml & 25% glucose 200-300ml daily.
5. Diet, all diet but excess amount of fatty diet and alcohol. Total calorie intake should be maintained within 2000-3000kcal
6. Bowel should be clear by using laxative, such as milk of magnesia (MGSO4) or lactulose 3-6 tsf daily in the morning in blank stomach.
7. Vitamin supplement e.g. vitamin B complex may be given commonly.
8. Antibiotic-if the patient has got fever or any characteristic of secondary infection, a course of suitable antibiotic (amoxicillin or cephalosporin etc) should be advised.
9. Alcohol should be controlled for 1 year or life-long (for non-habitual)
10. Drugs which are metabolized in the liver should be restricted such as-
a. Sedatives
b.Antiemetics
c. Analgesic as paracetamol
d.Cotrimoxazole & other sulphonamides
e.Hepatotoxic anti T-B drugs .
3. Patient with serious illness should be hospitalized.
4.abundance of water and glucose by mouth ,if the patient vomits, glucose may be given by i. v route,5% dextrose in aqua 500ml & 25% glucose 200-300ml daily.
5. Diet, all diet but excess amount of fatty diet and alcohol. Total calorie intake should be maintained within 2000-3000kcal
6. Bowel should be clear by using laxative, such as milk of magnesia (MGSO4) or lactulose 3-6 tsf daily in the morning in blank stomach.
7. Vitamin supplement e.g. vitamin B complex may be given commonly.
8. Antibiotic-if the patient has got fever or any characteristic of secondary infection, a course of suitable antibiotic (amoxicillin or cephalosporin etc) should be advised.
9. Alcohol should be controlled for 1 year or life-long (for non-habitual)
10. Drugs which are metabolized in the liver should be restricted such as-
a. Sedatives
b.Antiemetics
c. Analgesic as paracetamol
d.Cotrimoxazole & other sulphonamides
e.Hepatotoxic anti T-B drugs .
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