CS-34
5/23/2016 2:30:00 PM - 5/23/2016 4:00:00 PM

Hepatitis, Hemochromatosis and Drug Induced Liver Injury- 3 Liver diseases that Break the Mold

This session is designed to provide the attendee with the basic information needed to tackle some common liver diseases that are commonly seen. It will cover Hepatitis, Hemochromatosis, and Drug Induced Liver Injury. We will review the most commonly encountered types of Hepatitis, signs and symptoms of cirrhosis, and will also briefly describe some of the complications from NASH. From Hepatitis and NASH we will move on to Hemochromatosis where we will review the at risk populations for the disease, signs and symptoms of the disease, and the treatment and prognosis. Last, but not least, we will discuss Drug-Induced Liver Injury, a common and often frightening condition. We will review the type of DILI, the most common drugs involved in DILI, treatment for DILI, and how to educate our patients on how to prevent DILI.

Objective / Content / Time Frame / Presenter / GI / Not GI
Define types of hepatitis, common signs and sx of hepatitis, and signs and sx of cirrhosis). / Definitions and types of hepatitis- acute and chronic
Hepatic damage- signs and symptoms, risks, progression
Brief overview of drugs and herbs associated with hepatitis
Risks for chronic hepatitis
Hepatitis: Function, abnormal labs, hepatic system review"
Question/Answer / 30 minutes / Ann Marie Hunt Bellah, RN, MSN,FNP-c
Identify who is at risk for Hemochromatosis, discuss sign and symptoms of hemochromatosis, list treatment of disease and prognosis. / Identify who is at risk for Hemochromatosis
7 minutes
1 metabolic disorder
2 hereditary
3 onset of the disease
Discuss sign and symptoms of hemochromatosis
10 minutes
1 diagnosis of disease
2 signs and symptoms
3 risk for other diseases
Treatment of disease and prognosis
8 minutes
1 phlebotomy
2 foods to avoid
Objective 2 Discuss sign and symptoms of hemochromatosis
10 minutes
1 diagnosis of disease
2 signs and symptoms
3 risk for other diseases
Objective 3 list treatment of disease and prognosis
8 minutes
1 phlebotomy
2 foods to avoid / 30 minutes / Katherine Vinci RNC, CGRN
Identify common medications/drugs that cause liver injury and common signs and symptoms of DILI and lab abnormalities. / Identify common medications/drugs that are known to cause liver injury ( 5 minutes)
A. Common medications known to cause DILI
- Most commonly known- Acetaminophen
- Antibiotics
- Analgesics
- Supplements and Herbs
- If unsure of a drug’s hepatoxic effects, where to find out/resources
B. Diagnose DILI by recognizing common signs and symptoms of DILI and lab abnormalities (8 minutes)
- May have DILI before onset of sx
- May have sx of liver disease- nausea, fatigue, anorexia, jaundice, RUQ pain/discomfort, dark urine, itching
- ALT, AST, T bIli, Alk phos
- Patterns of LFT’s and type of drug injury / 15 minutes / Cynthia Escusar, RN, BSN and Simran Tagore, RN, MSN, NP-c
Discuss possible treatment options for DILI and education to our patients regarding drug safety and how to avoid DILI. / Discuss possible treatment options for DILI and education to our patients regarding drug safety and how to avoid DILI"
A. Withdrawal of the offending drug
- Early recognition of drug toxicity is key
B. Meds
- Glucocorticoids
- Bile acid sequestrant
- Monitor labs
C. Prognosis
D. Educate patients on the medications they are taking and for what conditions
- Handouts from American Liver Foundation
- Question and Answer / 15 minutes / Simran Tagore, RN, MSN, NP-c
Total