Managing the Patient with Hepatic Failure

Managing the Patient with Hepatic Failure 

Statistical data from the American Liver Foundation (ALF) reveals that approximately 30 million Americans have some form of hepatic failure. That’s 1 in every 10 people. Currently, there are 16,000 people in the U.S. on the transplant list waiting for a new liver. Hepatic failure is rated as one of the leading causes of death, yet we know much less about this condition compared to other chronic diseases. Clinicians should be familiar with signs of liver failure and related conditions, risk factors for the disease, and treatment strategies. The purpose of this course is to educate healthcare professionals on the causes, complications, and characteristics of hepatic failure to better manage and care for this patient population.


Hours: 2.25


Certificates provided by accrediting body (7 Match)

California Board of Registered Nursing

2.25 HOURS

Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 2.25 contact hours for participating in this course.

District of Columbia Board of Nursing


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 2.20 contact hours for participating in this course.

Florida Board of Nursing


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 2.00 contact hours for participating in this course.

American Nurses Credentialing Center

2.25 HOURS

Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 2.25 contact hours for participating in this course.

Georgia Board of Nursing

2.25 HOURS

Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 2.25 contact hours for participating in this course.

South Carolina Board of Nursing

2.25 HOURS

This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

West Virginia Board of Registered Nursing

2.25 HOURS

Course Details

Hours: 2.25
Type: Online Course
Content Expiration Date: 7/31/2021
Learning Objectives:
Identify anatomical and physiological aspects of the liver.
Identify causes of hepatic failure.
Describe symptoms and complications of liver disease and hepatic failure.
Discuss diagnostic and monitoring strategies for patients with liver disease.
Identify evidence-based treatment and management strategies for persons with liver disease.
Describe symptoms, diagnosis, treatment, and prevention of hepatitis A, B, and C.

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Anatomy and Physiology of the Liver

Anatomy of the Liver

Regulation of Glucose

Protein Metabolism

Fat Metabolism

Vitamin and Mineral Storage

Bile Production

Digestion and Absorption of Fats

Excretion of Bilirubin

Drug Metabolism



Section 3: Liver Disease, Cirrhosis, and Liver Failure

Liver Disease

Non-alcoholic Fatty Liver Disease

Drug-induced Liver Injury


Clinical Manifestations of Cirrhosis

Liver Cancer

Liver Failure



Section 4: Symptoms and Complications of Liver Disease


Portal Hypertension

Portal Hypertension Treatment

Hepatorenal Syndrome

Spontaneous Bacterial Peritonitis

Assessment and Treatment of Ascites

Vitamin and Mineral Deficiencies

Increased Bleeding Risk

Abnormalities of Glucose Metabolism

Impaired Sexual Function

Hepatic Encephalopathy

Treatment of Hepatic Encephalopathy



Section 5: Diagnostics for Liver Disease

Laboratory Tests

Liver Biopsy

Post-biopsy Management

Diagnostic Imaging



Section 6: Hepatitis A

Hepatitis A Transmission

Hep A Symptoms

Immune Response and Diagnosis

Populations at Increased Risk for Hepatitis A Infection

Hepatitis A Prevention



Section 7: Hepatitis B

Acute Hepatitis B

Chronic Hepatitis B

Immune Response

Transmission of Hepatitis B

Laboratory Testing

Treatment of Hepatitis B


Nucleotide Analogs



Section 8: Hepatitis C

Hepatitis C Overview

Hepatitis C Genotypes

Hep C Transmission

Populations at Risk

Antibody Testing

RNA Testing

Hepatitis C Treatment

Interferon and Ribavirin

Direct-Acting Antiviral Agents

Combination Therapy

Treatment Response

Hepatitis C Prevention



Section 9: Conclusion


Course Contributors


Instructor: Rebecca Smallwood, MBA, RN
Rebecca Smallwood, MBA, RN, has extensive experience across a wide spectrum of healthcare settings including: rural and urban acute care hospitals, public health, ambulatory surgery, higher education, and commercial healthcare learning organizations. Her roles have included: medical/surgical, ED, and OR staff and charge nurse; Director of School Health Services/school nurse; Public Health Epidemiology and Bioterrorism Preparedness Specialist; Infection control practitioner; Quality Management Specialist; Organizational Development Specialist; and Educator. Prior to joining Relias as a SME writer, she provided healthcare learning and development consultation to Swank Healthcare and was the Director of Education Services for, a division of Texas Tech University Health Sciences Center. Rebecca earned a diploma in nursing from Methodist Hospital School of Nursing in Lubbock, Texas and an MBA from Wayland Baptist University.  Disclosure: Rebecca Smallwood, MBA, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Acute Care Facility.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.