GHAPP FAQ Webcast Library

Hepatitis C

Presented by April Morris, FNP

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FAQ:

What is the algorithm I should use for diagnosing a patient with Hepatitis C, including labs, need for biopsy, genotyping, and fibrosis assessment, and what factors determine whether I should treat or refer to a tertiary center?

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Are there groups of patients who should not be treated, and if so, what are the consequences and complications of cirrhosis for this group and for non-compliant patients?

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Can pregnant patients be treated safely, and which regimens are recommended?

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Hepatitis C

Presented by Jordan Mayberry, PA-C

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After SVR is achieved, how should these patients be monitored and how often should viral load be checked?

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What tools and resources are available for PCPs to use to successfully treat HCV?

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How do you decide on a treatment regimen both for the naïve and the treatment experienced patient?

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Hepatitis C

Presented by Gabriella McCarty, CNP

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How do you treat co-infected patients-both HCV/HIV and HCV/HBV?

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What are the guidelines for treating GT 3 patients?

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Which population should I screen, how often should I screen, and what is the proper algorithm?

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Hepatitis C

Presented by Renee Pozza, PhD, RN, FNP-BC

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What is the protocol for treating HCV positive patients who are actively using IV drugs?

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What are the most common medical insurance barriers for treatment approval and are there successful strategies to gain approval?

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What are the guidelines for post liver transplant HCV treatment and how should these patients be monitored?

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Hepatic Encephalopathy

Presented by K. Tuesday Werner, DNP, FNP-C

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FAQ:

How is lactulose dose adjusted?

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What happens if patients cannot afford rifaximin?

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FAQ:

How is minimal hepatic encephalopathy diagnosed?

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Hepatic Encephalopathy

Presented by Patrick Horne, MSN, APRN-FNP

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Exactly how is hepatic encephalopathy diagnosed?

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How are ammonia levels incorporated into the diagnosis of hepatic encephalopathy?

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What are the stages of hepatic encephalopathy?

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Hepatic Encephalopathy

Presented by C. Smith, PA-C

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What triggers an episode of hepatic encephalopathy?

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What role does diet play in hepatic encephalopathy?

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What is the treatment for hepatic encephalopathy?

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Hepatic Encephalopathy

Presented by Allison Hobbs, MSN, APRN, FNP-C

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How is hepatic encephalopathy prevented from occurring?

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FAQ:

What mental signs should I watch for in patients with hepatic encephalopathy?

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How do you decide to use rifaximin vs. lactulose?

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Hepatorenal Syndrome

Presented by Elizabeth Goacher, PA-C, MHS

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FAQ:

What is the role of the NP/PA in the management of HRS?

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What is the clinical presentation of HRS?

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What is the optimal medical therapy for patients who are not admitted to the ICU?

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Hepatorenal Syndrome

Presented by Corrie Berk, DNP, MBA

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What are the treatment options for patients who do not respond to medical therapy?

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What is the difference between Type 1 and Type 2 HRS?

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What are the criteria for liver transplantation in HRS patients?

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Hepatorenal Syndrome

Presented by Gail Pearson, MSN, FNP-C

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Are there medications that should be avoided in patients with HRS?

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What are the current guidelines for the treatment of HRS?

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What is the pathogenesis of HRS?

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Hepatorenal Syndrome

Presented by Carolyn Catalano, APN

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Since HRS is a diagnosis of exclusion, what is the proper work up?

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How is HRS prevented?

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How is albumin used in the treatment of HRS?

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Inflammatory Bowel Disease

Presented by Bridget Howard, NP

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FAQ:

What is the role of serological and stool testing in IBD?

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What is the Treat to Target Approach?

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When should I to start a biologic?

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Inflammatory Bowel Disease

Presented by Elisabeth Evans, MSN, FNP-BC

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What are the recommendations for annual preventive care for IBD patients?

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What current treatment guidelines do you recommend following?

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How do you monitor therapeutic efficacy of biologics?

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Inflammatory Bowel Syndrome

Presented by Monica Nandwani, DNP, RN, FNP-BC

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How do you incorporate the use of TCAs/SSRIs in the treatment of IBS? Do you prescribe them, or do you defer to a PCP/psychiatrist?

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Do you always do a colonoscopy, or only if alarm features? When is a colonoscopy warranted?

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How do I make a confident diagnosis of IBS and what is the Rome IV criteria?

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Inflammatory Bowel Syndrome

Presented by Nicole Martinez de Andino, RD, NP-C

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For patients with IBS-C, has diarrhea associated with linaclotide and plecanatide been a limiting side effect for patients? Do you have any suggestions on how to reduce the side effect of diarrhea?

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What resources are available to help patients follow a low-FODMAP diet if they do not have access to a dietitian? Are there other diets you advise for IBS patients?

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What are some alternative/holistic therapies to advise for patients resistant to medications?

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Nonalcoholic Steatohepatitis

Presented by Ann Moore, FNP-C

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FAQ:

Which labs are required to monitor patients and how frequently should they be done?

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What are the best weight loss tips for patients?

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What is your approach for monitoring NASH patients for advanced fibrosis?

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Nonalcoholic Steatohepatitis

Presented by Vicki Shah, DMSc, MMS, PA-C

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FAQ:

What are the causes, signs, and symptoms of NASH?

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How is NASH treated?

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Now that FibroScan is available, when is it appropriate to do a liver biopsy?

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Nonalcoholic Steatohepatitis

Presented by Christina Hanson, FNP-C

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What are the dietary recommendations for NASH and is it reversible with diet and exercise?

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How does the management of lean vs. obese patients with NASH differ?

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When should NASH patients be referred to a hepatologist?

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Nonalcoholic Steatohepatitis

Presented by Lisa Richards, FNP-BC

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What is the difference between NASH and NAFLD?

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How is NASH diagnosed?

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How is NASH distinguished from alcoholic steatohepatitis?

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