Hepatitis C Case Study: Lab Interpretation for New Grad NPs

Diagnosing hepatitis C is actually super simple, but can trip up new (and experienced!) nurse practitioners.

You may think: “I’m in primary care, do I need to know that?”

It comes up more often than you think. Like when you inherit a patient whose last plan of care for his Hepatitis C is “continue to monitor.”

Monitor what? Have they gotten treatment? Do they need to?

I got you. Using in a case study, I’ll walk you through step-by-step:

  • Which labs to order (and what they mean)
  • Who needs treatment (and who doesn’t…yet)
  • How to monitor patients with Hep C (especially when they don’t want to go to GI)
  • The next steps depending on your results, and when to refer to GI

PLUS, download a cheat sheet below this video to keep at your desk for quick reference.

And if you want to feel better about lab interpretation in primary care, join us for the Lab Interpretation Crash Course for New Nurse Practitioners! Click here to join the wait list, the next course goes live NEXT WEEK!

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    Once you’ve watched, I’d love to hear from you.

    What’s one thing you learned from this video about Hepatitis C labs that you can take into your practice as a new grad NP (or soon to be!)?

    Leave me a comment below. Be sure to share your thought directly in the comments, no links or videos as they may be removed.

    Thanks so much for watching. Hang in there, and I’ll see you soon.


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    12 thoughts on “Hepatitis C Case Study: Lab Interpretation for New Grad NPs”

    1. Lynn Rapsilber DNP

      Thanks for giving this presentation on Hep C. I also viewed your Hep B video which was fantastic.
      I am a GI NP and run a Hep C clinic. I am a national speaker and teach primary care NPs to become Hep C treaters.
      I would like to add a few things to think about:
      Assess transfusion history before 1992
      HCV RNA should be quantitative (to get the number of virus particles)
      Also need to check Hep B core AB for active Hep B which can be reactivated while treating Hep C.
      Measuring Fibrosis: APRI (when you have limited access to resources) Fibrotest, Fibrosure are great blood tests. Fibroscan is not always available or long wait. Can also order shear wave elastography if available
      If the results are F3, F4 or cirrhosis…please refer to GI
      Lastly, there is no data to support withholding treatment improves outcomes: Actually they can still spread the virus. Harm reduction education is key.

      Thank you again: Lynn Rapsilber DNP APRN ANP-BC FAANP lrapsilber@gmail.com

      1. Lynn this is wonderful! Thank you so much for your insight! I used to treat Hep C at my last job, so interesting, I think at some point in my career I may head into GI/hepatology. We used to the fibrosure testing when we managed in-house, those are all great pieces of advice and wish I had included them. Thank you again.

    2. Liz,
      You’re the best! Thank you for your support!! I’m new and the doc I work with isn’t always interested in teaching.

      1. You’re so welcome!! It’s so hard to give all the teaching and mentoring you want with the way that schedules are so packed. I’m so glad it’s helpful. Let me know what topics you want to hear about ā¤

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