Liver: Learning outcomes

Last updated: Thursday, September 05, 2019

After completing this tutorial, you will be able to:
  • Recognise the main types of liver disease and dysfunction.
  • Describe how to assess a patient's liver dysfunction, including the commonest liver function tests.
  • Make decisions about appropriate choice and dose of medicines in patients with liver dysfunction.

You can download a PDF of the whole tutorial (without interactive elements such as the Learning Exercises) and a one-page summary.

You should allow 90 minutes to complete this tutorial, including the Learning Exercises.


This tutorial is aimed at hospital pre-registration pharmacists, and will help you achieve GPhC performance standards such as these:
  • A3  Manage problems.
  • B1.4  Elicit all relevant information by the use of appropriate questions.
  • C2.3  Identify and take action to minimise risk to patients from their treatment.
  • C2.4  Actively provide information and advice to healthcare professionals.

If you are a foundation pharmacist, this tutorial may help you meet competencies from the RPS framework including:
  • 1.4  Selection of the medicine: medicine-disease interactions.
  • 1.5  Medicine specific issues: selection of dosing regimen.
  • 1.7  Monitoring medicine therapy
  • 3.3  Analysing information
  • 3.4  Providing information

Continuing professional development

Finally, here are some CPD activities you could consider:

★  If you don't encounter a patient with liver dysfunction on your own wards, ask a colleague if you can visit a ward where there is such a patient. What interventions has the pharmacist made to improve the care of this patient? Were there any therapeutic choices that presented particular challenges? Discuss the case with the pharmacist and write up what you have learned as a CPD exercise.
★  Find a recent review of the management of viral hepatitis, read it, and write up a reflective account of what you have learned.