AANA Journal Course: Enterohepatic Recirculation: From Death by Mushroom to Perioperative Pharmacokinetics

Availability: In stock


Quick Overview

General Price: $50.00

Associate Member (Student) Price: $21.00

Members Price: $35.00

1.0 Class A Credit

Course Expiration Date: 2/16/2023

The clinical relevance of EHRC is discussed with its major implications for efficacy and safety.


Overview of Course

Enterohepatic recirculation (EHRC) is a multistage process with the following sequence: liver metabolism, bile secretion, gut metabolism, and reabsorption from the gut back to the systemic circulation.  Enterohepatic recirculation prolongs drug half-lives and may be associated with the generation of 1 or more secondary plasma peaks.  The clinical relevance of EHRC is discussed with its major implications for efficacy and safety.

Learner Outcomes

Upon completion of this course, the learner will be able to:  

  1. Identify normal hepatic function.
  2. Describe the process of EHRC.
  3. Describe the process of EHRC in pharmacokinetics.
  4. Critique the effect of EHRC on individual drugs.
  5. Differentiate between EHRC and biliary excretion. 

Verification of Participation

The participant will have only 2 opportunities to successfully complete the course post-test, which is comprised of 5 random questions pulled from the test pool of questions. The passing score of at least 80% is required for the exam in this course. If the participant fails the post test, he or she will not receive CE credits for this course.

Accreditation Statement

This course has been prior approved by the AANA for 1.0 Class A CE credit; AANA Code Number: 1038784.

Course Expiration Date: 2/16/2023

The American Association of Nurse Anesthetists is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.