Pancreatitis - Medical-Surgical- Gastrointestinal System (GI) | @LevelUpRN

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Hi. I am Cathy with Level Up RN. In  this video, I am going to talk about   pancreatitis. If you have our Level Up  RN medical-surgical nursing flashcards,   definitely pull those out. And make sure  you review the bold red text on these cards   because there are several very important  points you need to know about pancreatitis.   At the end of the video, I'm going to give  you guys a little quiz to test your knowledge   of some of the key points I'll be covering in  this video, so definitely stay tuned for that.   Pancreatitis is inflammation of the pancreas. So  any time you see -itis, that means inflammation,   so inflammation of the pancreas. So normally,  the pancreas sends inactivated enzymes   to the small intestine, where they become  activated and they help to digest fat, protein,   and carbs. With pancreatitis, those  enzymes become prematurely activated,   such that they end up auto-digesting the pancreas,  and that results in fibrosis of the pancreas.   So risk factors associated with pancreatitis  include alcohol abuse, which is a really   important key factor. Other risk factors  can include bile tract disease, GI surgery,   gallstones, trauma, as well as medication  toxicity. Signs and symptoms can include   severe, left upper quadrant, or epigastric  pain, and there will be possible radiation   of this pain to the left shoulder or back. In addition, the patient will have nausea   and vomiting, and they'll have something called  Cullen's sign, which is where we have blue-grey   discoloration around the umbilicus or the belly  button. So I was trying to think of a good way to   help you guys remember Cullen's sign. One of my  viewers said, "Hey, Edward Cullen from Twilight   has kind of a blue-grey discoloration to his  complexion." And so I have to admit I've not   seen Twilight, but I did Google Edward Cullen,  and he does kind of have a pale complexion,   might be a little blue or grey in discoloration.  If that helps you to remember Cullen's sign,   then I am all for that. The other sign that may  be present is Turner's sign, so we do have a   cool chicken hint here for Turner Sign. So if you  turn your patient over on their side, you will see   Turner's sign, which is ecchymosis that  will show up on the patient's flank.   Other signs and symptoms include jaundice as well  as tetani, which is associated with hypocalcemia   that we often see with pancreatitis. Abnormal labs that are associated with   pancreatitis are very important to know. Labs  that may be elevated include amylase, lipase,   white blood cells, bilirubin, as well as glucose.  So why is glucose elevated? Well, the pancreas   normally makes insulin. So if the pancreas is  messed up and not making enough insulin, then   that glucose is not getting from the bloodstream  into the body's cells, and it's accumulating in   the bloodstream. Lab values that may be decreased  include calcium, magnesium, and platelets. So in   terms of diagnosis, we can use an ultrasound, CT  scan, or MRI to help diagnose pancreatitis. For   patient with pancreatitis, we're going to place  them on NPO and then gradually have them consume   a bland and low-fat diet over time. In addition,  we're going to provide IV fluids and electrolytes.   We're going to provide opioid analgesics because  pancreatitis is associated with severe pain.   In addition, we need to provide antibiotics,  antiemetics for nausea and vomiting,   insulin so that we can get that glucose into the  body's cells, and then pancreatic enzymes with all   meals and snacks. Because again, the pancreas is  messed up, so it's not doing its normal job, which   includes bringing those digestive enzymes over  to the small intestine to help with digestion.   In terms of nursing care, we're going  to want to monitor for complications,   which can include chronic pancreatitis, which  is something we see often with alcohol abuse.   Other complications include  a pancreatic pseudocyst.   So this is where we have these fluid-filled sacs  that form kind of in or around the pancreas.   And then type 1 diabetes is also a  complication of chronic pancreatitis.   In terms of patient teaching, we want to  definitely emphasize that the patient should not   consume alcohol. And if appropriate, we should  refer the patient to an alcohol recovery program.   And then we should encourage the patient to  consume a low-fat diet, ongoing, and no smoking.   All right. Are you guys ready for your quiz? I  have three questions for you. First question,   what do you call the ecchymosis on the  flanks of a patient with pancreatitis?   The answer is Turner's sign. Question number two,   what do you call the blue-grey discoloration  around the umbilicus with pancreatitis?   The answer is, Cullen's Sign. All right.  For this third question, I want you to tell   me whether the lab value will be increased or  decreased with pancreatitis. You ready? Glucose?   It will be increased. Amylase,  increased. Calcium, decreased. Lipase,   increased. Magnesium, decreased. Okay. That's  it for pancreatitis. I hope you learned a lot.   Take care and good luck with studying. I invite you to subscribe to our channel  and share a link with your classmates and   friends in nursing school. If you found value  in this video, be sure and hit the like button,   and leave a comment and let us know  what you found particularly helpful.
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Channel: Level Up RN
Views: 97,750
Rating: undefined out of 5
Keywords: Ati testing, Nclex rn, Hesi exam, Nursing exam, NCLEX Comprehensive exam, Nursing school, Nursing student, Registered Nurse, Practical Nurse, Cathy Parkes, Cathy Parkes videos, Cathy Parkes Flashcards, studying for ati, NCLEX tips, ati tutorial video, ati Comprehensive Predictor, Med-surg Nursing, Med-Surg Review, Med-surg Hesi, Medical-Surgical Nursing, Cathy Parkes Ati, medical surgical nursing gastrointestinal system, pancreatitis medical surgical nursing
Id: hZEtjW2FQOE
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Length: 6min 25sec (385 seconds)
Published: Mon Nov 29 2021
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