A video showing insertion of a percutaneous endoscopic colostomy in a frail patient with recurrent sigmoid volvulus.

To license this video for patient education or content marketing, visit: http://www.nucleushealth.com/?utm_source=youtube&utm_medium=video-description&utm_campaign=tephernia-030615

An inguinal hernia is a bulging of the intestine through a defect or weak spot in the wall of the lower abdomen. This video shows how inguinal hernias form and how they are treated.
#TotalExtraperitonealLaparoscopicInguinalHerniaRepair #TEP #laparoscopy
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Wedge Resection of a gastric GIST

Cystoscopy

What to expect during the day of a pediatric surgery at Sutter Children's Center Sacramento.

Dr. Neel Joshi, Clinical Chief, Department of Surgery at Cedars Sinai, describes his technique for trocar removal at the end of laparoscopic cholecystectomy.

#medicaleducation #laparoscopicsurgery

The accumulation of ascitic fluid represents a state of total-body sodium and water excess, but the event that initiates the unbalance is unclear. Although many pathogenic processes have been implicated in the development of abdominal ascites, about 75% likely occur as a result of portal hypertension in the setting of liver cirrhosis, with the remainder due to infective, inflammatory, and infiltrative conditions. Three theories of ascites formation have been proposed: underfilling, overflow, and peripheral arterial vasodilation. The underfilling theory suggests that the primary abnormality is inappropriate sequestration of fluid within the splanchnic vascular bed due to portal hypertension and a consequent decrease in effective circulating blood volume. This activates the plasma renin, aldosterone, and sympathetic nervous system, resulting in renal sodium and water retention. The overflow theory suggests that the primary abnormality is inappropriate renal retention of sodium and water in the absence of volume depletion. This theory was developed in accordance with the observation that patients with cirrhosis have intravascular hypervolemia rather than hypovolemia. The most recent theory, the peripheral arterial vasodilation hypothesis, includes components of both of the other theories. It suggests that portal hypertension leads to vasodilation, which causes decreased effective arterial blood volume. As the natural history of the disease progresses, neurohumoral excitation increases, more renal sodium is retained, and plasma volume expands. This leads to overflow of fluid into the peritoneal cavity. The vasodilation theory proposes that underfilling is operative early and overflow is operative late in the natural history of cirrhosis. Although the sequence of events that occurs between the development of portal hypertension and renal sodium retention is not entirely clear, portal hypertension apparently leads to an increase in nitric oxide levels. Nitric oxide mediates splanchnic and peripheral vasodilation. Hepatic artery nitric oxide synthase activity is greater in patients with ascites than in those without ascites. Regardless of the initiating event, a number of factors contribute to the accumulation of fluid in the abdominal cavity. Elevated levels of epinephrine and norepinephrine are well-documented factors. Hypoalbuminemia and reduced plasma oncotic pressure favor the extravasation of fluid from the plasma to the peritoneal fluid, and, thus, ascites is infrequent in patients with cirrhosis unless both portal hypertension and hypoalbuminemia are present.

Dialysis services at UC San Diego Health: https://health.ucsd.edu/care/kidney/dialysis

UC San Diego Health Licensed Clinical Social Worker, Norma Reggev, discusses hemodialysis as a treatment option for failing kidneys with patient testimonials. Discussion includes In Center Hemodialysis and Home Hemodialysis.

0:00 - Hemodialysis
1:34 - When Should Dialysis Begin?
2:00 - What is Dialysis?
2:25 - How Hemodialysis Works
3:15 - In-Center Hemodialysis Considerations
3:42 - Patient Shares Their Experience With In-Center Hemodialysis
7:30 - Home Hemodialysis Considerations
8:35 - Patient Shares Their Experience With Home Hemodialysis
12:23 - Types of Vascular Access

Watch that video to know How To Firm And Lift Your Sagging Breasts Naturally

Ultrasound Guided Intravenous Peripheral Line Placement

To treat your tinnitus, your doctor will first try to identify any underlying, treatable condition that may be associated with your symptoms. If tinnitus is due to a health condition, your doctor may be able to take steps that could reduce the noise. Examples include: Earwax removal.

Urinary incontinence is the unintentional loss of urine. Stress incontinence happens when physical movement or activity — such as coughing, sneezing, running or heavy lifting — puts pressure (stress) on your bladder. Stress incontinence is not related to psychological stress. Stress incontinence differs from urge incontinence, which is the unintentional loss of urine caused by the bladder muscle contracting, usually associated with a sense of urgency. Stress incontinence is much more common in women than men. If you have stress incontinence, you may feel embarrassed, isolate yourself, or limit your work and social life, especially exercise and leisure activities. With treatment, you'll likely be able to manage stress incontinence and improve your overall well-being.

Dizziness is a word that is often used to describe two different feelings. It is important to know exactly what you mean when you say "I feel dizzy," because it can help you and your doctor narrow down the list of possible problems. Lightheadedness is a feeling that you are about to faint or "pass out." Although you may feel dizzy, you do not feel as though you or your surroundings are moving. Lightheadedness often goes away or improves when you lie down. If lightheadedness gets worse, it can lead to a feeling of almost fainting or a fainting spell (syncope). You may sometimes feel nauseated or vomit when you are lightheaded. Vertigo is a feeling that you or your surroundings are moving when there is no actual movement. You may feel as though you are off balance, spinning, whirling, falling, or tilting. When you have severe vertigo, you may feel very nauseated or vomit. You may have trouble walking or standing, and you may lose your balance and fall.

Cathy covers hemodialysis, including nursing care before, during, and after the procedure. Peritoneal dialysis, including nursing associated with the procedure. Key complications of hemodialysis, including disequilibrium syndrome and hypotension. Peritonitis, which is a key complication of peritoneal dialysis. Post-op nursing care and patient teaching associated with a kidney transplant.

Our Medical-Surgical video tutorial series is taught by Cathy Parkes BSN, RN, CWCN, PHN and intended to help RN and PN nursing students study for their nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #KidneyTransplant #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #Renal #Hemodialysis

0:00 What to Expect
0:31 Hemodialysis
2:06 Nursing Care
2:47 Peritoneal Dialysis
3:23 Nursing Care
4:09 Dialysis Complications
4:19 Disequilibrium Syndrome
4:55 Hypotension
5:26 Peritonitis
5:57 Kidney Transplant
6:17 Nursing Care
6:40 Signs and Symptoms
6:51 Patient Teaching
7:17 Quiz Time!
8:27 Bloopers

🚨Head over to our interactive study guide and index ANYTIME and find out exactly which card we’re referencing. https://bit.ly/MedSurgIndex

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Glass ampules are often used to store medication, and as a nurse, you'll need to know how to use them.

In this video, I demonstrate how to clean an ampule using alcohol prep, how to open (or break) an ampule, as well as how to dispose of the ampule.

In addition, I show how to use an ample filter straw while drawing up (withdrawing) medication, how to use the syringe, and how to remove the air bubbles in the syringe.

This is another video in our series on clinical nursing skills.

Notes: https://www.registerednursern.....com/how-to-withdraw-
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NCLEX Reviews: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
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Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf

Labor And Delivery During Vaginal Child Birth

Watch that Full Real Human Body Decomposition Process

Most minor cuts can be treated at home -- but do you know when you should see a doctor?

Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord (central nervous system). In MS, the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body. Eventually, the disease can cause the nerves themselves to deteriorate or become permanently damaged. Signs and symptoms of MS vary widely and depend on the amount of nerve damage and which nerves are affected. Some people with severe MS may lose the ability to walk independently or at all, while others may experience long periods of remission without any new symptoms. There's no cure for multiple sclerosis. However, treatments can help speed recovery from attacks, modify the course of the disease and manage symptoms