Chronic kidney disease affects millions of Americans. Watch Mayo Clinic kidney specialist Dr. Robert Albright discuss effective strategies to prevent and treat chronic kidney disease in this video.

For more information, visit our page here: http://www.mayoclinic.com/health/kidney-failure/DS00682/?mc_id=youtube

Your kidneys play a vital role in your overall health. But did you know most people with kidney disease don’t know their kidneys are struggling? Getting tested is the best way to know how your kidneys are doing and what steps you could take to help protect your kidney health. Watch this video to learn about risk factors for kidney disease, how to get tested, and how you can level up by following your kidney health.

Visit the NIDDK website for more information about kidney health: https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd

Transcript:

You may not think about your kidneys, but they play a vital role in your overall health by removing wastes and extra fluids from your blood.

Following your kidney health allows you time to make informed decisions about your care and reduces your chances of serious health problems.

More than one in seven U.S. adults are estimated to have chronic kidney disease…

…yet because early kidney disease usually has no symptoms…

…many people don’t know they have kidney disease or that they are at risk.

Getting tested is the best way to know how your kidneys are doing.

If you are over 60, have diabetes, high blood pressure, heart disease, or a family history of kidney failure, ask your doctor about getting tested for kidney disease.

While you may be afraid to learn if your kidneys are struggling, being informed about your kidney health means you can take steps to protect them.

Urine and blood tests can tell you if you have kidney disease, and regular check-ups can tell if it is getting worse.

Your doctor can use your tests to develop a personalized care plan that can be updated as needed.

By making healthy lifestyle changes, and managing existing illnesses, you may be able to slow the progression of kidney disease.

Don’t wait until you feel sick. Talk to your doctor about getting tested—and keep following your kidney health.

Visit niddk.nih.gov to learn more.

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Pancreatic enzyme therapy is explained by expert Anna Evans Phillips, MD, of the University of Pittsburgh. Do you have difficulty digesting food due to chronic pancreatitis? Have you been diagnosed with exocrine pancreatic insufficiency? You may need one or all of the main enzymes produced by a healthy pancreas. Dr. Phillips talks about what your doctor may prescribe, how these enzymes work, and when to take them so they are most effective.
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Pancreatitis: acute pancreatitis and chronic pancreatitis nursing NCLEX review lecture on symptoms, treatment, pathophysiology, diet, and nursing interventions. Pancreatitis is inflammation of the pancreas that can lead to the digestion of the pancreas by its own enzymes and/or irreversible structural damage to the organ.

There are two types of pancreatitis: acute pancreatitis and chronic pancreatitis. In acute pancreatitis, there is sudden inflammation of the pancreas due to something that has triggered the digestive enzymes to become activated inside the organ (high amylase and lipase levels will be found in the blood) and the pancreas starts to digest itself and swell. Two common causes of acute pancreatitis include: gallstones obstruction and heavy consumption of alcohol. Typically, acute pancreatitis is reversible if the patient is treated promptly.

Chronic pancreatitis is chronic inflammation of the pancreas (can be caused by repeated episodes of acute pancreatitis but most common cause is years of alcohol abuse) that has led to irreversible damage to the structure of pancreas. There will be loss of the function of the endocrine and exocrine cells (acinar and islet of langerhans cells), damaged to the pancreatic duct etc.

Symptoms of pancreatitis include: sudden, very painful mid-epigastric or left upper quadrant which can be felt in the back as well, fever, increased heart rate, decreased blood pressure, Cullen’s sign, Grey-Turner’s sign, hyperglycemia, dark-urine, jaundice, steatorrhea (oily/fatty stools).

What is Cullen and Grey-Turner’s Sign? Cullen’s Sign is a bluish discoloration around the belly button, whereas Grey-Turner’s Sign is bluish discoloration found on the flanks of the abdomen. They are due to retroperitoneal bleeding. Watch the video for an easy way to remember how to tell them apart.

Nursing interventions for pancreatitis include: maintain NPO status, inserting/monitor NG tube, controlling pain, administering pancreatic enzymes and stomach acid reducers per MD order, assessing urine, hydration status, diet education etc.

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