Hepatology: Hepatic Encephalopathy

[@SimpleNursing]

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[@deathsticks1776]

gotta laugh at yourself, as a patient and provider, thank you for bringing a smile to my face this morning

[@SimpleNursing]

Hahahaha! Please do not forget to take the free quiz & see our new videos NOT RELEASED yet :) at simplenursing.com/nursing-school/

[@racheld6391]

Lactulose at the end of the shift is a priceless tip. 😂😂😂 I remember being new giving Lactulose and 💩 ran like the might rivers on a bedbound obese patient. Literal tears came to my eyes after the 2nd cleanup.

[@destinynigerianbby]

LMFAOOOO

[@rexexdesign]

You really got a talent, glad you are sharing it with the world!

[@BrainSurg101]

Thank you very much!!! I really love your videos, they help me prepare for my patient assignment in my acute placement. I've used you for the past 2 weeks, and I just wanna say I appreciate the way you explain things in such an understandable and memorable way.

[@SimpleNursing]

awe thank you so much!! Will you please do me a HUGE favor & copy/paste this on our Wall of Fame?! Your review will help me out BIG time 🙏🏽😊www.trustpilot.com/review/simplenursing.com & dont worry, the link is not harmful lol, youtube is just being precautious

[@linda2468lou]

my friend just had a liver transplant. I watched the first video and will watch the others this week! I thank you for your lectures as I had no knowledge of the functions of the liver. very interesting! thanks again!

[@RachelleJE]

You’re so good at what you do. God bless you!! Currently in med surg 3 my second to last semester. You’ve helped me so much.

[@SimpleNursing]

I'm so glad to be of help - Be sure to check out the other 80% of videos NOT on KZbin - shorturl.at/tlolX

[@bashag5477]

i liked this because of the sheer creativity that went into this!

[@joyajackson5982]

Omg thank you so much! I learned more in 30 min than I have all session lol I hope you continue to share your knowledge with the world!

[@SimpleNursing]

Haha, thank you! I really hope we can help instructors & schools with our resources. We can make nursing school a better experience :) But for now we offer all of our videos & new quiz banks on our site. You can try it for free at Simplenursing.com/membership Thank you for the comment!

[@Jdstreetyo1]

You're best lecture yet man. Really well explained.

[@akinny083]

the first time I watch the video ...the beginning part annoyed me...but now I love it

[@theunknowntraveler2275]

Same here...

[@merwiza]

Me too .. almost had a fight w my bf. I was like so bile transports bilirubin to the spleen and then spleen coverts bilirubin to bile and sends it as bile bk to the liver???? Damn... But i guess i wasn't listening right... Bile transports dead RBC na hemoglobins (to the spleen, these dead rbc are then converted to bilirubin, transported bk to the into the bloodstream.... Okay .. i quit... I'm confused again😊😳😳😳😳

[@Dr.Achuth_india]

Dietary protein restriction is rarely needed and no longer recommend as first-line treatment because it can lead to a worsening nutritional state in malnourished patients.......-Davidson's textbook of medicine

[@AlanJones83]

Really great video, broke it down really nicely and easy to understand. Thanks!!

[@khushi2410]

This was so so much helpful for my next GI accessory exam. Thanks

[@agnescho73]

Mike you are such a wonderful nurse and instructor!!! Thank you always ☺👍👍👍👍

[@SimpleNursing]

Thank you so much!! but lol this video is soooo old! Please see our newest ones on our website, fully remastered! Try it free at Simplenursing.com/membership & dont worry, the link is not harmful lol, youtube is just being precautious

[@stephaniescoma]

this made me come back to life after studying for so long

[@SimpleNursing]

Thanks! Have you gotten your free access to our 1,000 video library, NOT on KZbin? Try it free here Simplenursing.com/membership

[@rn6041]

wow!Just a genius can convert a boring subject to an intersting one!!!You are seriously gifted at this!!I could also buy your songs :-) you are talented!

[@ange8110]

2 hours of studying pathophysiology on my own and I still had no clue BUT within 5 mins I understand and was also able to link intervention to patho. thank you SOOOO much

[@SimpleNursing]

already DONE :) on my VIP Video VAULT @ simpleNursing, com

[@SimpleNursing]

whats out dated? Is it my hair cut? i know :-/ but i just recently got it cut :P lol

[@stethoscopembrn2658]

OMG!!! this is excellent!!! you are a life saver!!! i really appreciate you!!!

[@kileyjoyner7789]

so helpful and funny! i love these old videos.

[@SimpleNursing]

Oh wow, this video is a throwback! Please view our newest ones on our website (bit.ly/3urJSzi) fully remastered and subscribe to our KZbin channel to check out all of our new videos posted weekly!

[@marksolevin7996]

I would also like to see the Hepatitis lecture thanks......YOUR LECTURE ARE AWESOME!!!! wish you were my teacher when they discussed those topics

[@berenicerodriguez2974]

I'm not a visual learner But I must admit he is amazing.

[@SimpleNursing]

Thanks! Have you gotten your free access to our 1,000 video library, NOT on KZbin? Try it free here Simplenursing.com/membership

[@rush2124u2]

I just love the song, I have to tell my GI. I just had a liver transplant on March 24, 2016 and I really know what HE is , not fun Great video, love the lyrics and vocals

[@garretthegun4982]

No neomycin with renal impaired patients. Thanks for the videos!!

[@william81tell]

I wonder about cortrak feeding of something of the simple carb variety to prevent the patient from metabolizing muscle tissue in the absence of other energy sources?

[@frnatb]

Too funny! Yes end of the shift!!🤣

[@SimpleNursing]

Hahahaha! Please do not forget to take the free quiz & see our new videos NOT RELEASED yet :) at simplenursing.com/nursing-school/

[@MsTeryStalker]

I have HE and take Lactulose and Rafaxamin. No neomycin. I think Rafaxamin is also an antibiotic. Nobody told me to cut back on protein either. 🤨? Do you guys know when you're going to have an HE overt episode?

[@pupvdh]

I love you! Looking forward to passing my test. Thanks!

[@sharonjenefer8626]

Thank you for great lecture ☺️

[@SimpleNursing]

You are so very welcome! Be sure to check out the other 80% of videos NOT on KZbin - try it for free here: Simplenursing.com/free-trial

[@عبيرآدم-ز7ف]

Great from Sudan thank you

[@flipburke]

Great intro and very easy to follow style of presenting! Very cool.

[@kiartinitikun]

I love your song, helps me remember well, lol

[@TugayCamlbel]

Thank you so so much! Regards from Turkey

[@priskolfluff]

thanks for the vid, really helped for my upcoming medsurg2 exam!! excited for graduation next year :D

[@basingo2001]

best so far. thanks

[@Deanna-lz3hv]

Your awesome! Thank you!

[@SimpleNursing]

Thanks so much! Be sure to take the free quiz here simplenursing.com/membership

[@heinzkrupps5496]

I was a daily drinker for ten years. I also don't know how long I've had hep c. I was diagnosed this, based off bloodwork, during a hospital visit, for an unrelated injury. They said advanced liver disease. If I had cirrhosis, they would of told me, right? And can I repair my liver?

[@laviniajohannes3093]

You are awesome, thanks for sharing. Stay blessed!!

[@luisadorsey5110]

You are awesome!

[@SimpleNursing]

Thanks so much! Be sure to take the free quiz here Simplenursing.com/nursing-school

[@jhkang9227]

Thanks heaps :) You are reaching pharmacists too

[@MrsMacTickle]

What's the safest pain medication for the liver? Thanks :)

[@yourstruly9777]

Quick question: 1. Once the patient is treated for cirrhosis , does the ammonia that is already produced during the liver dysfunctional period still preside in the body and not excreted out in the form of stool or urine? 2) can 97 umol/L be considered to be high ammonia level for a female patient of 55 years of age? Thanks a lot in advance

[@myadventure4253]

Wthell! Brilliant man 😍

[@SimpleNursing]

thanks!!! :D Also, check out our full course & free quiz at simplenursing.com/nursing-school

[@acmebrainsurgery]

Hahahhaaaaa!🤣😂🤣😂🤣 Who knew cirrhosis could be so funny?

[@btsetiabraham5943]

haa lol yes lactulose at the end of the shift. I love ur teaching!

[@SimpleNursing]

Thanks! Have you gotten your free access to our 1,000 video library, NOT on KZbin? Try it free here Simplenursing.com/membership

[@MyWeaponIsLove]

If you don't mind me asking, what's outdated? This is a pretty similar to what I learned in lecture the last 5 weeks, so I'm curious.

[@lisanath2819]

Do you work in ICU? You are brilliant!

[@seand3980]

You should update this video pertaining to protein intake...

[@ayeshaiqbal242]

Does anyone know where the bit on hepatitis is?

[@eugkra33]

I think I'm recovering from a medium amount of HE, but it's been over a year since I had it pretty bad. I've changed my diet, and done a lot of other things to get rid of 80% of it. I never got tested specifically for this, though. Would just a regular test detect it? Especially now that I'm a lot better? Is there even a point to going to the doctor?

[@sandhus8454]

eugkra33 can u help me plz my mother is suffering from HE..

[@eugkra33]

@@sandhus8454 I don't know much more than the average Joe. Google for solutions.

[@mamaandava9980]

Cool song! Love it!!!

[@bianca.a01]

Pov: it’s christmas and you still have finals

[@av8480]

How can be see normal symptoms of hepatic encephalopathy in patient ?

[@brox32]

i love this,,,omg...oh btw wanna know what happens to the human liver and kidneys when you take accutane for 10 years cycling off twice....and creatine for twenty year...cycling off 5 times for no more than two weeks a time? come on down,*Decard cain voice* stay a while and listen.

[@shahadbakoos3034]

Thank you

[@supergrover808]

At the end of Part 3, you stated the next segment was going to be hepatitis....am I missing something here or is my brian just fried/stressed?

[@gabibotello4795]

THIS IS GREAT 🤣🤣🤣🤣😭

[@francesdumb1662]

how does alkalosis exacerbate hepatic encephalopathy ??

[@flipburke]

I posted a comment that I barely remember making. The comment was unfair so I removed it. I suffer from minimal HE and this was outside the scope of this video, but it is an important topic since it seriously affects quality of life. For instance, we may make unfair comments on youtube videos and start unnecessary controversy :)

[@MariaElena-np7qi]

thnk u very understandable.

[@theresageiger584]

How does one get better

[@shilparajan6731]

superb.......

[@beatami7183]

Your amazing

[@SimpleNursing]

Thanks! Have you gotten your free access to our 1,000 video library, NOT on KZbin? Try it free here Simplenursing.com/membership

[@karolinarodriguez5188]

very helpful

[@simpleleaf1]

Awesome Video ! :D Thank you Sir :D

[@funktasticstracks]

I suffer with " he " had varciecies bleeds, had shunts and coils fitted. I'm yet to have fluid problems. this disease is Shit and causes so much problems yet all you ever here about is cancer. I don't get the protein aspect, you loose alot of weight with this disease and are advised to eat alot of protein to maintain muscles mass. I'm confused

[@Yavi609]

U ok?

[@funktasticstracks]

@@Yavi609 yes thank you

[@Yavi609]

Bilirubin is 7plus sgot 150 mg

[@biniraja5653]

R you ok ? My mothers suffers the same damn HE

[@nikkirosety]

You're the bomb.

[@retroaries12]

supergrover808 is right i purchased vip but i don't see hepatitis

[@farnooshmomeni8349]

great

[@flipburke]

Two minor issues: 1) protein restriction is only recommended now for acute HE or intractable HE; restriction used to be routine but hepatologists now are more concerned about malnutrition so many times they are encouraging moderately high protein diets. However, restriction is appropriate for acute cases. 2) Lactulose doesn't exactly draw ammonia from the blood. Rather, it binds to it in the gut and prevents it from entering the bloodstream, and it speeds transit time, reducing absorption.

[@fepamelabagabaldo1587]

Thanks dude! :D

[@FromQnz2King]

Mike put up some pancreatitis vids. Thanks.

[@soosterling]

Lol loved the intro....

[@jeffreyb2135]

82% guaranteed? Yikes😫 My school drops us if we don't get 90% on a test. .

[@kevinhenson841]

If you're deaf, this video would be the most confusing thing in the world. The CC's on this video is hilarious.

[@koreanaddictish]

hahahha! oh yeaah we do that.. give lactulose near end of shift hahaha

[@bellinghammond]

ok, I laughed.....

[@msmama2005]

Too funny give lactulose at the end of the shift lmbo got it! just kidding!

[@duai7090]

On behalf of everyone we want the lyrics 😂😂😂

[@Stefanna88]

❤😂

[@keltinquesnel1055]

Lactulose ... not lactalose .

[@AnnGeorgeStudios]

This illness is not at all funny. I have no idea what you are trying to do....... but ..... NO.

[@mahshidghorbani2751]

😂😂😂

[@charrelson614]

Awful

[@rhondanelson2669]

Your presentation was ridiculous. How unprofessional.

[@kween410]

😂😂😂