Learning from the Kouch: Medical-Surgical Nursing

Learning from the Kouch: Medical-Surgical Nursing

Lecture series discussing topics related to Medical-Surgical Nursing.

Episodes

July 18, 2025 • 24 mins

Summary


In this episode, Mrs. Kouch delves into critical aspects of kidney health, covering glomerulonephritis, renal calculi, continuous bladder irrigation, acute renal failure, and chronic kidney disease. Each topic is explored in depth, highlighting causes, symptoms, treatments, and nursing care considerations. The conversation emphasizes the importance of patient education and understanding the complexities of kidney functio...

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Summary


This conversation delves into urinary health, focusing on urinary incontinence, urinary tract infections (UTIs), and urinary retention, particularly in relation to benign prostatic hyperplasia (BPH). Mrs. Kouch explains the complexities of urinary incontinence, detailing its various types, causes, and treatments. She transitions into discussing UTIs, their causes, symptoms, and management strategies. Finally, the convers...

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July 18, 2025 • 8 mins

Summary


This episode focuses on Polycystic Kidney Disease (PKD), a genetic disorder characterized by the development of fluid-filled cysts in the kidneys. The discussion covers the types of PKD, symptoms, diagnostic methods, management strategies, and potential complications. Emphasis is placed on the importance of blood pressure control, patient education, and monitoring for serious complications such as aneurysms and kidney fa...

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Summary


This episode provides a comprehensive overview of the renal system, focusing on kidney anatomy, function, hormonal regulation, diagnostics, and clinical implications of kidney dysfunction. It emphasizes the kidneys' critical role in fluid balance, blood pressure regulation, and waste excretion, while also discussing important diagnostic tests and patient education for chronic kidney disease.


Chapters


00:00 Intr...

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Summary


In this episode, Mrs. Kouch delves into various gastrointestinal conditions, including appendicitis, peritonitis, viral hepatitis, cirrhosis, cholecystitis, and bariatric surgery. Each condition is explored in detail, covering causes, symptoms, diagnostics, and treatment options, providing a comprehensive overview for medical students and healthcare professionals.


Chapters


00:00 Understanding Appendicitis: Causes a...

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Summary


In this episode, Mrs. Kouch discusses gastrointestinal disorders, focusing on ulcerative colitis and Crohn's disease, their symptoms, complications, diagnosis, and treatment options. She also covers diverticulosis and diverticulitis, as well as intestinal obstruction, providing insights into patient care and education.


Chapters


00:00 Understanding Ulcerative Colitis and Crohn's Disease

04:55 Complications an...

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In this episode, Mrs. Kouch discusses various gastrointestinal disorders, focusing on gastritis, peptic ulcer disease, irritable bowel syndrome (IBS), and abdominal hernias. She explains the causes, symptoms, diagnosis, and treatment options for each condition, emphasizing the importance of patient education and lifestyle modifications in managing these disorders.

Chapters


00:00 Understanding Gastritis: Causes and Symptoms

05:02 P...

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This episode discusses critical medical conditions including dysphagia, aspiration pneumonia, GERD, and hiatal hernias. I explain the complexities of swallowing, the importance of assessment and management by speech language pathologists, and the potential complications that can arise from these conditions. The episode emphasizes the role of nursing care in monitoring and educating patients to prevent serious outcomes.


Takeaways

...

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July 14, 2025 • 12 mins

This episode provides a comprehensive overview of the gastrointestinal (GI) system, covering its anatomy, functions, and clinical significance. The episode discusses the processes of digestion and absorption, the importance of various GI procedures, and the interpretation of lab values related to GI health.


Chapters


00:00 Overview of the GI System

01:53 Digestion and Absorption Processes

03:59 GI Procedures and Their Importance

...

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Summary


This conversation delves into various respiratory conditions, focusing on inflammatory diseases affecting the airway, viral infections like the flu, lower respiratory infections such as pneumonia, tuberculosis, cystic fibrosis, chronic obstructive pulmonary disease (COPD), and asthma. Each condition is explored in terms of its causes, symptoms, treatment options, and the importance of understanding the underlying pathoph...

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Summary


In this episode, we delve into the complexities of lung mechanics, pleural disorders, and their management, including the critical role of chest tubes. The discussion extends to interstitial lung disease (ILD) and pulmonary hypertension, highlighting their causes, symptoms, and treatment options. The episode emphasizes the importance of understanding these conditions for effective patient care in nursing.


Takeaways

The...

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This conversation delves into the complexities of mechanical ventilation, focusing on its role in supporting patients with acute respiratory distress syndrome (ARDS) and acute respiratory failure (ARF). We talk about the mechanics of ventilators, the significance of various settings, and the basic nursing care required for patients on mechanical support. The discussion highlights the differences between ARDS and ARF, their clinical...

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Summary


This conversation delves into the intricacies of the respiratory system, covering its structure, function, and the critical processes of gas exchange. It discusses the importance of diagnostic tools in respiratory care, various methods of oxygen delivery, and the distinctions between hypoxemia and hypoxia. The conversation also highlights the potential dangers of oxygen toxicity and management strategies to mitigate risk...

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June 16, 2025 • 36 mins

In this episode we delve into the concept of acid-base balance, exploring its significance in maintaining homeostasis within the body. The discussion covers the roles of the lungs, kidneys, and blood buffers in regulating pH levels, the analysis of arterial blood gases (ABG), and the various types of acid-base imbalances, including respiratory and metabolic acidosis and alkalosis. The episode emphasizes the importance of understand...

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June 16, 2025 • 34 mins

In this episode, we explore the concept of homeostasis through the lens of fluid and electrolytes in the human body. Each electrolyte is personified as a character, illustrating their unique roles and interactions. The discussion covers potassium, calcium, magnesium, sodium, chloride, and phosphate, emphasizing their importance in maintaining balance and health. The episode also delves into fluid and electrolyte replacement protoco...

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This episode discusses the concept of homeostasis, focusing on fluid distribution in the body, the importance of understanding fluid compartments, and the various types of IV fluids used in patient care. It also highlights the potential complications associated with IV therapy and emphasizes the critical role of healthcare professionals in managing these risks effectively.


Takeaways

Homeostasis is crucial for understanding fluid ...

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This episode discusses lupus and scleroderma, two chronic autoimmune diseases. It covers the mechanisms, symptoms, diagnosis, and treatment options for both conditions, emphasizing the importance of patient education and nursing care.


Takeaways:

Lupus is triggered by genetic and environmental factors.

The immune system produces anti-nuclear antibodies that attack healthy tissues.

Common symptoms of lupus include a butterfly-shaped ...

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June 13, 2025 • 9 mins

Summary


This episode discusses critical oncological emergencies, focusing on their recognition and rapid response. It covers obstructive emergencies like spinal cord compression and superior vena cava syndrome, metabolic emergencies such as hypercalcemia and SIADH, and infiltrative emergencies including cardiac tamponade and carotid artery rupture. The episode emphasizes the importance of nursing assessment, interprofessional co...

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Summary


This conversation delves into two critical health topics: Lyme disease and organ transplantation. It begins with an overview of Lyme disease, its symptoms, stages, and the importance of early diagnosis and treatment. The discussion then transitions to organ transplantation, covering the types of transplants, the process, and the essential nursing care required to prevent rejection and manage patient health post-transplan...

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June 13, 2025 • 9 mins

This conversation provides a comprehensive overview of HIV, its impact on the immune system, the process of diagnosis, complications associated with AIDS, and the importance of treatment and prevention strategies. It emphasizes the critical role of antiretroviral therapy and the need for adherence to treatment, as well as the significance of mental health support for patients living with HIV.


Takeaways

HIV is a virus that attacks...

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