Esophageal Varices Animation Nursing Overview
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Esophageal Varices Animation Nursing Overview

Okay, so, esophageal varices are a problem
that originates in the liver. What happens when cirrhosis progresses is
that, as it progresses, the liver develops scar tissue. As that scar tissue continues to progress
across the liver, it begins to limit blood flow. Okay, and we know, we have a couple of really
major veins within our liver. We have our cortal hepatic vein, and what
happens is, is that, as the blood flow becomes obstructed through there, the liver starts
looking for other places to send all that blood flow. Okay, so, as that blood flow starts to shunt
to other locations, it begins to move to places like the esophagus, and right around the stomach. So, right next to the liver, we have these
veins along the stomach and within the esophagus as well. Okay. So, the blood begins to shunt and it shunts
to the esophagus and it shunts to kind of the stomach as well. So, lower part of the esophagus and the stomach,
these little veins along there become very dilated, okay? These are not huge veins, these are not big
veins, they re much smaller veins, but what happens is, is that, all that pressure from
that liver blood flow begins to force in these areas to the esophagus, as those veins become
very very dilated. Okay, so, here s our esophagus, so those veins
along there become very dilated as the liver blood begins to push into there. So, that dilation of those veins along the
esophagus is known as esophageal varices. Now, the risk with this, is like I said, these
are very weak veins, so they can rupture. Okay. So, as that pressure builds within them, it
builds and builds and builds, it dilates and finally it will just rupture. Now, thats a huge concern because like I said, there s so much blood flowing through there. So,
as that liver blood continues to come in to the liver and then shunts away into the esophagus,
if those rupture, you have a tremendous of blood that begins to spill out. Okay, so your
patient can lose a ton of blood. One of the ways they can lose blood is from these esophageal
varices rupturing and then they start to spill out blood. Just huge and huge copious amount
of blood. Okay, so, what we can do for these patients is we can do, we can insert what
s called the Blakemore tube. Okay. And this two goes in through the mouth, down the esophagus,
and then into the upper portion of the stomach. Okay, and on this tube, there s a balloon
at the end of it, there s a balloon that you can inflate and the balloon will press against
the wall of the esophagus and then the upper portion of the stomach and it will push pressure
against these varices, okay? So, as it pushes that pressure against there, against those
walls, it prevents these veins from rupturing. Okay, so, we insert the tube, almost just
like you re doing an NG tube or an OG tube or something like that. So, you just kinda
insert it like you re doing an OG tube and then there s little ports where you can fill
with air and it fills that with air compressing against the walls of the esophagus and the
stomach. And that s going to prevent the rupture of those veins. Okay, so, that s really kinda
what we do for these patients. And again, the whole goal with this is to prevent that
rupture, prevent that tremendous amount of blood lost. Okay, so that s really basic overview
of esophageal varices and what we kinda do with a Blakemore tube, it s called like a
balloon tampon out here that we do to prevent the rupturing of those esophageal varices.

About Bill McCormick

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9 thoughts on “Esophageal Varices Animation Nursing Overview

  1. My injuries cause this to happen to me. accident.

    I had surgery done with a scope inserted front mouth their is little tools to operate and place a sew the band in place to sreageth open narrow path for swollen.

    I had it done at St Mary s Hospital in La vonia of Michigan.

  2. This happened to me in 2008. I lost a lot of blood and had to have a blood transfusion. All I recall is I felt horrible, I instinctively knew something wasn't right and I was freezing cold and couldn't stand up. It's a good thing a friend was home to take me to the hospital, because calling 911 for some strange reason didn't occur to me. I almost died, and my blood pressure kept dropping while I was laying there with tubes up my nose and down my throat. As I kept blacking out, I remember the one doctor saying, " he's not going to make it." Well, I made it, and have been sober since June of 2015.

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