Pancreas

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Included In This Lesson

Study Tools For Pancreas

Anatomy of Pancreas in Upper GI Tract (Image)
Diabetes Pathochart (Cheatsheet)
HHNS Pathochart (Cheatsheet)
DKA Pathochart (Cheatsheet)
GI Tract (Image)
Pancreas Gross Anatomy (Image)
Pancreas (Picmonic)
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Outline

Overview

  1. Pancreas
    1. Endocrine AND Exocrine functions
  2. Location
    1. Retroperitoneal
    2. Inferior and posterior to stomach

Nursing Points

General

  1. Exocrine function
    1. Secretes digestive enzymes into duodenum
  2. Endocrine function
    1. Islets of langerhans – small endocrine cell clusters
      1. Secretions
        1. Insulin (beta cells)
          1. Eat → increased glucose, increased amino acids
          2. Stimulates
            1. Uptake of glucose and amino acids into cells
            2. Storage of glycogen and fat
          3. Promotes cell growth and differentiation
          4. Antagonizes glucagon
          5. Kidneys, brain, liver, RBC’s do NOT depend on insulin for cellular function/metabolism
        2. Glucagon (alpha cells)
          1. Between meals, glucose decreases
          2. Stimulates
            1. In liver
              1. Gluconeogenesis
              2. Glycogenolysis
              3. Release of glucose into circulation
            2. In adipose tissue
              1. Fat breakdown
              2. Release of fatty acids
          3. Responds to an increase in amino acids after a high protein meal
            1. Provides raw materials for gluconeogenesis
        3. Somatostatin (delta cells)
          1. Eat → increased glucose, increased amino acids
          2. Inhibits secretion of insulin and glucagon from alpha and beta cells
          3. Helps provide balance
    2. Hyperglycemic hormones – raise glucose levels
      1. Glucagon, growth hormone, epinephrine, Norepinephrine, cortisol, glucocorticoids
    3. Hypoglycemic hormone – lower glucose levels
      1. Insulin

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Transcript

In this lesson we’re going to take a look at the pancreas as it relates to the endocrine system.
In the pancreas, it’s a really important organ because it does both endocrine functions and exocrine functions. But that means is that it contributes to the endocrine system, but it also has exocrine capabilities of secreting digestive enzymes to help break down food. These are going to be like ASAP ambulance. I encourage you to check out the digestive lessons for more information. But in this lesson we’re going to focus on the endocrine functions of the pancreas.

The pancreas is located in the retroperitoneal portion so that means it’s in part of the abdomen but it sits just below and in front of the stomach. So now let’s take a look at what the pancreas actually does.

The pancreas has different types of cells and it’s really important to both the endocrine system and the digestive system. In the pancreas there is these things called pancreatic acini which are responsible for the exocrine portion of the pancreas. The cells that secrete amylase and lipase. But the cells that we’re concerned with right now are the pancreatic islets. They’re also known as the islets of langerhans.

The islets have multiple cells, but we’re going to focus on are the alpha, beta, and felt the cells. First up is the beta cells in the reason is because it secretes insulin which is the most well-known factor of the pancreas. When we eat, we ingest carbohydrates and proteins. These carbohydrates are broken down into glucose and proteins are broken down into amino acids. So when we eat the insulin is secreted and it helps to drive those glucose in those amino acids into the cells. Anything that’s left over is converted to storage byways of glycogen and fat. These glucose cells help to promote cell growth. The other thing about insulin that is that it antagonizes glucagon, meaning it turns it off and it doesn’t work. So glucagon will not work in the presence of insulin. There are some organs in our body that do not rely on insulin for cellular metabolism. And this is the kidneys, brain, liver, and the red blood cells.

In the islets of langerhans, there is a hormone called glucagon. And glucagon does with the opposite of insulin does. So after we eat, there’s a time when we’re not ingesting food, which means that our blood sugar might drop. And what happens is glucagon is stimulated from several different processes. By doing this it increases our blood sugar to keep us running.

In the liver glucose is released by the process of gluconeogenesis, which is the conversion of glucose from fats and proteins, and then glycogenolysis, which is the conversion of glycogen which is stored in the liver, to glucose. Once this is done it releases the glucose into the bloodstream raising the blood sugar. The other thing that happens for the glucagon is that fat breaks down into fatty acids in adipose tissue. This allows these fatty acids to be utilized for energy. After high protein meals, there’s not a lot of carbs for the body to convert into glucose, so glucagon provides these raw materials for gluconeogenesis or that formation of those glucose from the fence or proteins.

Now they’re going to probably seem like the struggle between insulin and glucagon. That’s where somatostatin comes in, which are the Delta cells. These are also produced in the islet cells. During food intake, there’s going to be that increasing glucose from the carbs and the increase in amino acids for the proteins, and what happens is somatostatin comes in to help regulate and provide balance. It’s going to help to inhibit secretion of insulin or glucagon depending on what the body’s particular needs are at that point.
Hormones are really important and glucose control. Our bodies have to respond in a particular way as a response to these levels of glucose. So when somebody has low glucose, the body responds by releasing hormones are going to raise the glucose or at least dangerous levels of Lucas. Are hormones like glucagon, growth hormone, epinephrine, norepinephrine, and glucocorticoids.

In direct opposition to there’s a response from the body to high level of blood glucose. The aim here is to lower those glucose levels in this is done with insulin. However not everybody has the capability especially with patients with diabetes both type 1 and type 2. I encourage you to check up a lesson on that to better understand. But just understand that the body releases hormones as a response to those levels of glucose period.
Okay so let’s recap.

The pancreas has two different functions both endocrine and exocrine.

In the pancreas there are areas of concentrated cells called the islets of langerhans. This is where the alpha, beta, and Delta cells are.

Insulin and glucose into cells and it helps to regulate high levels of blood glucose. These originate from the beta cells.

Glucagon on the other hand helps to generate glucose availability with help from the liver and glucagon originates from the alpha cells.

Somatostatin on the other hand is going to keep that balance between glucagon and insulin and those are found in the Delta cells.

And that’s all I said on the pancreas. Make sure you check out all the resources attached to this lesson. Now, go out and be your best self today, and as always happy nursing!

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Med surg 2 (Endocrine, Gastro, Neuro and musculoskeletal)

Concepts Covered:

  • Disorders of the Posterior Pituitary Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Disorders of Pancreas
  • Prenatal Concepts
  • Tissues and Glands
  • Pregnancy Risks
  • Health & Stress
  • Emergency Care of the Cardiac Patient
  • Vascular Disorders
  • Terminology
  • Studying
  • Female Reproductive Disorders
  • Disorders of the Adrenal Gland
  • Endocrine System
  • Oncology Disorders
  • Eating Disorders
  • Substance Abuse Disorders
  • Shock
  • Respiratory Disorders
  • Male Reproductive Disorders
  • Gastrointestinal Disorders
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Digestive System
  • Newborn Complications
  • Neurologic and Cognitive Disorders
  • Emergency Care of the Trauma Patient
  • Disorders of Thermoregulation
  • Hematologic Disorders
  • Lower GI Disorders
  • Immunological Disorders
  • Anxiety Disorders
  • Endocrine and Metabolic Disorders
  • Urinary Disorders
  • Cardiac Disorders
  • Central Nervous System Disorders – Brain
  • Nervous System
  • Intraoperative Nursing
  • Medication Administration
  • Urinary System
  • Musculoskeletal Trauma
  • Cognitive Disorders
  • Acute & Chronic Renal Disorders
  • Noninfectious Respiratory Disorder
  • Somatoform Disorders
  • Microbiology
  • Adult
  • Multisystem
  • Neurological
  • Emergency Care of the Neurological Patient
  • Peripheral Nervous System Disorders
  • Neurological Trauma
  • Central Nervous System Disorders – Spinal Cord
  • Neurological Emergencies
  • Musculoskeletal Disorders
  • Preoperative Nursing
  • Skeletal System
  • Musculoskeletal Disorders
  • Communication
  • Learning Pharmacology

Study Plan Lessons

03.05 Endocrine Practice Questions for CCRN Review
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Glands
Glucose Tolerance Test (GTT) Lab Values
Health & Stress
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Metabolic & Endocrine Module Intro
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Mnemonic for Organ Systems (MR DICE RUNS)
Nursing Care and Pathophysiology for Menopause
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Osteoporosis
Nutritional Requirements
Pancreas
Pharmacology Terminology
Pituitary Adenoma
Potassium-K (Hyperkalemia, Hypokalemia)
Thyroid Cancer
Urinalysis (UA)
Anti-Infective – Carbapenems
Anti-Infective – Macrolides
Anti-Infective – Sulfonamides
Appendicitis
Bariatric Surgeries
Celiac Disease
Cirrhosis for Certified Emergency Nursing (CEN)
Colonoscopy
Colorectal Cancer (colon rectal cancer)
Constipation and Encopresis (Incontinence)
Cystic Fibrosis (CF)
Digestion & Absorption
Digestive Terminology
Discomforts of Pregnancy
Endoscopy & EGD
Erythroblastosis Fetalis
Famotidine (Pepcid) Nursing Considerations
Gastritis
Gastrointestinal (GI) Bleed Concept Map
Gastrointestinal (GI) Course Introduction
Gastrointestinal Trauma for Certified Emergency Nursing (CEN)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hyperbilirubinemia (Jaundice)
Imperforate Anus
Intussusception
Iron (Fe) Lab Values
Liver Function Tests
Lower Gastrointestinal (GI) Module Intro
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Scleroderma
Nursing Case Study for Colon Cancer
Nutrition (Diet) in Disease
Omphalocele
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pharmacology Terminology
Physiological Changes
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Total Bilirubin (T. Billi) Lab Values
Umbilical Hernia
Upper Gastrointestinal (GI) Module Intro
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Hyperparathyroidism
Nutrition Assessments
Alcohol Withdrawal (Addiction)
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Ammonia (NH3) Lab Values
Autonomic Nervous System (ANS)
Barbiturates
Bowel Perforation for Certified Emergency Nursing (CEN)
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Chemotherapy Patients
Complications of Immobility
Day in the Life of a Med-surg Nurse
Dementia Nursing Mnemonic (DEMENTIA)
Fibromyalgia
Head to Toe Nursing Assessment (Physical Exam)
Meds for Alzheimers
Nuclear Medicine
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for Distributive Shock
Nutrition Assessments
Pituitary Gland
Stomach Cancer (Gastric Cancer)
Vomiting
Adrenal Gland
Advanced Cardiovascular Life Support (ACLS)
Anti-Infective – Antifungals
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.10 Neurologic Review questions for CCRN Review
Acute Confusion
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)
Blood Brain Barrier (BBB)
Brain Tumors
Brain Tumors
Cerebral Metabolism
Cerebral Palsy (CP)
Cerebral Perfusion Pressure Case Study (60 min)
Electroencephalography (EEG)
Encephalopathies
Encephalopathy Case Study (45 min)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Hydrocephalus
Increased Intracranial Pressure
Impulse Transmission
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Intracranial Hemorrhage
Intracranial Pressure ICP
Levels of Consciousness (LOC)
Mannitol (Osmitrol) Nursing Considerations
Meningitis
Membrane Potentials
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Migraines
Nerve Transmission
Nervous System Anatomy
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Terminology
Neuro Trauma Module Intro
Neurogenic Shock for Certified Emergency Nursing (CEN)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Neurological Fractures
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Case Study for Head Injury
Parasympatholytics (Anticholinergics) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Seizure Causes (Epilepsy, Generalized)
Seizure Disorder for Progressive Care Certified Nurse (PCCN)
Seizure Disorders for Certified Emergency Nursing (CEN)
Seizure Management in the ER
Seizures Case Study (45 min)
Spina Bifida – Neural Tube Defect (NTD)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Stroke (CVA) Management in the ER
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke for Certified Emergency Nursing (CEN)
Stroke for Progressive Care Certified Nurse (PCCN)
Stroke Nursing Care (CVA)
Casting & Splinting
Complications of Immobility
Head to Toe Nursing Assessment (Physical Exam)
Health & Stress
Intro to Health Assessment
Introduction to Health Assessment
Joints
Marfan Syndrome
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Musculoskeletal Terminology
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Scleroderma
Nutrition Assessments
Osteosarcoma
Physiological Changes
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Report For Transferring To a Higher Level of Care
The SOCK Method – O