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Alteration in Elimination (Urinary Dysfunction (Diagnosis (Urinalysis,…
Alteration in Elimination
Urinary Dysfunction
Diagnosis
Urinalysis
Serum creatine/Blood urea nitrogen
X-ray (KUB)
CT scan/Renal scan
MRI
Altered Perfusion
↓ arterial supply
Renal failure
Chronic
Dialysis treatment
Acute
Polycystic Kidney disease
Symptomatic treatment
Causes
↓ Blood Pressure
blockage
Infection
Altered Nueromuscular Function
Impaired Neural Transmission
Caused
trauma
spinal infection
Stroke
Narcotics Analgesics
Anesthesia
Urinary Retention
Urinary Incontinence
Treatment
Treat underlying cause
Drugs
Altered Patency
Cause
Renal tumor
Treatment
Surgery
Radiation
Drug therapy
Renal calculi
Effects
↓Glumerular Filtration Rate
↓ renal function
Altered Motility
Stasis of Filtration/Urine
↓ pH, ↓flow, ↑ Na Concentration
Effect
Formation of precipitate
Urinary tract infection
Treatment
Antibiotic
↑ fluids
Surgery
Trapped RBC/WBC
Cast
Bowel Dysfunction
Altered Patency
Causes
Inflammation
Fecal Impaction
Tumor
Scar tissue
Treatment
Surgery
Anitbiotic therapy
↑ fluids
Altered Motility
↑ in diarrhea
Irritable Bowel Syndrome
Diet modification
Lifestyle
Drug therapy
↓ in constipation
Diuretic Disease
Treatment
↑ fiber diet
↑ fluid intake
diet modification
Exercise
Altered Neuromuscular Function
↓ or absent peristalsis
Ileus
Treatment
Surgery
Bowl decompression
fecal incontinence
Diagnosis
Stool exam
Abdominal imaging
Colonoscopy