Classifying Altered Elimination

Urinary Dysfunctions

Bowel Dysfunctions

Alteration in urinary patency

Alteration of Urinary Neuromuscular function

Alteration in urinary perfusion

Alteration in Urinary Motility

Causes: Altered reabsorption and secretion
-Risk of obstruction=Increase risk of infection

Inadequate blood supply. in kidney (embolism/ blockage) and poor vascular volume which causes a decrease perfusion

Blockage of structures involved in the passage of urine. Obstructions are characterized by a buildup of pressure behind the blockage

Causes: -Failure or exaggerated neural signal transduction (RNS or CNS)
-Failure of appropriate muscle response

disease: Urolithiasis

disease: Heart Failure

diseases: Polycystic Kidney Disease

diseases: Urinary Incontinence

treatment for disease: More Fluids and calcium blockers, surgery to remove stones and prevention strategies.

treatment for disease: Surgery or medications. (Coronary bypass and Vasodilators and life style modifications

Treatment for disease is modifications in diet (low sodium) and Hemodialysis ( special filters that remove waste), medications to treat secondary diseases such as medication for hypertension

Treatment for disease: bladder training, medication and surgery

Alteration in Bowel Patency

Alteration in bowel neuromuscular

Alteration in Bowel Motility

Alteration in Bowel Perfusion

Causes: Composition of bacteria in the intestines and certain foods

disease: Irritable Bowel Syndrome

Causes: Lesion (tumor, polyps and impacted feces)

Causes: Alteration in neural signal transduction and muscle responsiveness. (impaired loss of propulsive activity) Result from electrolyte in balance is or abdominal surgery.

Causes: Inadequate blood supply. Can be focal or global

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diseases: Appendicitis

diseases: colon cancer

disease: Multiple Sclerosis

Treatment fo disease:High fiber diet, and medication such as Antidiarrhoeal, will help Reduce frequency and urgency of bowel movements.

Treatment fo disease: colectomy (partial removal of cancerous colon) and chemotherapy.

Treatment fo disease: Immunosuppressive drugs and physical therapy.

Treatment fo disease: Surgery (appendectomy), antibiotics and fasting (no solid foods).

What it is: stasis of urine in renal tubules & in bladder

decrease oxygen delivery by the arterial blood supply may result in damage to renal structures because of inability to meet metabolic demands.

Consequences of obstruction are influenced by the degree of the obstruction, duration of the obstruction and if the obstruction is acuity or chronicity of the condition

What it is: Altered water and vitamin absorption