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