Please enable JavaScript.
Coggle requires JavaScript to display documents.
Altered Elimination - Coggle Diagram
Altered Elimination
Urinary
Patency
blockage in urine passageway
consequences are influenced by
duration of obstruction
acuity or chronicity of condition
degree of obstruction
stasis of urine
causes
pain
pressure
oliguria
laboratory findings
bacteruria
hematuria
can lead to
hydronephrosis
infection
renal failure
Urolithiasis
stone obstruction in renal system
treatment
antispasmodic agents
increase fluid intake
calcium channel blockers
Motility
promotes
stasis of urine
promotes growth of bacteria
leads to kidney infection
stasis of filtrate
formation of casts due to
low pH
increased sodium conc.
low flow rate
specific cells trapped provide info on site of pathology
RBCs
glomerulonephritis
epithelial cells
acute tubular necrosis
WBCs
pyelonephritis
infection of kidney
treatment
increase fluid intake
antibiotics
Perfusion
increased perfusion
increased workload and stress on organ
decreased perfusion
due to
inadequate vascular volume
obstructed arterial supply
excessive constriction of arterioles
PKD
results in pressure on renal blood vessels and obstructs perfusion
treatment
lifestyle modifications
pharmacologic management
ARB
ACE-I
end-stage
dialysis
kidney transplant
neuromuscular function
impaired neural control
may result in
urinary retention
urinary incontinence
treatment
bladder training
anticholinergic agents
surgery
may involve both
PNS
CNS
Bowel
Patency
bowel obstruction
due to space occupying lesion which blocks intestinal lumen
polyps
impacted feces
treatment
suppository
enema
rarely surgery
tumors
development of edema and reduced absorptive capacity
promotes fluid and gas accumulation
can result in
perforation
could lead to peritonitis
1 more item...
sepsis
Motility
decreased motility
prolongs storage time in large intestine
promotes return of waste products to circulation
enhances loss of fluid from fecal matter
inhibits motility
Escherichia coli
constipation
treatment
stool softeners
increase fiber intake
osmotic agents
increased motility
prevents adequate water and nutrient absorption
enhances loss of water and electrolytes
impairs nutrition
promotes motility
Lactobacillus acidophilus
Bifidobacterium bifidum
functional fecal incontinence
voluntary or involuntary passage of stool
treatment
address toilet-refusal behavior
scheduled toilet time
promote positive toilet experiences
neuromuscular function
altered bowel function due to
reduced activity
emotional stress
electrolyte imbalance
Irritable Bowel Syndrome
affects large intestine
causes
abdominal pain
bloating
gas
diarrhea
constipation
treatment
exercise
manage stress
avoid trigger foods
medications
fiber supplements
anticholinergics
antidiarrheal