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ALTERED ELIMANTION - Coggle Diagram
ALTERED ELIMANTION
URINARY DYSFUNCTION
ALTERATIONS OF MOTILITY
Promotes stasis of filtrate in the renal tubules and bladder.
Cast formation from low flow rate, increased sodium concentration, low pH.
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Pyelonephritis can be caused by bacterial growth due to the stasis of urine and is indicated through increased WBC.
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Controlling fluid balance through administration of fluids or the use of diuretics.
Antibiotics to treat infection due to possible bacterial growth.
ALTERATIONS OF NUEROMUSCULAR FUNCTION
This can result in urinary retention or incontinence. This involves the neurons of the peripheral and central nervous systems, neurotransmitter production, and neural impulses from initiation to action. Failure to provide a stimulus for a response will result in a limited or absent ability to urinate.
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Emptying the bladder at normal times with a catheter, or placing an artificial cuff.
ALTERATIONS IN URINARY PERFUSION
Inadequate arterial blood supply results in ischemia and infarction. Decreased oxygen can result in damage to renal structures. Enhanced perfusion can also occur and overwhelm the renal system.
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Decreased oxygen delivery to tissues due to excessive constriction of arterioles, inadequate vascular volume, obstructed potency of arterial blood supply.
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Tubular necrosis caused by reduced renal perfusion that leads to pain, bleeding, and branch obstruction.
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Medication to decrease fluid and waste buildup in the kidneys. Restrict sodium and potassium intake.
ALTERATIONS IN URINARY PATENCY
Consequences of the obstruction are influenced by the degree of obstruction, duration, and acuity or chronicity. The obstruction is characterized by a buildup of pressure behind the blockage that can result in structural damage and impaired function.
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Obstruction from a blockage in the passage of urine. Can be from precipitation of substances in smaller lumen structures, blockage from endo/exogenous sources such as polyps or tumors.
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BOWEL DYSFUNCTION
ALTERATION IN BOWEL MOTILITY
Increased motility can impair nutrition, prevent nutrient and water absorption, and enhance water loss and electrolytes. Decreased motility prolong storage time and promotes fluid loss from fecal matter and return of waste to circulation.
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Alterations in the bacterial flora such as too much or too little of Lactobacillus acidophilus or Escherichia coli. Certain foods can cause this.
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ALTERATION IN BOWEL NEUROMUSCULAR FUNCTION
Any alteration in neural signal transduction or muscle responsiveness that results in altered bowel function.
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Loss of propulsive function may result from abdominal surgery, electrolyte imbalances, peritonitis, or spinal trauma.
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ALTERATION IN BOWEL PATENCY
Bowel obstruction due to lesion that blocks the intestinal lumen either partially or totally.
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Tumors, polyps, and impacted feces associated with gas and fluid accumulation and bowel obstruction.
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Liquid diets, NG tube, and lapscopic surgery to remove blockage.