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Urinary Dysfunction - Coggle Diagram
Urinary Dysfunction
Patency
renal obstruction
scar tissue/adhesions
polyps, tumors
precepitation substances in smaller lumen
Hydroureter
stasis
dilation distal to obstruction
decrease in GFR
impaired perfusion x 24 hrs
tubular atrophy
ischemia
urolithiasis
oxalate/phosphate stones
hypercalciuria/hypercalcemia
increased oxalate
low fluids
tx
analgesia, surgery
spontaneous passing
Neuromuscular Function
urinary retention/incontinence
neurotransmitter production
coordination neural impulses/muscle function
poor neuronal control CNS
inability to eliminate urine, premature release
toileting dependence
urinary incontinence
MS
weak pelvic floor
Parkinsons
types
overflow
functional
urge (OB)
stress
tx
MMK surgery
bladder training (Kegels)
Perfusion
damage to renal structures decreased cardiac output
inadequate vascular volume
obstruction (ie. embolism)
ecessive arteriole constriction
hypotension
necrosis
pain, bleeding
enhanced perfusion
stress individual organ system
conditions
hypovolemia
severe dehydration
IVF resuscitation
Motility
stasis of filtrate (renal tubules), stasis of urine (bladder)
casts
low pH
increased Na
low flow rate
acute tubular necrosis epithelial cells
Inflammatory results
glomerulonephritis
renal obstruction
pyelonephritis (WBCs)
tx
abx
diuretics