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Altered Elimination - Coggle Diagram
Altered Elimination
Urinary dysfunction
Alterations in
Neuromuscular function
Results in
Incontinence
Urinary retention
Impairment of
Peripheral nervous system
Central nervous system
Coordination of neural impulses
Causes
Spinal cord injury
Traumatic brain injury
Treatment
Depends on cause of decreased function
Reducing urinary retention
Perfusion
Inadequate arterial blood supply leading to
Ischemia
Infarction
Causes
Hemorrhage
Infection
Decreased perfusion due to
Obstructed arterial supply patency
Excessive arteriole constriction
Inadequate vascular volume
Treatment
Aimed at restoring perfusion
Control of cause
Decreased motility
Stasis of
Urine in bladder
Promotion of bacteria growth
Filtrate in renal tubules
Formation of casts due to
Low flow rate
Low pH
Increased sodium concentration
All factors favoring precipitation
Blockage of renal structures
Acute tubular necrosis
Treatment
Depends on cause
Urinary catheterization
Antispasmodics
Causes
Kidney failure
Infection
Patency
Results in obstruction
Consequences depend on
Whether acute or chronic
Duration of obstruction
Degree of obstruction
Causes
Blockage of urethra
Kidney stones
Buildup of pressure
Impaired function
Structural damage
Dilation of structures proximal of obstruction
Hydroureter
Decrease in GFR
Impaired electrolyte excretion
Impaired perfusion
Ischemia
Treatment
Restoring perfusion
Removal of obstruction
Bowel dysfunction
Alterations in
Neuromuscular function
Causes
Spinal cord injury
Traumatic brain injury
Abdominal surgery
Alteration in
Neural signal transduction
Muscle responsiveness
Treatment
Restoring function
Physical excercise
Emotional well being
Patency
Causes
Impacted stool
Abdominal surgery
Tumors
Manifestations
Pain
Abdominal distention
Consequences
Decreased venous return
Edema in intestinal wall
Fluid and gas accumulation
Fluid forced from bowel into peritoneum
Bacteria into circulation
Sepsis development
Perforation
Treatment
Removal of lesion
Restoring patency
Short-term NGT placement for decompression
Motility
Decreased motility
Prolonged intestine storage time
Return of waste products to circulation
Increased motility
Impairs nutrition
Decreased water and nutrient absorption
Causes
Illness
Medications
Stool softeners
Laxatives
Treatment
Increased motility
Bulk forming foods
Imodium
Decreased motility
Stool softeners
Laxatives