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Classifying Altered Elimination, Urinary dysfunction, Bowel dysfunction -…
Classifying Altered Elimination
Altered neuromuscular function
Caused by
Electrolyte imbalances
Emotional stressors
Abdominal Sx
Reduced activity
Spinal trauma
Manifestations
Stool becomes harder
distention of abdomen
Intestinal smooth muscle contractures
Pain when passing gas
Treatment
Stool softeners/laxatives
Alterations in neuronal signal transduction or muscle responsiveness
Altered neuromuscular function
PNS/CNS neuronal involvement
Altered neurotransmitter production/availability
Exaggerated responses
Incontinence
Impaired peristalsis in renal tubules
Retention
Altered perfusion
Excess constriction of arterioles
Inadequate arterial blood supply
Ischemia
Damage to structures
Infarction
Inadequate vascular volume or cardiac output
Global or local
Treatment
Varies by location, severity and mechanism
Treat symptoms
Antibiotics for infection
Lifestyle modifications
Altered Patency
Caused by
Impacted feces
Polyps
Tumor
Bowel obstruction
Treatment
No food or water
Sx
Enema
Manifestations
increased hydrostatic forces
Bacterial access
Sepsis
Edema
Perforation
Space occupying lesion
Completely
Partially
Altered motility
Obstuction
Statis of filtrate in renal tubules or urine in the bladder
Infection
Low flow rate, increased sodium concentration and low pH
Casts/calculi
Sx if needed
Supportive care
Pain control
RBCs trapped
Glomerulonephritis
Altered motility
Decreased: Prolonged storage time in large intestine
Increased: may impair nutrition and water absorption
Manifestations
Constipation
Diarrhea
Caused by
Bacteria
Lactobacillus acidophilus and Bifidobacterium bifidum or E. coli
Stressors
Certain foods
Treatment
Antibiotics and Imodium
Altered patency
Obstruction
Ischemia/Necrosis
Obstruction of venous supply/circulation
Pressure buildup
Hydroureter
Parial or complete
Pain, abdominal distention
Structural blockage
Polyp
Possible Sx
Tumor
Pharmacologic or Sx treatment
Scar tissue or adhesions
Urinary dysfunction
Bowel dysfunction