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Altered Elimination - Coggle Diagram
Altered Elimination
Urinary Dysfunction
Neruomuscular Function
Urinary retention or incontinence
hormonal disorders
autoimmune disorders
inherited disorders
Treatment
bladder training
intravaginal support devices and pelvic muscle strengthening
Myasthenia Gravis
external anal sphincter and puborectalis function is affected
Patency
Obstruction may occur if structures involved in urine passage are blocked
urine percipitation
endogenus or exogenous sources
polyps or tumor
scar tissue
inflammation
Treatment
antispasmodic agents (calcium channel blockers, alpha blockers)
fluids (water)
Urolithiasis- kidney stones
Alterations of Motility
Promote stasis of urine in the bladder and in the renal tubule
Kidney Infections
growth of bacteria
Treatment
antibiotic therapy
increased water intake
Casts may form
increased soidum concetration
low pH
low flow rate
Precipitation of urinary fluid
blockage of renal structures
Perfusion
Inadequate arterial blood supply results in ischemia and infarction
Decreased Oxygen
damage to renal structures
Decreased Perfusion (embolism)
constricion of arterioles
inadequate vascular volume
obstructed patency of arterial supply
Loss of functional tissue (necrosis)
pain
bleeding
obstruction of the branches of the venous system
Treatment
healthy weight
kidney transplant
physical activity
healthy diet
cardiac failure
hemorrhage
severe dehydration
hypovolemia
Bowel Dysfunction
Neuromuscular Function
Alterations in neural signal transduction or muscle responsiveness may alter bowel function
contractile function
electrolyte imbalance
peritonitis
spinal trauma
reduced activity
loss of immobility
gas build up
Treatment
medication
heat
whir pool therapy
Lou Gering's Disease
Patency
space occupying lesions blocks the intestinal lumen causing bowel obstruction
polyps
impacted feces
tumors
Crohn's Disease
Treatment
medicine
Bowel rest
Bowel resection
Motility
Evacuation rate of fecal matter
Functional Fecal Incompetence
the passage of stool in an inappropriate location, whether it is voluntary or involuntary
Decreased motility
prolongs storage time in large intestine
fecal fluid is enhanced
promotes the recirculation of waste products
Increased motility
impair nutrition
preventing the absorption of nutrients and water
water and electrolytes may be lost more quickly
Treatment
impairs nutrition
enhances loss of water and electrolytes
prevents adequate absorption of nutrients and water