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altered urinary elimination - Coggle Diagram
altered urinary elimination
altered motility
caused by
urinary retention during UTI
leads to urine stasis
bacteria travels up to kidney
pyelonephritis
cast formation
can block renal structures
acute tubular necrosis
from low flow rate, low pH, increased Na+ concentration
treatment
medications for infection
increased fluid intake
altered neuromuscular function
treatment
decrease intake of caffeine, soda, alcohol
Kiegel exercises to strengthen pelvic muscles
intermittent catheterization if retaining
caused by
injury to CNS or PNS
causes impaired coordination of neural impulses
can lead to neurogenic bladder
underactive, flaccid bladder
retention
overactive, spastic bladder
weakened bladder muscles from pregnancy
leads to incontinence and/or urine leakage
altered perfusion
treatment
fluid rescucitation or blood transfusion
clot removal
caused by
decreased blood supply to renal structures
leads to ischemia and necrosis
due to hypotension, vasoconstriction or clot
altered patency
treatment
hemodialysis or peritoneal dialysis for ESRD
lithotripsy to remove kidney stone
caused by
obstruction
from kidney stones impacted in ureter
hydroureter
increased hydrostatic pressure
hydronephrosis
from polycystic kidney disease
obstruct tubular flow
leads to CKD and ESRD