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Alterations in Elimination, Hypo-perfusion, Hypo-perfusion - Coggle…

- - - - NBD - neurogenic bowel dysfunction
        
        neuromodulators
        
        medications: laxatives, stool softeners
        
        diet modifications / hydration
      - Medications: laxatives, stool softeners, enemas, prokinetics
    - - Hirschsprung's Disease - lack of ganglion cells
        
        surgical
  - - - Stroke
        
        Medications
      - Multiple Sclerosis
      - Spinal Cord Injury
      - Myasthenia Gravis
        
        catheterization
    - - Neurogenic Bladder - loss of voluntary control
- - - - IBS (irritable bowel syndrome)
        
        Medications - prokinetic agents (metopramide)
        
        Surgical
    - - Neurogenic (Parkinson's Disease)
        
        fiber supplementation
        
        laxatives
  - - - neurogenic bladder - spinal injury
        
        Medications (anticholinergics)
        
        catheterization
      - Multiple Sclerosis
    - - overactive detrusor muscle
        
        Medications (anticholinergics)
        
        bladder training
- - - - fluid resuscitation, vasopressors
    - - Surgical
  - - - Renal Artery Stenosis - leads to hypo perfusion
        
        angioplasty
    - - Hypotension or Shock - leads to hypo-perfusion
        
        fluid resuscitation, vasopressors
- - - - tumors / polyps
        
        surgical - colorectal surgery
      - adhesions - post surgical scarring
      - constipation / impacted feces
  - - - enlarge prostate
      - kidney stone
        
        pain management
        
        surgical removal
        
        hydration