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Severe diarrhea treatment protocol question



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Jun 29, 2009 12:15 PM

Severe diarrhea treatment protocol question


Hello all. I have what would seem a simple question. What is the current treatment pathway for severe diarrhea in patient with TBI ? Patient is 80 years old. Right side craniotomy. Currently stable except for constant watery diarrhea. On K replacement. Probiotic therapy to begin. Patient has history of partial colon removal. C-Dif culture is negative. Diarrhea has been constant for 30 days. Any suggestions would be welcome. Thank you in advance, Newstudy.


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5 Comments
No. 1
from FOCKER0014
Old Jul 01, 2009, 02:36 AM

Default Re: Severe diarrhea treatment protocol question
hehe...a FECAL MGT SYSTEM!!!! and lots of banna flakes
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No. 2
from morte
Old Jul 01, 2009, 08:12 AM

Default Re: Severe diarrhea treatment protocol question
R/T to his partial colectomy, is this baseline for this patient?
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No. 3
from newstudy
Old Jul 02, 2009, 04:20 PM

Default Re: Severe diarrhea treatment protocol question
Hi Morte. To answer your question, this patient has some history of loose stool . However, the current diarrhea is constant and almost bronze in color. Currently being treated with Vanco for possible C-dif even though culture came back negative. Thanks again, Newstudy.
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No. 4
from morte
Old Jul 02, 2009, 04:24 PM

Default Re: Severe diarrhea treatment protocol question
Originally Posted by newstudy View Post
Hi Morte. To answer your question, this patient has some history of loose stool . However, the current diarrhea is constant and almost bronze in color. Currently being treated with Vanco for possible C-dif even though culture came back negative. Thanks again, Newstudy.
how is the vanc being adm? has he been worked up for pancreatic and liver issues?
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No. 5
from misswoosie
Old Jul 05, 2009, 04:04 AM

Default Re: Severe diarrhea treatment protocol question
Originally Posted by newstudy View Post
Hello all. I have what would seem a simple question. What is the current treatment pathway for severe diarrhea in patient with TBI ? Patient is 80 years old. Right side craniotomy. Currently stable except for constant watery diarrhea. On K replacement. Probiotic therapy to begin. Patient has history of partial colon removal. C-Dif culture is negative. Diarrhea has been constant for 30 days. Any suggestions would be welcome. Thank you in advance, Newstudy.

I wondered what the reason for the partial colectomy? If it was colitis then it might fit that the diarrhoea is due to that and made worse by the stress.
I also didn't understand why he was having the Vanc if his cultures were negative?
How is the patient receiving nutrition ie enteral or parenteral?
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