CDiff Smell? - page 5

Sorry if this sounds gross :) but I keep reading on these msg boards that one of the worse smells in nursing is from a pt with CDiff after they go to the bathroom. How does it smell differently... Read More

  1. by   tmphippen
    It smells like something crawled up there and died....More notably the smell lingers for hours , days.
  2. by   xtxrn
    Another thing that helps deal with any body smell is peppermint extract- just a few drops on a mask, OR putting a few drops on a cotton ball in a 30 cc med cup in the room helps (and at worst, won't hurt ). In a pinch, if you can get dietary to send up some vanilla extract, it helps, but not as much. Our dietary department quit asking what we were doing with the stuff after getting some graphic details that sent them retching Then, most of us just got our own peppermint extract. Neither were met with any sort of problems from the patients (even the ones who could respond!)....

    Anybody else deal with 'death breath'??? I'm sure lots have. It's one of those musty smells that generally mean that the BIG adios is coming within 24-36 hours. I've never seen someone rally from death breath....goes with the "o" to "Q" signs. I worked neuro and head injury/coma stim rehab for years- I don't remember the neuro smell- I remember a lot of smells- just not that one. Hmmm. gotta get the schnoz checked!

    So glad I just had a frozen diet entree!!! barf01:
  3. by   Cat_LPN
    Quote from RunningWithScissors
    That "neuro smell" or "stroke smell" DEFINITELY comes form the mouth! I think it has to do with poor control over oral secretions, but like the previous poster said, you can do oral care q 15 min and still not get rid of it!

    And thank goodness for in-line suction, remember that prevalent psedomonas smell when suctioning......yuck!

    Also, is it just me, but whenever I smell bile I want to instinctively it's coming from some evolutionary refex??? (not to be confused with refux, har har!)

    The 'neuro' smell is the same as the 'trach' smell for me! I always think people with trachs smell like bleach.
  4. by   Callisonanne
    During my nursing clinicals I was blessed to meet a doctor who loved teaching us interesting things. We had a patient who was there very often due to his liver failure. He was not a candidate for organ transplant because as he stated often "I drank my liver to death and I don't deserve it." He also had a very loud heart murmur and we went in to assess him. Right before going in the room the doctor told us to get close to his mouth and smell his breath. I was shocked by the jaundice this man had but I will never forget that smell. After leaving the room the doctor told us "from now on you can spot liver failure from the first wiff". Thanks doc!
  5. by   JohnHood
    So true.
  6. by   Wrench Party
    I worked in a lab too for nearly a decade, and I can instantly smell when someone has candida (sweet, rotting milk smell) or E. coli. We worked with the innocuous version of these bugs. I can also smell Pseudomonas infection in lung patients (has a weird phlegmy/cabbagey/mustardy death smell that corresponds with its horrible green color on plates, and was ridiculously hard to get rid of from cultures and strain plates). Still makes me gag even when I have a mask on and toothpaste under my nose to help with the smell.

    C diff really doesn't bother me on the Scale of Blergh, minus the contact precautions. Reminds me of rotting compost crossed with chicken manure.
  7. by   retagibbons
    Anyone who seriously believes this needs to read this paper: The Nose Knows Not: Poor Predictive Value of Stool Sample Odor for Detection of Clostridium difficile

    Krishna Rao,1,2 Daniel Berland,1,3 Carol Young,4,5 Seth T. Walk,1,2,6 and Duane W. Newton4,5

    Author information ► Copyright and License information ►
  8. by   quiltynurse56
    These are smells that once you smell them, you will never forget them.
  9. by   MHDNURSE
    Quote from Seven, RN2b
    A question that I have been wanting to ask - but, didn't know how to bring it up (and this thread gave me the perfect opportunity) - Is it inappropriate to gag when dealing with these smells (stool, vomit, etc)? How do you control gagging? Or do you "just get used to it" and you eventually don't have those kinds of reactions?
    Vick's vaporub under your nostrils helps a LOT. Keep a little jar of it in your locker
  10. by   smf0903
    I have never been able to smell CDiff. Ever. I have taken care of countless CDiff + patients and can't smell it (not complaining!!)

    GI bleeds? Yup, like someone else said, a mouth full of nickels. GI bleeds I can smell a mile away
  11. by   amoLucia
    Dialysis pts seem to have a distinct smell to me.

    Didn't read all the other posts so I don't know if dialysis was mentioned. They also tend to have a 'color' that I can detect.
  12. by   JustCuriousMom
    I found your thread here and thought you might be able to answer a question that has been nagging me for a while. What causes some stools to smell like perming lotion/hair remover? I have run into this one with family and always wondered.
  13. by   amoLucia
    Just noting this late - might your pt have an elevated serum ammonia level?