Severe diarrhea treatment protocol question

Specialties Neuro

Published

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.

FOCKER0014

78 Posts

Specializes in STICU; cross-trained in CCU, MICU, CVICU.

hehe...a FECAL MGT SYSTEM!!!! and lots of banna flakes

morte, LPN, LVN

7,015 Posts

R/T to his partial colectomy, is this baseline for this patient?

newstudy

4 Posts

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.

morte, LPN, LVN

7,015 Posts

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?

misswoosie

429 Posts

Specializes in ICU,ANTICOAG,ACUTE STROKE,EDU,RESEARCH.
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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