C-diff

Description

C-diff
Ilana Kovach
Mind Map by Ilana Kovach, updated more than 1 year ago
Ilana Kovach
Created by Ilana Kovach over 8 years ago
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Resource summary

C-diff
  1. Passed in Feces & Spreads through food
    1. Increasing studies show C-diff in younger individuals
      1. Antibiotic Therapy Destroy normal Gut flora
        1. Toxins Kill Lining of the Intestine
          1. Interventions
            1. Stop Antibiotic That Caused infection as soon as possible
              1. Metronidazole & Vancomycin (Severe Cases)
                1. Fidoxamicin $$
                  1. Severe Cases (Surgery)
                    1. FMT & Probiotics
                      1. Handwashing, Contact Precautions, Disinfect Surfaces with Bleach
                        1. Increase Complex starches to Decrease Diarrhea
                          1. Monitor Fluid & Electrolytes
                          2. Signs & Symptoms
                            1. Mild to Moderate
                              1. Watery Diarrhea (3 or more times daily for 2 or more days)
                                1. Abdominal Cramping Tenderness
                                2. Severe
                                  1. Watery Diarrhea 10-15x a day
                                    1. Abdominal Cramping Severe
                                    2. Naseau
                                      1. Fever (WBC)
                                        1. Blood/Pus in stool
                                          1. Dehydration
                                            1. Loss of appetite
                                              1. Weight Loss
                                                1. Swollen Abdomen
                                                  1. Kidney failure
                                                  2. Diagnostics
                                                    1. Stool Specimen
                                                      1. Enzyme Immunoassay
                                                        1. Cell toxicity assay
                                                          1. Polymerase Chain Reaction
                                                            1. Sigmoidoscopy/Colonoscopy
                                                              1. Abdominal Xray & CT scan
                                                              2. Complications
                                                                1. Dehydration
                                                                  1. kidney failure
                                                                    1. Toxic Megacolon
                                                                      1. Bowel Preforation
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