Fluid repletion and maintenance
Diminish duration and frequency of diarrhea with
Loperamide is often avoided when C. difficile is suspected.
Patients taking loperamide should be cautioned not to exceed the maximum daily dose.
2. Bismuth salicylates\3. Hospitalized patient who has a
a. persistent fever
b. bloody diarrhea,
severe abdominal pain,
symptoms of volume depletion (eg, dark or scant urine, symptoms of orthostasis),
or a history of inflammatory bowel disease,
complex medical history of immunosuppression (eg, because of treatment for malignancy, history of transplantation, or advanced human immunodeficiency virus [HIV] infection) or
significant vascular or cardiovascular disease.
bloody diarrhea,
severe abdominal pain,
symptoms of volume depletion (eg, dark or scant urine, symptoms of orthostasis),
history of inflammatory bowel disease
greater than 48 hours
immunocompromised
greater than 70 years old
recent and remote travel
Exposures, such as food history,
Exposures, residence,
occupational exposure,
Exposures, pets, and hobbies,
Exposures, hobbies,
Watery diarrhea, pain or cramping in your abdomen, nausea or vomiting, and sometimes fever
Content 3
Etiology
Management
Determining the Cause