Diarrhea

Question 1

What are the general causes of diarrhea?

Answer 1

Drug induced
foods
stomach flu
travel

Question 2

List some Drugs that can cause diarrhea

Answer 2

antibiotics
anti-HTN
NSAIDS
histamine (H2)
PPI
SSRIs

Question 3

What are the options for DI D?

Answer 3

d/c drug
change dose
add loperamid to help with S/E

Question 4

What is the main drug for D?

Answer 4

imodium

Question 5

Can you use imodium for kids?

Answer 5

no

Question 6

Describe sx of food poisoning

Answer 6

N/V
watery/blood D
abdominal pain/cramps
fever

Question 7

What are the drugs used for food poisoning?

Answer 7

Imodium
peptobismol

Question 8

Who are we most worried about for D?

Answer 8

kids/infants –> no meds
elderly (dehydration very easily)

Question 9

What is the biggest thing to look for with someone who has D?

Answer 9

dehydration

Question 10

When to refer to MD for kids?

Answer 10

1/2 - 1yrs –> after 1 day
1-3 yrs –> after 2 days
> 3 yrs –> after 3 days

quicker if they have fever, vomiting and blood

Question 11

Describe travels diarrhea

Answer 11

self limiting
normally caused by e.coli
increase chance in the first week

Question 12

What can be done for prevention of travels diarrhea?

Answer 12

pepto - 2 tab QiD for 3 wks max

Dukoral vaccine (prevents cholera)

Question 13

Tx for travels diarrhea

Answer 13

1-3 day of Rx antibiotics + loperamide
loperamide
pepto 2 tab Q1/2h up to 8 doses