Diarrhea

Question 1

What are the three options of Drug-Induced diarrhea?

Answer 1

Withdrawal
Continue
Adjust dose

Question 2

What does the symptomatic treatment of diarrhea consist of?

Answer 2

Rehydration and proper diet

Question 3

Why should loperamide be avoided in severe diarrhea?

Answer 3

Since our body might be wanting to empty pathogens

Question 4

What is the main decision made with antibiotic useage?

Answer 4

Add loperamide to counteract the S/E of Diarrhea

Question 5

Is pepto-bismol used for drug-induced diarrhea?

Answer 5

No, since it is not indicated

Question 6

What is Culturelle Probiotics?

Answer 6

May help with AB associated diarrhea, but it has not ben shown/proven

Question 7

For mild cases of Drug-induced diarrhea what can we use?

Answer 7

Imodium and Culturelle (Only if AB)

Question 8

For cases of kids what can we use?

Answer 8

Imodium is off label, but Culturelle is only an option for AB-induced

Question 9

What usually causes diarrhea from food?

Answer 9

Usually something in the food is an irritant or natural laxative

Question 10

How common is a food allergy?

Answer 10

Less then 10% incidence decreases with age due to protein

Question 11

What can food allergies cause?

Answer 11

Rash GI symptoms, anaphylaxis

Question 12

When does food poisoning usually start?

Answer 12

May start within hours, or begin days or weeks after, Has a broad range of effect

Question 13

What does pepto help with?

Answer 13

Disagreeable foods

Question 14

Common cause of diarrhea in pediatrics?

Answer 14

Viral gastroenteritis

Question 15

What should we watch for in pediatric diarrhea?

Answer 15

Watch for dehydration

Question 16

What is the most common virus of gastroenteritis in children?

Answer 16

Rotaviruses

Question 17

How is the Rotavirus vaccine given?

Answer 17

By mouth not by needle

Question 18

When do we refer for diarrhea?

Answer 18

<6 months
1/2 to 1 year = 1 day
1 to 3 2 days
>3 3 days

*Quicker if other symptoms like fever, blood or vomiting is occurent

Question 19

If dehydration is of concern what should we recommend?

Answer 19

Gastrolyte or pedialute

Question 20

Is breastmilk a clear fluid?

Answer 20

yes

Question 21

What could be switched temporarily to help reduce infant diarrhea?

Answer 21

Lactose free infant formula

Question 22

What is Kaopectate?

Answer 22

anti-diarrheal agents, safe but likely ineffective

Question 23

Should Pepto be used in kids?

Answer 23

no

Question 24

What is the only thing recommended for child VGE?

Answer 24

Fluids

Question 25

What are prevention strategies for travellers diarrhea?

Answer 25

RX antibiotics (onset) Peptobismol Dukoral vaccine

Question 26

What is the treatment strategies for TD that has occured?

Answer 26

RX Ab usage if it reaches moderate Loperamide alone Pepto

Question 27

What is the Pepto dosing for prophylaxis?

Answer 27

2 tabs QID for 3 weeks max

Question 28

What is the pepto dosing for treatment?

Answer 28

2 tabs Q 1/2 hours up to 8 doses

Question 29

Which AB is good for the treatment of Travelers Diarrhea?

Answer 29

Rifaximin

Question 30

What is critical for children treatment of TD?

Answer 30

Fluids Imodium is MD only

Question 31

What if TD AB did not work?

Answer 31

Switch to pepto 1/2 QH dosing or loperamide

Question 32

What if TD and Pepto was not working?

Answer 32

Switch to antibiotic and loperamide

Question 33

What is Bismuth subsalicylate (BSS)

Answer 33

Not routinely recommended as they have different side effects

Question 34

What is immodium not good for?

Answer 34

Prophylaxis treatment of TD

Question 35

What age is Imodium CI in?

Answer 35

<2, but under 12 is not recommended

Question 36

What can high doses of imodium do?

Answer 36

Withdrawal symptoms of opiates, but ventricular arrhythmias can occur