C. Difficile for Certified Emergency Nursing (CEN)
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Outline
C. Difficile
Definition/Etiology:
- Profuse diarrhea caused by Clostridium difficile – Gram-positive, anaerobic, spore-forming bacillus
- Gives rise to antibiotic-associated diarrhea
Pathophysiology:
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Clinical Presentation:
- Profuse, frequent diarrhea
- Abdominal cramping, pain
- Fever
- Nausea, loss of appetite, weight loss
- Dehydration, hypovolemia
- Kidney failure
Collaborative Management:
Interventions-
- Standard and contact precautions
- Stop antibiotics if possible
- IV fluid replacement
- Antiemetics
- Metronidazole, vancomycin, or fidaxomicin
- Stool transplant
Linchpins: (Key Points)
- Can lead to complications (electrolytes, skin breakdown, toxic megacolon)
- Caregivers MUST use soap and water for hand hygiene (not alcohol rub)
- Contact precautions, terminal clean for rooms
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Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Weintraub, B. (2017). Medical Emergencies and Communicable Diseases. In CEN Online Review. Emergency Nurses Association.
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