GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)

GI Infections (C. difficile)

Definition/Etiology:

• Infection in the gut
  • Gastroenteritis
  • Clostridioides difficile (C. diff)

Pathophysiology:

• Gastroenteritis
  • could be viral or bacterial. (enterotoxins could be released by bacteria.) May be spread by fecal-oral route
• Diff

Noticing: Assessment & Recognizing Cues:

• N/V/D 1-3 x/day
• Abdominal cramping
• Increased frequency N/V/D
  • Distention
  • Fever
  • Tachycardia
  • Increased WBCs
  • Weight loss/ decreased appetite

Interpreting: Analyzing & Planning:

• CBC
• BMP (watch electrolyte imbalance caused by V & D)
• Stool sample (C. Diff)

Responding: Patient Interventions & Taking Action:

• Gastroenteritis
  • IVF
  • Anti-emetics
  • May need electrolyte replacements
• C-Diff
  • Abx
  • Anti-diarrheal
  • Toxic Megacolon- (Surgery, fecal transplant)

Reflecting: Evaluating Patient Outcomes:

• N/V/D improved
• Increased appetite/hydration status
• Yogurt/probiotic

Linchpins (Key Points):

• Gut = Bugs (we want bugs balanced)
  • Want good bacteria in Gut
  • Too much bacteria/virus
  • Abx/Symptom management
  • Yogurt/probiotic afterward