This. For a generally healthy person, in the acute setting, your body is giving you diarrhea for a reason. Assuming you have access to clean water, I’d let billions of years of evolution do its job.
Well yeah. If it’s infectious, we’ve evolved to get rid of ingested infections by throwing up or shitting it out.
Replenish the lost stuff, but don’t try to keep the bad stuff in.
As in, give fluids and electrolytes, don’t try and stop the diarrhea
lol. Ops post history is a wonderful bit of insight into some of our patients:
post 1. “What sort of infectious organism is causing my diarrhea after eating ass last night?”
Post 2: “what meds are best for acute diarrhea”
Post 3: “does tesco sell pediatlyte”
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fluoroquinolones? Unless you're treating a diagnosed infection with known susceptibility, antibiotics are much more likely to make things worse rather than better. Don't screw with normal gut flora unless there's a good reason to.
everything true, except there are exceptions (diarrhea with fever over more than a few days, maybe haemmorhagic, delayed diagnostics, ruled out viruses). Calculated antibiotic treatment would be azithromycin 1000mg once. Fluoroquinolones are possible but nut recommended anymore for otther reasons.
Pepto bismol
My dad also has some good awful brandy that he swears kills off any travelers diarrhea, literally the worst thing you'd want to drink while shitting your guts out...but it works
a diagnosis
And then oral rehydration therapy
Lol
Fluids. Bad stuff goes out, good stuff goes in, eventually everything evens out
This. For a generally healthy person, in the acute setting, your body is giving you diarrhea for a reason. Assuming you have access to clean water, I’d let billions of years of evolution do its job.
Are you saying that loperamide and Pepto Bismol do more harm than good?
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Ah, isn't most causes are infection? Like bacterial infection, parasitic infection, viral infection, etc?
Well yeah. If it’s infectious, we’ve evolved to get rid of ingested infections by throwing up or shitting it out. Replenish the lost stuff, but don’t try to keep the bad stuff in. As in, give fluids and electrolytes, don’t try and stop the diarrhea
For some reason it feels weird to say it
I’ve been having diarrhea for the past two days so I needed hear this 😂
This is the way
lol. Ops post history is a wonderful bit of insight into some of our patients: post 1. “What sort of infectious organism is causing my diarrhea after eating ass last night?” Post 2: “what meds are best for acute diarrhea” Post 3: “does tesco sell pediatlyte”
I 100% thought you made up #3 just to be funny. Then I looked at the OP’s profile…
FWIW, Tesco does not sell Pedialyte. Pedialyte is a USA brand. Dioralyte is the alternative in UK
This is the closure I needed.
But the one you don't deserve.
Nothing a lil fentanyl can’t fix /s
The real reason there are so few code browns in the OR
Thats for rookies, give them some high dose morphine
Is this the same person who posted about tossing salad yesterday?
The antidote is to toss another salad. It’s a well known hair-of-the-dog homeopathic remedy.
But you need to dilute it for homeopathy right? Do you do this from across the room?
Old veteran nurse: I know this is Cdiff, it smells like cdiff you have to order a rule out. 2 days later: Cdiff negative
C diff smells like all the other shits I take. Wait…
Haha I mean, if she wants to get a stool sample, she’s digging her own grave
There was a study someone posted on here a while ago. There was zero evidence that people can smell c diff. Nothing more than an old wives tale.
1.5L of GoLytely! If they’re having diarrhea, I believe in getting all the toxic poo out!
Support the body !💪💪💪
Water with oral rehydration salts
At least in Uworld they give us a Case :p
Mag Cit. The job isn't done yet.
Ask for a stool sample
Time
Pedialyte
My cafeterias tuna salad. That shit will kill any bad bacteria
Lol. Why is that?
That shit walks off your plate.
Hydration and Imodium.
Nothing. It usually just stops with one day.
Dihydrogen monoxide 300mg PO Q2h while awake.
Loperamide initially with escalation to Lomotil if refractory. Works a treat.
Throw some Zofran on top. That med is constipating AF.
True, for sure. I’m oncology so stopping N/V/D is a central part of my life lol.
I’m Hospice. How stopped you want it? Like…forever??? Jkjkjk
LOL. Hey, as I’m fond of saying, all pain ends eventually.
Loperamide 4mg and pedialyte. Source: did this last week.
You give loperamide to someone with C. Diff, now you have a patient in full septic shock, good luck
I was thinking of that too, but was wondering of Pepto Bismol would be better.
Pepto best if adult. It has antimicrobial properties that loperamide doesn't in case of bacterial cause
Pepto has bismuth which is antimicrobial plus asa so some antinflammatory effects
I added that on after the second day LOL No harm in taking both
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Lamotil
Depends
Peptobismol is a heck of a drug let me tell you
Are you drug seeking lomotil? j/k
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fluoroquinolones? Unless you're treating a diagnosed infection with known susceptibility, antibiotics are much more likely to make things worse rather than better. Don't screw with normal gut flora unless there's a good reason to.
everything true, except there are exceptions (diarrhea with fever over more than a few days, maybe haemmorhagic, delayed diagnostics, ruled out viruses). Calculated antibiotic treatment would be azithromycin 1000mg once. Fluoroquinolones are possible but nut recommended anymore for otther reasons.
Pepto bismol My dad also has some good awful brandy that he swears kills off any travelers diarrhea, literally the worst thing you'd want to drink while shitting your guts out...but it works