Follow the Diarrhea

I have a stool: Is it C diff?

What should I do??
Decision Tree !
Is the stool
NO: Is it watery
unformed? Does it
No action needed, conform to the
or liquid?
continue to monitor container?

YES Is the patient taking

Lactulose, Colace,
YES: Senna, Ducolax,
Hold medication. If Is the patient Magnesium Oxide,
diarrhea resolves, no receiving lactulose, Metoclopramide, etc.?
further action needed. stool softeners, or
If diarrhea persists, promobility
continue with decision agents? Clinically significant are:
tree.
1. Were there > 3 loose
stools in 24 hours? > 2
NO loose stools in 12 hours?
2. Is it explosive watery
diarrhea? Abdominal pain
NO: Is it clinically or cramps?
No action needed, significant 3. Fever of 101 F?
continue to monitor diarrhea? Leukocytosis?

YES

INITIATE ENTERIC CONTACT

PRECAUTIONS:
Send specimen for C diff
PCR testing
C diff toxin detected:
C diff toxin not CONTINUE
detected: What does PRECAUTIONS FOR
DISCONTINUE the PCR DURATION OF STAY
SPECIAL CONTACT test says? DO NOT RETEST
PRECAUTIONS
Not for use in Children lass than 2 years of age
11/10/2015