Patient Encounter Part 3

After a week in the ICU, the patient was transferred to a stepdown unit and was switched to a standard polymeric EN formula. He required 3 weeks of inpatient care owing to complications from his injuries, including seizures and a wound infection. He eventually was transferred to a rehabilitation facility still requiring EN.

How should the patient be monitored for adequacy of his EN regimen?

Outline a monitoring plan for tolerance of the EN regimen in the ICU, stepdown unit, and rehabilitation facility.

Discuss work-up of the patient if diarrhea occurs while he is receiving tube feedings.

If the patient requires phenytoin for his seizures, how should this medication be administered?

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