While on rounds, Dr. Reiss sees a patient
with low output enterocutaneous fistula who is receiving supplemental
enteral feedings because his dietary intake and nutritional status
are poor. Dr. Reiss recalls that glutamine supplementation facilitates
fistula closure, but does not know whether it is appropriate for this
patient or how to prescribe it.
Solution:
Dr. Reiss immediately consults Unbound
Surgery to review glutamine indications and administration...