Consider Enteral Feedings in Pancreatitis and Enterocutaneous Fistulae Christopher J. Sonnenday MD, MHS Classic surgical teaching has historically dictated that minimization of enteric flow by withholding enteral feeds is essential…
Consider Using Elemental or Semielemental Feeds in Patients with Albumin Less than 2.5 Grams Per Deciliter Ronald W. Pauldine MD Watch Out For Enteral feeding formulas can be categorized based…
Be Alert for the Development of Refeeding Syndrome William S. Hoff MD Phosphate (PO4 2-) is the most abundant intracellular anion, the majority of which is found in bones. As…
Be Alert for Overfeeding Jason Sperry MD Heidi L. Frankel MD Providing inadequate caloric supplementation during times of critical illness is associated with negative effects. Equally as detrimental is the…
Consider Early Enteral Feeding Bryan A. Cotton MD If the gut works, use it! As with other basic principles in patient care, this simple maxim of nutrition has sometimes been…
Be Aware that Enteral Feeds can Lower Phenytoin Levels Timothy M. Moore MD, PHD Faramarz Zarfeshanfard RPH Phenytoin (Dilantin) is an anticonvulsant drug, which can be useful in the treatment…
Consider Hypomagnesemia as a Cause of Refractory Hypokalemia Anthony D. Slonim MD, DRPH Hypomagnesemia and hypokalemia are both common electrolyte disturbances in the intensive care unit (ICU) setting. Magnesium and…
Consider Obtaining A Serum B-Type Natriuretic Peptide Level in the Acutely Dyspneic Patient Lawrence Osei MD B-type natriuretic peptide (BNP) is a 32-amino-acid polypeptide cardiac neurohormone specifically secreted from the…
Remember That Diabetic Ketoacidosis Often Begins With an Anion-Gap Metabolic Acidosis Nirav G. Shah MD Diabetic ketoacidosis (DKA) is a common diagnosis encountered in the hospital setting with an estimated…
D-Dimer Levels Can Rule Out But Not Rule in Pulmonary Embolism in Postoperative Patients Hari Nathan MD D-dimer is a degradation product of cross-linked fibrin. A normal level of d-dimer…
