Sam has been on EN through a jejunostomy for the past 3 weeks due to multiple injuries sustained in a car accident. Today the nurse notices that he likely has a fistula as they noted a small amount of fluid oozing in the epigastric region of his abdomen. A CT scan reveals that the fistula is in his duodenum. Which of the following would you recommend?
1) Add 15 mg of arginine to the EN
2) Continue with EN
3) Make Sam NPO
4) Start PN



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