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Nutritional Support in
the Care of the Critically Ill Adult
K.M. Mogensen, MS, RD, LDN, CNSC
M.K. Robinson, MD, CNSP
| C236 |
12 CPEUs |
DISCONTINUED |
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| C236E |
12 CPEUs |
DISCONTINUED |
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Manual with 1 Reporting Form, 103 pgs.
Valuable information and tools to assist
you in providing appropriate nutritional support for critically ill
patients that will help you:
- identify the phases of the metabolic response
- differentiate between the metabolic response of critical illness
and starvation
- apply the components of energy expenditure
- predict energy and protein requirements of critically ill patients
- interpret results of indirect calorimetry
- propose reasons for feeding via the enteral or parenteral route
- predict potential complications of nutritional support
- recognize different feeding strategies for various metabolic profiles
- select methods of assessing the adequacy of nutritional support
- incorporate the use of specialized nutritional agents in the critically
ill
- formulate plans to manage the complications of nutritional support
For more information and customer comments, click
here.
Approved by CDR, CBDM
For RDs/RDNs & DTRs/NDTRs for the Professional Development
Portfolio
SUGGESTED Learning Need Codes:
2070, 3000, 3010, 3020, 3030, 3040, 3060, 5000, 5010, 5090, 5170, 5210, 5285, 5290, 5380,
5390, 5400, 5410, 5440, 5450
SUGGESTED Performance Indicators (PIs):
1.2.2, 8.1.1, 8.1.2, 8.1.5, 8.3.1, 8.3.6, 9.3.5, 10.1.3, 10.2.1, 10.l2.2, 10.2.4, 10.2.7, 10.2.8, 10.2.9, 10.2.10, 10.4.2,
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Per CDR you may use ANY PI or CODE as long as it relates to your Learning Plan.
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To order an ADDITIONAL Reporting Form click below:
| C236F |
12 CPEUs |
DISCONTINUED |
$30.00 |
|
Nutritional Support in
the Care of the Critically Ill Adult
K.M. Mogensen, MS, RD, LDN, CNSC
M.K. Robinson, MD, CNSP
© 2013 Wolf Rinke Associates. All rights reserved for all
portions of this program. Reproduction in whole or part without written
permission, except for brief excerpts, is prohibited.
CUSTOMER COMMENTS
Kathy R. Shifflet: “Besides the valuable information, I appreciate that it is written by clinicians with a CNSC certification using ASPEN guidelines."
Tristan Soyka: "I liked the case studies and information on the specific disease states & how they related to critical care."
Maria V. Nieto: "It was a very thorough course."
INSTRUCTIONS
This is a Level 2 Continuing Professional Education (CPE) learning program approved for 12 Continuing Professional Education Units (CPEUs). That means that the reader has general knowledge of the literature and professional practice within the area covered. The focus of the program is to enhance knowledge and application.
To get the most benefit from this program, we suggest you follow these four steps:
Step 1: Review the objectives for the learning program.
Step 2: Study each chapter. As you read, think of patients from your own practice who fit the situation described.
Step 3: Assess what you have learned by completing the self-assessment instrument at the end of this learning program.
Step 4: Compare your answers with the answer key that has been provided. If you score at least 80% (40 questions) correct, transfer your answers to the Continuing Professional Education Reporting Form. If you score less than 80% correct, re-read this learning program until you are able to score at least 80% correct.
After you have successfully completed the program, complete the CPEU REPORTING FORM and:
Submit on-line at www.easyCPEcredits.com,
fax to: (410) 531-9282,
or mail to: Wolf Rinke Associates, 721 Valley Forge Road #486, Valley Forge, PA 19481
We will email your Certificate of Completion.
When you submit your completed CPEU Reporting Form to us via www.easyCPEcredits.com, fax or mail, be sure to write your correct email address in the space provided on the CPE Reporting Form. If writing by hand, be sure to print your email address clearly.
To ensure that our emails are delivered to your inbox (instead of your junk/spam folders), please add cpesupport@wolfrinke.com to your Address Book or Safe List of allowed email senders. Also, be sure to allow attachments from this email address.
HAPPY LEARNING!
GOAL
To provide valuable information and tools to assist you in providing appropriate nutritional support for critically ill patients.
OBJECTIVES
As a result of studying and applying the concepts presented in this accredited, self-directed learning program, you will be able to:
- Explain phases of the metabolic response to clients.
- Differentiate between the metabolic response of critical illness and starvation.
- Apply the components of energy expenditure.
- Predict energy and protein requirements of critically ill adult patients.
- Interpret results of indirect calorimetry.
- Propose reasons for feeding via the enteral or parenteral route.
- Predict potential complications of nutritional support in the critically ill adult patient.
- Recognize different feeding strategies for various metabolic profiles in the critically ill.
- Select methods of assessing the adequacy of nutritional support.
- Incorporate the use of specialized nutritional agents in the critically ill adult patient.
- Formulate plans to manage the complications of nutritional support.
TABLE OF CONTENTS
CHAPTER 1: METABOLIC RESPONSE TO STARVATION, STRESS, AND INJURY... 2
Phases of the Metabolic Response.. 2
Critical Illness Versus Starvation.. 4
CHAPTER 2: Nutritional Assessment of the Critically 111 Adult.. 5
Physical Examination... 5
Laboratory Assessment.. 5
Anthropometries.. 6
Components of Energy Expenditure.. 11
Determining Energy Expenditure.. 12
Protein Requirements.. 17
Vitamin and Mineral Requirements.. 19
CHAPTER 3: Feeding the Critically 111 Adult.. 22
Glucose Intolerance.. 25
Pancreatitis.. 27
Acute Kidney Injury.. 29
Hepatic Dysfunction and Liver Failure.. 32
Acute Respiratory Distress Syndrome.. 33
Obesity in Critical Illness... 35
CHAPTER 4: Specialized Nutritional Treatments.. 37
Immune-Enhancing Nutrients.. 37
Anabolic Agents... 39
CHAPTER 5: Common Complications and Management of Feeding.. 42
Parenteral Nutrition... 42
Mechanical... 42
Metabolic... 43
Enteral Nutrition... 45
Mechanical Complications... 45
Gastrointestinal... 49
Medication Interactions... 50
CASE STUDIES... 52
Case Study 1...52
Case Study 2...55
REFERENCES... 66
FOR YOUR CONTINUING LEARNING.. 78
LIST OF ABBREVIATIONS.. 79
GLOSSARY... 82
RESOURCES... 86
SELF-ASSESSMENT QUESTIONS... 87
ANSWER KEY... 96
EXPLANATION TO QUESTIONS..97
ABOUT THE AUTHORS.... 102
ABOUT WOLF RINKE ASSOCIATES, INC.. 103
ABOUT THE AUTHORS
Kris M. Mogensen is a registered dietitian with a Master of Science degree in human nutrition from Framingham State University. She has 19 years of experience in the nutrition field and managing critically ill patients. She currently is a Team Leader Dietitian at Brigham and Women’s Hospital, Boston, MA, and is an Instructor in Nutrition at Boston University College of Health and Rehabilitation Sciences: Sargent College. She has co-authored numerous articles in professional journals, textbook chapters, and professional manuals. She lectures nationally and internationally on nutrition support and medical nutrition therapy. She serves as a reviewer for the journal Critical Care Nurse.
Malcolm K. Robinson is an Assistant Professor of Surgery at Harvard Medical School, a bariatric surgeon and attending physician with the Metabolic Support Service Brigham and Women's Hospital, Boston, Massachusetts. He received a Doctor of Medicine from Harvard Medical School, trained in Surgery at Brigham and Women's Hospital, and did a nutrition research fellowship in the laboratory for surgical metabolism at Brigham and Women’s Hospital. He has over twenty years of experience in managing nutritionally complex patients including those in the ICU, those with short bowel disease, and obese individuals. His research interests include short bowel syndrome, nutrition in multiple organ failure, and obesity. He authored and co-authored several research abstracts, papers, and textbook chapters in the area of metabolic and nutritional support.
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