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Nutritional Support in the Care of the Critically Ill Adult, Second Edition
K.M. Mogensen, MS, RD, LDN, CNSC
M.K. Robinson, MD, CNSP

12 CPEUs
12 CPEUs

Manual with 1 Reporting Form, 105 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

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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12 CPEUs

Nutritional Support in the Care of the Critically Ill Adult, Second Edition
K.M. Mogensen, MS, RD, LDN, CNSC
M.K. Robinson, MD, CNSP

© 2018 Wolf Rinke Associates, Inc. All rights reserved for all portions of this program. Reproduction in whole or part without written permission, except for brief excerpts, is prohibited.


Barbara A. Butler - "Information was detailed but concise. Well organized. A good review of critical care nutrition."

Halle I. Saperstein - "I loved how there was an updated summary of the current ASPEN guidelines. This was a GREAT review of nutrition in the critical care setting. Great case studies to use with my interns as well."

Patricia Yacovoni - "In long-term care rarely did we us TPN/PN - reading the case studies & seeing the PN calculations really provided the training once I start PN calculations at my new position. It took me many nights to read, reread and calculate the PN calculations but I know now I can do it. Thank you for the confidence boost I needed."

Lindsay M. Stover - "Very informative. From the beginning it kind of read like a story. Great details. Extremely informative and intelligently written."


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, Inc., 13621 Gilbride Lane, Clarksville, MD 21029
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.


To provide valuable information and tools to assist you in providing appropriate nutritional support for critically ill patients.

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.


Phases of the Metabolic Response
Critical Illness Versus Starvation
CHAPTER 2: Nutritional Assessment of the Critically Ill Adult
Physical Examination
Laboratory Assessment
Components of Energy Expenditure
Determining Energy Expenditure
Protein Requirements
Vitamin and Mineral Requirements
CHAPTER 3: Feeding the Critically Ill Adult
Glucose Intolerance
Acute Kidney Injury
Hepatic Dysfunction and Liver Failure
Acute Respiratory Distress Syndrome
Obesity in Critical Illness
CHAPTER 4: Specialized Nutritional Treatments
Immune-Enhancing Nutrients
Anabolic Agents
CHAPTER 5: Common Complications and Management of Feeding
Parenteral Nutrition
Enteral Nutrition
Mechanical Complications
Medication Interactions
Case Study 1
Case Study 2


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.


Special thanks to the following individuals for their careful review of this CPE program.

Rebecca Materazzo, RD, LDN, CNSC
Clinical Dietitian
Mount Auburn Hospital
Cambridge, MA

Marijane Staniec, MS, RD, LDN, CNSC
Lecturer, Sargent College - Nutrition Program
Boston University
Boston, MA
Senior Dietitian
Brigham & Women’s Hospital
Boston, MA

Lorrie S. Young, MS, RD, LDN, CNSC
Home Nutrition Support Manager
Boston Medical Center
Boston, MA

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