Webinar Descriptions

July


The Management of Macronutrients 2-Part Series 

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The Management of Macronutrients for Adult Patients

July 23, 2019 | 3:00 - 4:30 PM ET

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Description
 
Parenteral nutrition (PN) is a complex, high-alert medication. Appropriate provision of protein, carbohydrate, and lipid is vital to ensure adequate nutrition delivery. Macronutrient needs can vary based on disease states, medical interventions and complications. Assessing the needs of patients and providing adequate macronutrients are key steps leading to positive outcomes. This webinar will review methods to manage macronutrients in adult PN patients with various disorders and clinical scenarios. 

Learning Objectives

  1. Discuss the importance of adequate protein delivery and how it relates to various disease states.
  2. Describe appropriate provision of carbohydrates and lipids and their relation to parenteral nutrition.  
  3. Review the importance of glycemic control in the delivery of nutrition support. 

Faculty and Topics 
Protein, Fluids, and the Role of Nutrition Focused Physical Assessment
Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN, Nutrition Support Dietitian, Nutrition Support Team, Mt. Carmel Grove City, New Albany, OH

Parenteral Nutrition: Provision of Carbohydrate and Fat
Phil Ayers, PharmD, BCNSP, FASHP, Chief, Clinical Pharmacy Services, Department of Pharmacy, Baptist Medical Center, Associate Clinical Professor, University of Mississippi School of Pharmacy, Jackson, MS

Moderator 
Kyle Hampson, PharmD, BCNSP, CNSC, Assistant Professor of Pharmacy Practice, Long Island University Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Brooklyn, NY

CE Credit: 1.5 hours 
Level: Intermediate 
UAN: JA0002345-0000-19-087-L04-P 



The Management of Macronutrients for Pediatric and Neonatal Patients

July 25, 2019 | 2:00 - 3:30 PM ET

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Description
In times when parenteral nutrition (PN) is needed to meet nutritional requirements, expertise on management of macronutrients is imperative to maximize nutrition provisions in the most fragile pediatric or neonatal patients. The goal of this webinar is to empower the clinician to effectively manage glucose, amino acid, and lipid infusions to meet nutritional demands and provide guidance for clinical situations where macronutrients need fine tuning. 

Learning Objectives

  1. Describe normal nutritional needs for age specific pediatric/neonatal groups.
  2. List normal macronutrient requirements for age specific pediatric/neonatal groups.  
  3. Develop the skills to fine tune macronutrients to maximize nutrition while responding to common complications.

Faculty and Topics
The Management of Parenteral Macronutrients for Pediatric Patients
Sharon Y Irving, PhD, CRNP, FCCM, FAAN, Assistant Professor, Pediatric Nursing, University of Pennsylvania, School of Nursing, Claire M Fagin Hall, Philadelphia, PA

The Management of Parenteral Macronutrients for Neonatal Patients
Amy B. Hair, MD, Assistant Professor, Program Director of Neonatal Nutrition, Program Director of NICU Intestinal Rehab Team, Section of Neonatology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX

Moderator
Traci Fauerbach, MS, RD, CNSC, Advanced Practice Clinical Dietitian, Intensive Care Nursery, Hospital of the University of Pennsylvania, Philadelphia, PA 

CE Credit: 1.5 hours
Level: Intermediate
UAN: JA0002345-0000-19-086-L04-P

 

 

August

 

The Management of Micronutrients in Complex Patients 2 Part Series 

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Electrolyte and Micronutrient Management of Adult Patients with Short Bowel Syndrome

August 20, 2019 | 1:00 - 2:30 PM ET

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Description
 
You will not want to miss this webinar that will focus on managing micronutrient deficiencies, including electrolytes in adult patients with short bowel syndrome (SBS). Patients with SBS are at risk of developing several electrolyte and micronutrient deficiencies due to malabsorption and excessive GI losses. Extent of malabsorption is influenced by length, location, and functional capacity of remnant bowel. Strategies for identifying, preventing, and treating specific electrolyte and micronutrient deficiencies in patients with SBS will be addressed. Those electrolytes to be discussed will include potassium, magnesium, calcium, and phosphorous. Those vitamin and trace elements deficiency states to be discussed will include vitamin D, zinc, copper, and iron. Another challenge relates to transitioning from IV to oral electrolyte/micronutrient supplementation when weaning PN/IV therapy in patients with SBS. Oral doses that are vastly higher than normal are often required to prevent/treat deficiency. The faculty will utilize case studies throughout the discussion to illustrate key concepts. 

Learning Objectives

  1. Identify electrolyte/micronutrient abnormalities that adult patients with short bowel syndrome are at risk of developing.
  2. Describe strategies for managing select electrolyte/micronutrient deficiency states.  
  3. Utilize guidelines for transitioning from IV to oral electrolyte/micronutrient supplementation when weaning PN/IV therapy. 

Faculty and Topics 
Electrolyte Management of Patients with SBS
Erin Nystrom, PharmD, BCNSP, Clinical Specialist in Nutrition Support, Mayo Clinic, Rochester, MN

Vitamin and Trace Element Management of Patients with SBS
Vanessa Kumpf, PharmD, BCNSP, FASPEN, Clinical Pharmacist Specialist, Vanderbilt University Medical Center, Nashville, TN

Moderator 
TBD

CE Credit: 1.5 hours 
Level: Intermediate 
UAN: JA0002345-0000-19-100-L04-P 



Micronutrient Status Post Bariatric Surgery

August 29, 2019 | 2:00 - 3:30 PM ET

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Description 
All of the currently popular bariatric surgical procedures can result in micronutrient deficiencies due to reduced nutrient intake and reduction in nutrient absorption. The extent of which and which micronutrients are involved will vary from one procedure to the next. Micronutrient deficiencies can result in serious and even permanent consequences. It is, therefore, critical that all clinicians who care for patients who have had bariatric surgery, be aware of the potential nutritional consequences of these procedures. Understanding the signs and symptoms of the potential deficiencies and how to diagnose and treat them when they occur will reduce the likelihood of serious long term or even permanent sequelae. 

The speakers are both well-regarded and veteran clinicians with long track records of care of bariatric patients. Additionally, both have years of experience in clinical nutrition. The faculty will present a comprehensive overview of the issues pertaining to micronutrients as they relate to bariatric surgery and will open with an overview of the surgical procedures including potential complications especially nutritional. The signs and symptoms of micronutrient deficiencies will be presented utilizing the nutrition-focused physical exam. The recently published American Society for Metabolic and Bariatric Surgery guidelines for micronutrients will be reviewed, including the suggestions for proper surveillance and the methods for repletion. 

Learning Objectives

  1. Recognize the currently popular bariatric surgical procedures and distinguish their physiologic differences, particularly from a nutritional status.
  2. Utilize the American Society for Metabolic and Bariatric Surgery micronutrient guidelines for in the treatment of bariatric patients.  
  3. Identify the signs and symptoms of micronutrient deficiencies.
  4. Implement processes for lifetime micronutrient surveillance and aggressive repletion of deficiencies. 

Faculty 
Scott A. Shikora, MD, FACS, FASMBS, Director, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Professor of Surgery, Harvard Medical School, Boston, MA

Kellene A. Isom, MS, RD, LDN, CAGS, Associate Professor of Practice Nutrition, Simmons University, Clinical Dietitian, Program for Weight Management, Brigham and Women's Hospital, Boston, MA

Moderator 
Leah Gramlich, MD, FRCP, Professor, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

CE Credit: 1.5 hours 
Level: Intermediate 
UAN: JA0002345-0000-19-088-L04-P