Electrolyte and Micronutrient Management of Adult Patients with Short Bowel Syndrome
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.
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
CE Credit: 1.5 hours
Micronutrient Status Post Bariatric Surgery
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.
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.
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, Department, Institution: Associate Professor of Practice Nutrition, Simmons University, Clinical Dietitian, Program for Weight Management, Brigham and Women’s Hospital, Boston, MA
Leah Gramlich, MD, FRCP, Professor, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
CE Credit: 1.5 hours