ASPEN Lipid Injectable Emulsion (ILE) Safety Recommendations Part 2: Neonate and Pediatric Considerations

Identification: NCP2112
Credits (Post Test and/or Evaluation Required)
Available until 12/31/2022
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other


*To take the exam click the CE Information tab*

CE Credit: CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours: 1.0

Release Date: December 1, 2021

Expiration Date (all CE credit must be claimed by the expiration date): December 31, 2022

Issue: 6

Volume: 36

Journal: Nutrition in Clinical Practice (NCP)


Jay Mirtallo, MS, RPh, Clinical Practice Specialist, American Society for Parenteral and Enteral Nutrition; Professor Emeritus, The Ohio State University, College of Pharmacy, Division of Pharmacy Practice and Science, Columbus, OH

M. Petrea Cober, PharmD, BCNSP, BCPPS, FASPEN, Clinical Pharmacy Coordinator, Neonatal Intensive Care Unit, Akron Children’s Hospital, Akron, OH

Kathleen Gura, PharmD, Clinical Pharmacist, Division of Critical Medicine (Nutrition); Manager, Clinical Research, Boston Children’s Hospital, Boston, MA

Collin Anderson, PharmD, PhD, BCPS, BCPPS, Clinical Pharmacy Manager, Primary Children’s Hospital, Salt Lake City, UT

Joseph Boullata, PharmD, RPh, CNS-S, FASPEN, FACN, Pharmacy Specialist in Nutrition Support, Clinical Nutrition Support Services, Hospital of the University of Pennsylvania, Philadelphia, PA

Phil Ayers, BS, PharmD, BCNSP, FMSHP, FASHP, Chief, Clinical Pharmacy Services, Baptist Health Systems; Clinical Specialist-Nutrition Support, Baptist Health Systems; Clinical Associate Professor, University of Mississippi, School of Pharmacy; Pharmacy Consultant, VitalCare, Inc., Jackson, MS

Steven Plogsted, PharmD, Retired Pharmacist, Columbus, OH

Link to article: Link

Journal-based CE Activity Overall Goal:

The NCP Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:

This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research.
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Describe ILE products available for use in the United States and discuss considerations for use for each of the ILE products in neonatal and pediatric patients.
  2. Dose ILE products in neonatal and pediatric patients with adequate essential fatty acids to avoid deficiency.
  3. Implement practices in the ILE use process to improve the safety of ILE therapy in neonatal and pediatric patients.
  4. Effectively monitor therapy and manage elevated triglyceride levels in neonatal and pediatric patients receiving ILE.
  5. Identify if a patient is developing essential fatty acid deficiency based upon biochemical and clinical markers.

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center ( All CE credit must be claimed prior to the expiration date, no exceptions. Dietitians and other CDR credentialed practitioners must also complete and retain a copy of the CDR issued Critical Thinking Self-Study Evaluation Tool. Pharmacists must provide their birthday (MMDD) and NABP e-PID. Details are available at

Accreditation Statement

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In support of improving patient care, the American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Pharmacists: ASPEN designates this activity for a maximum of 1.0 contact hours/0.1 CEUs. ACPE UAN: JA0002345-0000-21-067-H04-P. Knowledge Activity.

Nurses: ASPEN designates this activity for a maximum of 1.0 nursing contact hours. ASPEN is approved as a provider of continuing nursing education by the California Board of Nursing, provider number CEP3970.

Dietitians: ASPEN designates this activity for a maximum of 1.0 CPEU.

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This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit for learning and change.


Non-Commercialism: ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically. 

For technical difficulties, please contact Broadcastmed Customer Support:

by phone: 1.860.953.2900
Phone support is available 8am-8pm EST Monday through Friday.
by email:

Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at ASPEN 8401 Colesville Road, Ste 510, Silver Spring, MD 20910

Commercial Support and Sponsorship:
No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editors

Steven Plogsted has nothing to disclose.

Collin Anderson, Baxter, consultant, consulting fee

Phil Ayers, Fresenius Kabi, speaker/consultant, honorarium

Joseph Boullata, Fresenius Kabi, speaker/consultant, honorarium

Jay Mirtallo, Fresenius Kabi, fee for service

M Petrea Cober, BBraun/CAPS, Baxter, and Fresenius Kabi, consultant, consulting fee. Lexicomp, consultant, not commercial entity.

Kathleen Gura, Fresenius Kabi, consultant/advisory board, royalties/honorarium; Otsuka, consultant, honorarium. UpToDate/Lexicomp, consultant, not commercial entity; FDA PCAC, advisory board, not commercial entity.

Among the NCP Associate Editors, Angela Bingham, Berkley Limketkai, Kristen Roberts and Mary McCarthy have nothing to disclose.

Catherine Larson Nath: Nutricia, advisory board member, relationship ended.

Jayshil Patel: Baxter, course director, consulting fee

Editor-in-Chief Jeanette Hasse: Alcresta Pharmaceuticals, speakers bureau, honorarium; DNS - instructor, honorarium; Becky Dorner - speaker, Honorarium

ASPEN staff have no commercial relationships to disclose.

No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer-review process also in place as another layer of review to ensure no conflicts to resolve.



Credits: None available.