Title: Practical Experiences with Lipid Injectable Emulsions
CE credit available for dietitians, nurses, pharmacists and physicians
Total Credit Hours: 1.5
On-Demand Activity Start Date: January 1, 2020
On-Demand Activity Expiration Date (all CE credit must be claimed by the expiration date): February 29, 2020

Speakers:

FACULTY AND TOPICS
Introduction of ILE and Importance in Health and Disease-FDA Indications for Currently Available Formulations
Todd Mattox, PharmD, BCNSP
Medical/Surgical Pharmacist, Department of Pharmacy, Moffitt Cancer, Tampa, FL

Evaluation of a New Four-Oil Lipid Injectable Emulsion in Patients Receiving Parenteral Nutrition
Lisa Mostafavifar, PharmD, BCPS, BCNSP
Specialty Practice Pharmacist Acute Care Surgery & Trauma/Nutrition Support, The Ohio State University Wexner Medical Center, Columbus, OH

Improved Liver Function Test Results in Long-Term Home Parenteral Nutrition Patients Converted to Four-Oil Lipid Emulsion
Casey Cooper, PharmD, CNSC
Pharmacy Manager, Amerita Specialty Infusion, Amarillo, TX

Alternative Lipid Emulsion Utilization in the HPN population: Patient Characteristics and Clinical Observations
Hannah Heredia, MS, RD, CNSC
Nutrition Support Dietitian, BriovaRx Infusion Services, Chandler, AZ

Pediatric intestinal failure patients transitioning to a mixed lipid emulsion: A Series of Cases
Mary Beth Harris, MPH, RDN, CNSC
Patient Food and Nutrition Services, Michigan Medicine C.S. Mott Children’s Hospital, Ann Arbor, MI

Total Parenteral Nutrition Using Fish Oil-Containing Combination Intravenous Lipid Emulsion in a Patient with High Inflammatory Burden
Joseph E. Cruz, PharmD, BCPS
Assistant Manager, Clinical Pharmacy, Overlook Medical Center, Summit, NJ

MODERATOR

Diego Arenas Moya, MD
Chief of Clinical Nutrition and Functional Medicine, SANVITE, Zapopan, Jalisco, Mexico

Format: Online as MP3 files and PDF Handouts

Lecture of the Month CE Activity Overall Goal:
This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses who specialize in the sciences of clinical nutrition and metabolism.

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:

List the injectable lipid emulsion products available in the United States and the US Food and Drug Administration (FDA) approved indications for use
Identify patients who may potentially benefit from PN with an ILE formulation that contains fish oil (ω-3)
Describe the potential impact that conversion to 4-oil lipid emulsion can have on long term HPN patients who are exhibiting early signs of parenteral nutrition-associated liver disease (PNALD).
Evaluate changes observed in home PN population of patients transitioned to SMOFlipids over a twelve-month period
Review safety and efficacy of four-oil ILE over various treatment durations and examine adverse events and their likelihood of correlation to four-oil ILE
Describe how transitioning from SO ILE to Smoflipid ILE can impact bilirubin levels and EFA profile in pediatric intestinal failure patients

Speaker Credentials and Affiliations:

Todd Mattox, PharmD, BCNSP
Medical/Surgical Pharmacist, Department of Pharmacy, Moffitt Cancer, Tampa, FL

Lisa Mostafavifar, PharmD, BCPS, BCNSP
Specialty Practice Pharmacist Acute Care Surgery & Trauma/Nutrition Support, The Ohio State University Wexner Medical Center, Columbus, OH

Casey Cooper, PharmD, CNSC
Pharmacy Manager, Amerita Specialty Infusion, Amarillo, TX

Hannah Heredia, MS, RD, CNSC
Nutrition Support Dietitian, BriovaRx Infusion Services, Chandler, AZ

Mary Beth Harris, MPH, RDN, CNSC
Patient Food and Nutrition Services, Michigan Medicine C.S. Mott Children’s Hospital, Ann Arbor Michigan

Joseph E. Cruz, PharmD, BCPS
Assistant Manager, Clinical Pharmacy, Overlook Medical Center, Summit, NJ

Requirements for Successful Completion:

To obtain CE credit for this activity, attendees must listen to the education recording, complete an online knowledge assessment for each education recording and achieve a score of 100%, and complete an online activity evaluation. All CE credit must be claimed prior to the expiration date.

Note: successfully completing the posttest is required for nurses, pharmacists, and physicians, not dietitians. Dietitians may claim credit for viewing/listening to the recording per CDR guidelines. This program is approved for RDs, RDNs and DTRs under Activity Type 175 in accordance with CDR guidelines. RDs and RDNs may claim up to 30 CPEUs under this CPE Activity Type in a recertification cycle; DTRs may claim up to 20 CPEUS. For additional information, please click here.

Pharmacists must provide their NABP e-PID and birthday (MMDD) when claiming credit to enable ASPEN to upload credit claimed to the CPE monitor. Failure to provide accurate information by the expiration date for claiming CE credit can result in an inability for the earned credit to be uploaded to the CPE monitor and thus not appear in the pharmacist’s NABP profile. Detailed information is available here: https://www.nutritioncare.org/Continuing_Education/Claim_CE_Credit/Continuing_Education_Credit/.

Accreditation Statements/Continuing Education Credit:

Nurses, Pharmacists, and Physicians
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 each enduring activity for a maximum of 1.5 contact hours (0.15 CEU) per activity. All are knowledge activities.

ASPEN designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits ^TM per activity. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ASPEN is approved by the California Board of Registered Nursing, Provider CEP 3970.

ACPE UAN: JA0002345-0000-20-064-H04-P

Dietitians
ASPEN, Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR level 2. Dietitians may post comments on this program on www.cdrnet.org.

Policies/Information:
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 and it is recommended that end users' devices satisfy the following requirements:

OS: Windows, Mac
Browser: Internet Explorer 11+, Firefox 52+, Chrome 58+, Safari 10+, Microsoft Edge 14+
- Internet Explorer 11 still requires the most recent version of the Adobe Flash plugin
Javascript & Cookies enabled
Recommended RAM: 512MB+

Mobile support

Iphone 5s+ - Safari Browser - IOS 9+
Ipad 2+ - Safari Browser - IOS 9+
Android Running 4.0+ - Chrome Browser

For technical difficulties please contact Digitell Inc. Customer Support at: 1-{{$platformInstance.support.phone}}

Office hours are between 9AM to 5PM ET, Monday through Friday

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 and Research at ASPEN 8401 Colesville Rd. Suite 510. Silver Spring, MD 20910.

No commercial support was received for this on demand educational activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Speakers/Faculty

In relation to the topic being presented.

Nothing to disclose: Allison Dostal, Alyssa Norris, Berri Burns, Christopher M. Messenger, Claudia Maza, Donna Belcher, Emily M. Huskey, Genene Salman, Harlan Husted, Jane Hughes, Jessica Monczka, Juvy Martillos, Kyle Hampson, Liliia Gutsul, Lingxia Sun, Mary Petrea Cober, Merin Kinikini, Nilesh Mehta, Sandra Mayol-Kreiser, Sara Bonnes, Wing Yan Ng

Name	Disclosures Relevant to Topic	COI	Resolved?
Lisa Mostafavifar	None	N/A	N/A
Casey P. Cooper	None	N/A	N/A
Hannah Heredia	None	N/A	N/A
Mary Beth Harris	None	N/A	N/A
Joseph E. Cruz	None	N/A	N/A
Diego Arenas Moya	None	N/A	N/A
Todd Mattox	Fresenius Kabi – honoraria for speaking and consulting	All programs are planned as a committee, not the individual	N/A
Katie Kelly	Coram CVS Specialty Infusion – salary as infusion dietitian	All programs are planned as a committee, not the individual	N/A
Rose K. DeLaGarza	Part of the Abbott Nutrition Speakers Bureau	All programs are planned as a committee, not the individual	N/A

Joseph E. Cruz PharmD, BCPS

Pharmacy, Overlook Medical Center, Summit, NJ

Appearances