Activity Instructions: Read the full article and take the exam by clicking the "CE Information" tab.

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

Total Credit Hours: 1.0

Release Date: February 1, 2025

Expiration Date (all CE credit must be claimed by the expiration date): January 31, 2026

Issue: 1

Volume: 40

Journal: Nutrition in Clinical Practice (NCP)

Author(s):

Joanna L. Otis, MS, RDN, Lead Inpatient Registered Dietitian Nutritionist, University of Wisconsin Hospital and Clinics, Madison, WI

Nicholas M. Parker, PharmD, RPh, Clinical Pharmacist – Medicine/Surgery and Surgical Nutrition Support, University of Wisconsin Health, Madison, WI

Rebecca A. Busch, MD, Assistant Professor (CHS), Division of Acute Care and Regional General Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI

Link to article: https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/ncp.11231

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:

Describe different etiologies of renal dysfunction and how to classify them as either acute or chronic.
Summarize the impact of renal dysfunction in the critically ill on subsequent renal disease, morbidity, and mortality.  
Differentiate between modes of renal replacement therapy and describe how citrate-based anticoagulation can influence nutrition prescriptions.
Compare and contrast the energy and protein requirements of critically ill patients with renal dysfunction, both with and without renal replacement therapy. Discuss the factors that influence these needs and the potential implications for nutrition support.
Summarize common electrolyte derangements seen with renal dysfunction and describe anticipated adjustments to enteral and parenteral nutrition support prescriptions for these patients both on and off renal replacement therapy.
Recognize the prevalence of micronutrient deficiencies in critically ill patients with renal dysfunction who are receiving different types of renal replacement therapy. Discuss the factors contributing to these deficiencies and potential strategies for prevention and management.

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center (www.nutritioncare.org/elearning). All CE credit must be claimed prior to the expiration date, no exceptions. ASPEN submits data as required to the CPE Monitor for pharmacists. ASPEN submits physician earned CME credit into Pars. ASPEN does not submit data to any other credentialing organization.

Pharmacists and physicians: ASPEN will upload earned CE credit into the appropriate system within the required timeframe. Any credit not claimed by the deadline will not be entered. Please provide your correct information when completing your evaluation and claiming CE credit. ASPEN submits only the information that is entered by the pharmacist or physician when credit is claimed and is not responsible for following up to obtain any corrected information to ensure an error-free submission.

Joanna L. Otis MS, RDN

Lead Inpatient Registered Dietitian Nutritionist, University of Wisconsin Hospital and Clinics, Madison, WI

Appearances