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Targeted Nutrition Delivery in Critically Ill Patients: Focus on Protein Needs and Delivery

This educational activity is sponsored by the Academy for Continued Healthcare Learning (ACHL) and supported by an educational grant from Baxter Healthcare Corporation.


Ryan Hurt, MD, PhD
Professor of Medicine
Medical Director, Home Parenteral & Enteral Nutrition
Division of General Internal Medicine
Division of Gastroenterology & Hepatology
Department of Internal Medicine
Mayo Clinic College of Medicine
Rochester, Minnesota

Kris Mogensen, MS, RD-AP, LDN, CNSC
Instructor, Nutrition Health Sciences
College of Health & Rehabilitation Sciences
Boston University
Team Leader Dietitian Specialist
Department of Nutrition
Brigham and Women's Hospital
Boston, Massachusetts

Jayshil Patel, MD
Associate Professor of Medicine
Division of Pulmonary and Critical Care Medicine
Medical College of Wisconsin
Milwaukee, Wisconsin


The Academy for Continued Healthcare Learning (ACHL) requires that the faculty participating in a CME/CE/CPE activity disclose all affiliations or other financial relationships (1) with the manufacturers of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and (2) with any commercial supporters of the activity. All conflicts of interest have been resolved prior to this CME/CE/CPE activity.

The following financial relationships have been provided:

Ryan Hurt, MD, PhD
Consultant: Nestle Nutrition

The following have no relevant financial relationships:

Kris Mogensen, MS, RD-AP, LDN, CNSC
Jayshil Patel, MD

Discussion of Off-Label, Investigational, or Experimental Drug/Device Use: Parenteral nutrition formulations available outside the United States.


acpeThe Academy for Continued Healthcare Learning is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
UAN: 0396-0000-19-040-H04-P
Credits: 1.0 hour (0.10 ceu)

Type of Activity: Knowledge
Media: Internet
Estimated time to complete activity: 60 minutes


April 30, 2019


April 30, 2020


This activity is intended for physicians, pharmacists, dietitians and nurses who manage clinical nutrition.


To receive credit, participants are required to complete the pretest, view the online activity and complete the posttest and evaluation. To receive credit, 80% must be achieved on the posttest. There is no fee to participate in the activity. To receive Credit, you must provide your date of birth and NABP number. All credit information will be uploaded into CPE monitor within 30 days.

For questions, contact Katlyn Cooper at kcooper@achlcme.org


Increasing data on the provision of protein continues to inform clinical practice with demonstrated benefits on clinical outcomes. However, clinical decisions are challenged by varying effects across patient subpopulations and a lack of clinical data, translating into variations in the delivery of protein and a failure to achieve protein requirements. This activity will provide the nutrition support team with up-to-date knowledge on the latest clinical data, new protein formulations, and practical application in diverse patients to reduce malnutrition, morbidity, and mortality in hospital settings.

  1. How important is meeting protein requirements?
  2. Tailored and optimized protein delivery
  3. Implementing advances in PN to achieve protein targets


Upon completion of this activity, participants will be able to:

  • Outline available guideline recommendations from ASPEN/SCCM and ESPEN and their application in the provision of protein during critical illness
  • Interpret available data on low vs. high protein administration across diverse patient populations
  • Discuss how advances in parenteral nutrition products facilitate delivery of adequate protein
  • Compare and contrast available and emerging high-protein/energy-restricted parenteral nutrition products


Please ensure the computer system you plan to use meets the following minimum requirements:

  • Operating System: Windows 98 or higher & Macintosh 2.2 or higher
  • Internet Browser (Mac &/Windows): Internet Explorer 6.0 or higher, Google Chrome, Safari 5.0.6 or higher, Firefox 3.0.3 or higher & Opera 5 or higher
  • Broadband Internet connection: Cable, High-speed DSL & any other medium that is internet accessible
  • Peripherals: Computer speakers or headphones
  • Monitor Screen Resolution: 320 x 480 or higher
  • Media Viewing Requirements: Adobe Reader, Microsoft PowerPoint, Flash Player & HTML5


The content for this activity was developed independently of the commercial supporter. All materials are included with permission. The opinions expressed are those of the faculty and are not to be construed as those of the publisher or grantor.

This educational activity was planned and produced in accordance with the ACCME Accreditation Criteria, Policies, and Standards for Commercial Support, as well as the ACPE Accreditation Standards for Continuing Pharmacy Education. Recommendations involving clinical medicine in a continuing medical education (CME/CE/CPE) activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in CME/CE/CPE in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.

This CME/CE/CPE activity might describe the off-label, investigational, or experimental use of medications and/or devices that may exceed their FDA-approved labeling. Physicians should consult the current manufacturers' prescribing information for these products. ACHL requires the speaker to disclose that a product is not labeled for the use under discussion.