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Needs Across the Patient Continuum: The Intersection of Energy and Protein

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


Todd Rice, MD, MSc
Associate Professor of Medicine
Division of Allergy, Pulmonary and Critical Care Medicine
Vanderbilt University School of Medicine
Nashville, TN

Research Scientist
Department of Research for Patient Care Services
Barnes-Jewish Hospital
St. Louis, MO

Paul Wischmeyer, MD, EDIC
Professor of Anesthesiology
Associate Vice Chair for Clinical Research
Director, Perioperative Research
Duke Clinical Research Institute (DCRI)
Duke University School of Medicine
Durham, NC


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:

Todd Rice, MD, MSc
Advisory Panel: Baxter Healthcare Corporation

Advisory Panel: Baxter Healthcare Corporation

Paul Wischmeyer, MD EDIC
Grant/Research Support: Baxter Healthcare Corporation, Abbott, Nutricia, Fresenius Kabi, COSMED
Consulting: Baxter Healthcare Corporation, Abbott, Nutricia
Unrestricted Gift Funding: COSMED

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. This activity has been approved for 1.25 contact hours.
UAN: 0396-0000-20-006-H01-P
Credits: 1.25 hours (0.125 ceu)

Type of Activity: Knowledge 
Media: Internet

Fee Information: There is no fee for this educational activity.
Estimated time to complete activity: 75 minutes


May 15, 2020


May 15, 2021


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


I. Identifying Malnourished Patients Across Settings
II. Optimal Nutrition Support: Focus on Protein
III. Available and Emerging Products to Address Lipid Needs
IV. Use of Indirect Calorimetry in Nutritional Therapy


The nutritional needs of critically ill patients during hospitalization and after discharge are complex, and the importance of assessing energy expenditure and tailoring nutritional therapies to the individual is increasingly apparent. Although a great deal of study is still needed, accumulating data on the provision of energy and protein continue to inform clinical practice. This activity will provide the nutrition support team with up-to-date knowledge on the latest clinical data and practical application in diverse patients to reduce malnutrition, morbidity, and mortality in hospital settings.


Upon completion of this program, participants should be better able to:

  • Explain how to measure energy expenditure in critically ill patients to determine requirements for energy intake and optimize nutrition support
  • Discuss protein requirements and optimize nutrition support for patients in varied settings
  • Compare and contrast newly available and emerging macronutrient parenteral nutrition products, and describe how these new products can aid in improving nutrition therapy for patients in different settings


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
  • Monitor Screen Resolution: 320 x 480 or higher
  • Media Viewing Requirements: Adobe Reader, Microsoft PowerPoint, Flash Player & HTML5

Disclosure of Unlabeled Use and Disclaimer

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) 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 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 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 its speakers to disclose that a product is not labeled for the use under discussion.