Winter 2015 Newsletter

Updated: Jul 12, 2021



PRESIDENT’S WELCOME:


GASPEN has had a very busy summer! In June, we hosted our summer meeting at Emory Saint Joseph’s Hospital with presentations on the EnFit® initiative and acid-base disorders. In August, we co-hosted a CE dinner symposium with the Academy of Continued Healthcare Learning

(ACHL), sponsored by Baxter Healthcare. Dr. Todd Canada gave a wonderful presentation on the topic of IV lipid emulsions in diverse patient populations. We had representation from many different specialties at this presentation, including physicians, nurses, dietitians and pharmacists.

Both meetings were well attended and well received. I would like to thank our wonderful active GASPEN board members for all of their hard work preparing for these meetings.


This winter, GASPEN has joined with the Southeast Chapter of the Society for Critical Care Medicine to provide a CE activity on nutrition in the ICU presented by Beth Taylor, a nutrition support specialist from Barnes Jewish Hospital in St. Louis MO. This activity will be held on December 10 from 5:30 – 7:30 at Grady. Please see the enclosed flyer for details for registration.

While GASPEN has been very busy planning continuing education activities, there are also many ASPEN activities available. A.S.P.E.N. continues to offer a robust selection of webinars. Don’t forget to sign up for Clinical Nutrition Week 2016 in Austin, Texas! Early-bird registration

is currently available until November 11, 2015.


GASPEN elections will be held this Fall. Please check your inboxes for the ballot. We are fortunate to have an active board committed to the growth of our chapter. We welcome any suggestions and comments from GASPEN members for CE programs, newsletter articles and any other ways that we can benefit our members. Do you have an interesting case that you would like to present? Would you like to share a research project or quality improvement initiative? Consider sharing with other members by publishing in our newsletter by contacting Khatija Jivani at

kjivani@gwinnettmedicalcenter.org .

We also would like to welcome any GASPEN members who would like to become involved on our board.



I look forward to another wonderful year with GASPEN!

Adina Hirsch, PharmD, BCNSP



 

The Importance of Lipids in Parenteral Nutrition


This obesity survey was designed to find out more information about how clinicians feed obese patients in the ICU setting. Currently a standardized protocol that all institutions across the country use does not exist regarding how to feed critically ill obese patients. Therefore, this survey is the perfect platform to have the pressing questions answered in order Parenteral nutrition (PN) may be composed of nearly 50 active ingredients which include dextrose, amino acids, lipids, to better understand the diverse methods and recommendations that clinicians are applying or practicing when feeding electrolytes, and many other nutrients. While each component has its own functions within the parenteral nutrition solution, obese patients. This survey will be administered in the near future and can be found at the end of this rationale. lipids play a particularly significant role. Lipids are a major, dense energy source that provide six times the energy as the same weight of stored carbohydrates such as glycogen, and can therefore meet large caloric needs with minimal volume compared to The foundation of the survey questions are derived from the “Guidelines for the Provision and Assessment of other parenteral nutrients. The lipid bilayer of cell membranes is made up of phospholipids, the main components of which are Nutrition Support Therapy in the Adult Critically Ill Patient” that was collaborated by the Society of Critical Care Medicine fatty acids. Fatty acids are required by cells for numerous functions such as regulation of gene expression and provision of (SCCM) and the American Society of Parenteral & Enteral Nutrition (A.S.P.E.N.) in 2009. For that reason, the summary of the guidelines that pertain to the questions asked in the obesity survey are included in the rationale. These guidelines were components of cell membrane structure and fluidity. Prior to determination of the type of lipids a patient should receive within designed to provide recommendations on some of the most pressing issues that clinical practitioners (i.e. physicians, their parenteral nutrition formula, it is important to understand the characteristics of each lipid type and their respective fatty acid pharmacists, dietitians and nurses) face; for example, how to select the most appropriate predictive equation, how to components. properly feed obese patients in the ICU, and when to initiate nutrition support.


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