Session Information
ASPEN Webinars 2012
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Nutritional Management of the Critically Ill Patient on Continuous Renal Replacement Therapies
Track
:
Webinar
Program Code:
WEB0712I
Date:
Wednesday, July 11, 2012
Time:
4:00 PM to 5:30 PM
EST
MODERATOR
:
Jessica Monczka, RD, LD/N, CNSC, Clinical Dietitian Specialist, Arnold Palmer Hospital for Children, Orlando Health, Orlando, FL
SPEAKER
(S):
R. Michael Hofmann, MD, Associate Professor, Section of Nephrology, Transplant Nephrology; Medical Director of Acute Dialysis Services, Medical Director of Living Kidney Donation Program, Medflight Physician, University of Wisconsin, Madison, WI
Cassandra Kight, PhD, RD, CNSC, Sr. Clinical Nutritionist Critical Care & Nutrition Support, Clinical Nutrition Services, University of Wisconsin Hospital & Clinics, Madison, WI
Description
Continuous renal replacement therapy (CRRT) has grown in popularity as a dialytic treatment for critically ill patients with acute kidney injury (AKI) in the ICU setting. CRRT provides improved hemodynamic stability with 24-hour per day dialysis and the ability to precisely maintain fluid homeostasis, electrolyte, and acid-base balance while providing greater clearance of nitrogen waste. This webinar will provide an overview of how CRRT is able to clear solute from the blood, the available CRRT modalities, dosing of CRRT and how dosing affects clearance of electrolytes and its resultant impact on nutrition delivery.
The nutritional considerations of a patient with AKI on CRRT are different than nutritional therapy appropriate for hemodialysis. This webinar will review recommendations for macronutrients, micronutrients, and fluid in patients on CRRT. Optimal fluid, electrolyte, and nutritional management of the patient with acute kidney injury can very difficult due to the many goals of the different teams managing the patient in the ICU setting. We will demonstrate how the best approach can be accomplished by a multidisciplinary team approach. A case study format will be used to exemplify how nutritional management changes during the various stages of AKI from pre-dialysis, to CRRT, and then to intermittent hemodialysis.
Objectives
1. Understand the basic principles of dialysis and dialytic options for the critically ill patient
2. Describe the process of a nutritional assessment of the critically ill patient in Acute Kidney Injury
3. Define the nutritional prescription for the critically ill patient in AKI receiving CRRT treatment
The nutritional considerations of a patient with AKI on CRRT are different than nutritional therapy appropriate for hemodialysis. This webinar will review recommendations for macronutrients, micronutrients, and fluid in patients on CRRT. Optimal fluid, electrolyte, and nutritional management of the patient with acute kidney injury can very difficult due to the many goals of the different teams managing the patient in the ICU setting. We will demonstrate how the best approach can be accomplished by a multidisciplinary team approach. A case study format will be used to exemplify how nutritional management changes during the various stages of AKI from pre-dialysis, to CRRT, and then to intermittent hemodialysis.
Objectives
1. Understand the basic principles of dialysis and dialytic options for the critically ill patient
2. Describe the process of a nutritional assessment of the critically ill patient in Acute Kidney Injury
3. Define the nutritional prescription for the critically ill patient in AKI receiving CRRT treatment
