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INTRODUCTION

NABP and DOB Data Collection

Pharmacy Grand Rounds: 4/22/20 - Initiation of Early Enteral Nutrition in Patients Requiring Vasopressor Support

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: Pharmacy 1.00

Target Audience:

Who should attend:

  • Clinical faculty from the University of Pittsburgh School of Pharmacy
  • Clinical staff pharmacists employed by the University of Pittsburgh Medical Center and deployed throughout the hospital campus in unit based roles and centrally in the department of pharmacy's main pharmacy
  • Student pharmacy interns currently working within the department of pharmacy
  • Certified Pharmacy Technicians

Educational Objectives:

Upon successful completion of this continuing pharmacy education program, the participant should be able to:

  • Define the clinical question discussed during this presentation.
  • Discuss the current available literature to support or refute current clinical practice.
  • Express a conclusion and/or recommendation for addressing the clinical question.
Pharmacy Continuing Education Credits
This program is sponsored by the University of Pittsburgh Center for Continuing Education in the Health Sciences. The University of Pittsburgh Center for Continuing Education in the Health Sciences is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a Provider of continuing pharmacy education. The assigned universal program number(s) is 
JA4008223-0000-23-064-H02-P.

Suggested Additional Reading:

  1. Epinephrine. Micromedex Solutions. Truven Health Analytics, Inc. Ann Arbor, MI. Available at: http://www.micromedexsolutions.com. Accessed March 20, 2020.
  2. Norepinephrine. Micromedex Solutions. Truven Health Analytics, Inc. Ann Arbor, MI. Available at: http://www.micromedexsolutions.com. Accessed March 20, 2020.
  3. Phenylephrine. Micromedex Solutions. Truven Health Analytics, Inc. Ann Arbor, MI. Available at: http://www.micromedexsolutions.com. Accessed March 20, 2020.
  4. UPMC PRSH Titratable Infusion Guideline
  5. Yadav VR, Hussain A, Sahoo K, Awasthi V. Remediation of hemorrhagic shock-induced intestinal barrier dysfunction by treatment with diphenyldihaloketones EF24 and CLEFMA. J Pharmacol Exp Ther. 2014;351(2):413–422/li>
  6. Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med. 2001 Dec;29(12):2264-70. Review.
  7. Elke G, van Zanten AR, Lemieux M, et al. Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials. Crit Care. 2016;20(1):117. Woo SH, Finch CK, Broyles JE, Wan J, Boswell R, Hurdle A. Early vs delayed enteral nutrition in critically ill medical patients. Nutr Clin Pract. 2010;25(2):205-11
  8. Reintam Blaser A, Starkopf J, Alhazzani W, et al. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Med. 2017;43(3): 380–398
  9. Taylor B., McClave S., Martindale R., Warren M., Johnson D., et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient SCCM and ASPEN. Crit Care Med. 2016;44(2):390-438
  10. Patel J.J., Rice T., and Heyland D.K. Safety and Outcomes of Early Enteral Nutrition of Circulatory Shock. JPEN J Parenter Enteral Nutr. 2020 Feb 12: 1-6.
  11. Khalid I., Doshi P., DiGiovine B., Early Enteral Nutrition and Outcomes of Critically Ill Patients Treated With Vasopressors and Mechanical Ventilation. Am J Crit Care (2010) 19 (3): 261–268.
  12. Casaer MP., Mesotten D., Hermans G., Wouters PJ., Schetz M., et al. Early versus Late Parenteral Nutrition in Critically Ill Adults. N Engl J Med 2011; 365:506-517
  13. Russell JA., Walley KR., Singer J., Gordon AC., Hebert PC., et al. Vasopressin versus Norepinephrine Infusion in Patients with Septic Shock. N Engl J Med 2008; 358:877-887

Authors:
Jacob Gregory, PharmD — PGY1 Pharmacy Resident, Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

The certificate issued at the end of this course is not official, it only indicates you obtained a passing grade for this activity.

The ACPE and the National Association of Boards of Pharmacy (NABP) have developed a continuing pharmacy education (CPE) tracking service, CPE Monitor, that will authenticate and store data for completed CPE units received by pharmacists and pharmacy technicians from ACPE-accredited providers.

ACPE credit for participation in any pharmacist and/or technician achieved from this website is entered quarterly. Please allow 60 days from date of completion, for your credits to be added to the CPE Monitor.

For questions regarding NABP profile creation and maintenance, as well as the reporting process to the state boards of pharmacy, please contact NABP Customer Service at 847/391-4406, Monday-Friday between 8:30 AM and 5 PM central time.

The University of Pittsburgh is an affirmative action, equal opportunity institution.