Nutrition Support: Enteral and Parenteral Nutrition

by Instructor: Amy J. Berry, RD, MS, CNSC; Instructor: Jennifer Sporay, MS, RDN-AP, CSO, LDN, CNSC, FAND; Instructor: Jill Brown, RD, MS, LD; Instructor: Katie Reese, RD, CNSC; Instructor: Kendra Glassman Perkey, MS, RD, CNSC, CSSD


i 12.00 CEH

Course Overview

Nutrition support is a varied and highly specialized field, requiring an increased level of knowledge by the nutrition care practitioner. This knowledge base comes with experience and staying up-to-date with evidence-based research. The current update of this course comes from a clinician with nearly two decades of[ nutrition support experience and provides the latest practical guidelines and evidence-based research and references, including methods of nutrition assessment, an overview of enteral and parenteral regimens, and guidelines for the nutrition support of patients. Chapters include nutrition support of disease-specific conditions such as critical illness, obesity and diabetes, kidney disease, liver disease, cancer, and transition to home care. Topics such as determining energy and protein needs, preventing and treating hyperglycemia, immunonutrition, preventing aspiration pneumonia, feeding the critically ill patient, and preventing complications are covered. This course reflects the latest thinking in clinical practice and uses case studies and review questions as learning tools.

About the Course Author

Jennifer Sporay, MS, RDN-AP, CSO, LDN, CNSC, FAND is a nutrition support and oncology dietitian with Sodexo.  She has worked as a clinical manager within the Geisinger and UPMC health systems in Pennsylvania and as an oncology patient navigator in the Penn Medicine system.  Adult critical care and home nutrition support have been her practice passions within the field of nutrition.  She has also developed a great interest in complimentary medicine and the role of medical cannabis in treating oncology patients.  Jen has been a nutrition support clinician for over 18 years and earned the honor of the Advanced Practice certification from CDR.

Jennifer Sporay, MS, RDN-AP, CSO, LDN, CNSC, FAND has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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Detailed Transcripts

License Tracking/Reminders

Accreditation Information

Certificates provided by accrediting body (2 Match)

  • Commission on Dietetic Registration


    Relias LLC is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. CDR Credentialed Practitioners will receive 12.0 Continuing Professional Education units (CPEUs) for completion of this activity/material.

    Activity Number: 113409 Learning Need Code(s): 3020, 5000, 5390, 5410 CPE Level: Level III

    Dietitians/nutritionists may submit activity evaluations directly to CDR;, or mail to: Commission on Dietetic Registration, Attn: Accredited Provider Unit, 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606-6995.

    Critical Thinking Evaluation Tool
  • Florida Council of Dietetics and Nutrition


    Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 12.0 contact hours.

Course Details
  • Course Code:

  • Hours:

  • Type:

    Online Course
  • Release Date:

  • Expiration Date:

  • Learning Objectives:

    Analyze the usefulness of serum albumin, prealbumin and transferrin in assessing the nutritional status of a critically ill patient.; Calculate the caloric needs of patients with the following types of diseases: severe sepsis, obesity, liver disease, renal disease and pulmonary disease.; Calculate the total calories, non-protein calories, total protein, calorie-to-nitrogen ratio, and amount of fat in PN solutions.; Describe a nutrition care plan for a patient who has had their jejunum and ileum removed, beginning post-op and continuing until the patient is discharged.; Describe the pros and cons of using anthropometric measurements for the nutrition assessment of the critically ill patient.; Determine if a hospitalized patient is a candidate for central parenteral nutrition (CPN); Discuss at least four complications of enteral feedings and the cause of each complication.; Discuss at least three benefits of early enteral nutrition and develop a plan to start a hemodynamically stable ICU patient on early enteral nutrition.; Discuss how liver, renal, and pulmonary diseases impact the following nutritional needs of hospitalized patients: calories, fat, carbohydrate, electrolytes, and vitamins and minerals.; Examine enteral formulas and discuss the pros and cons of the protein, carbohydrate, and fat found in each one.; Explain at least three circumstances when a nasogastric, nasojejunal or percutaneous endoscopic gastrostomy tube should be used with patients.; Identify at least four metabolic complications that occur with PN, the cause of the complications, and a plan of action if the complications occur in a patient.; Identify the type, amount, route, and method of enteral feedings for hospitalized patients with severe sepsis, obesity, liver disease, kidney disease, and pulmonary disease.; List at least five causes of diarrhea in hospitalized patients.
  • Outline:

    Chapter 1: Nutrition Assessment
    Chapter 2: Enteral Nutrition
    Chapter 3: Parenteral Nutrition
    Chapter 4: Gastrointestinal Disorders
    Chapter 5: Nutrition in Critical Illness
    Chapter 6: Obesity and Diabetes Mellitus
    Chapter 7: Kidney Disease
    Chapter 8: Liver Disease
    Chapter 9: Cancer Patients
    Chapter 10: Transition to Home Care
    Appendix 1. Physical Changes with Malnutrition
    Appendix 2. Body Composition and Arm Muscle Area
    Appendix 3. Non-nutritional Factors Affecting Serum Proteins 
    Appendix 4. Dietary Reference Intakes: Recommended Dietary Allowances and Adequate Intakes
    Appendix 5. Examples of Standard CPN Admixtures
    Appendix 6. Determining Nutritional Value from TPN
    Appendix 7 Determining Composition of 1 Liter of CPN
    Appendix 8. PN Monitoring Form
    Appendix 9. Metabolic Complications of TPN
    Review Question Answers
  • Target Audience:

    The target audience for this course is: Level III level Dietitians; in the following settings: Acute Care Facility.
  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.
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