Nutrition Support - RD114

Nutrition Support

Enteral & Parenteral Nutrition

by Jennifer L. Sporay, MS, RDN-AP, CSO, LDN, CNSC, FAND
(4.5 / 571 ratings )

This course is credentialed for:
Dietetics/Nutrition (12.00 CPEU)

Price: $149.00
CE-PRO Price: $74.50


Nutrition support is a varied and highly specialized field, requiring an increased level of knowledge by the nutrition care practitioner. This course reflects the latest clinical practical guidelines and evidence-based research 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, renal 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.


The goal of this course is to provide clinicians with the latest guidelines for the assessment, provision, and monitoring of patients needing nutrition support to improve their skills and confidence with these challenging patients. After studying the information presented here, the learner will be able to:
  • Describe the pros and cons of using anthropometric measurements for the nutrition assessment of the critically ill patient.
  • 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.
  • Identify the type, amount, route, and method of enteral feedings for hospitalized patients with severe sepsis, obesity, liver disease, renal disease, and pulmonary disease.
  • List at least five causes of diarrhea in hospitalized patients.
  • Discuss at least four complications of enteral feedings and the cause of each complication.
  • Examine enteral formulas and discuss the pros and cons of the protein, carbohydrate, and fat found in each one.
  • Determine if a hospitalized patient is a candidate for central parenteral nutrition (CPN).
  • Calculate the total calories, non-protein calories, total protein, calorie-to-nitrogen ratio, and amount of fat in PN solutions.
  • 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.
  • 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.
  • Discuss how liver, renal, and pulmonary diseases impact the following nutritional needs of hospitalized patients: calories, fat, carbohydrate, electrolytes, and vitamins and minerals.
  • Explain at least three circumstances when a nasogastric, nasojejunal or percutaneous endoscopic gastrostomy tube should be used with patients.
  • Discuss at least three benefits of early enteral nutrition and develop a plan to start a hemodynamically stable ICU patient on early enteral nutrition.

Accreditation Information
The course is intended for dietitian and nutrition professionals
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. This is a level 3 course with suggested CDR learning codes of 3020, 3030, 3060, 5000, 5150, 5170, 5190, 5220, 5330, 5340, 5390, 5410, 5440, and 5450 and performance indicators 4.1.1, 4.1.2, 4.1.4, 4.2.1, 4.2.4, 4.2.5, 4.2.6, 4.2.7, 10.2.1, 10.2.2, 10.2.4, 10.2.5, 10.2.9, 10.2.10, 10.2.11, 10.3.1, 10.4.2, 10.4.3, 10.4.4, and 10.4.5
OnCourse Learning is also accredited by the Florida Council of Dietetics and Nutrition (provider # FBN 50-1489).
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.
There is no commercial support provided for this online educational activity.

Course Originally Released on: 1/1/1989
Date of Most Recent Review: 4/15/2020
Course Termination/Update Date: 4/30/2023

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

If this course is approved by the Florida Council of Dietetics and Nutrition, this course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

Reports to CE Broker

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Manjit K - Antelope, CA  ·  May 17, 2020
very hard test. But really educational
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Heather P - CLOVIS, CA  ·  May 16, 2020
Good content and presentation. Maybe update for the new lipids SMOF. ? residuals, think there is new info on that also. I am now working outpatient cancer center, but was at a trauma hospital for 14 years.
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stephanie j - Menasha, WI  ·  May 13, 2020
Good basic introduction
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JENNIFER H - Heath , OH  ·  May 05, 2020
very helpful information, excellent course.
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Melissa B - Chesapeake, VA  ·  May 04, 2020
Excellent review/survey.
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Price: $149.00
CE-PRO Price: $74.50