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TECH164-1108 : Nutrition in Critical Care Patients
Tony Johnson, DVM, DAVECC & Daniel L. Chan, DVM, DACVECC, DACVN, FHEA, MRCVS
November 12-December 19, 2008
Real Time Sessions: Tuesdays, November 18, 25, and December 2 and 9, 2008; 11:00am-12:30pm ET (USA)
The Nutrition in Critical Care course will cover indications for nutritional support of canine and feline ICU patients as well as practical methods for delivery of both enteral and parenteral nutrition to critical patients; an often overlooked aspect of patient care. The technician's and clinician's role in recognizing which patients will benefit from nutritional support will be explored. Various diseases that typically require nutritional support will serve as a framework for deeper discussions and critical thinking about the pathophysiology and consequences of starvation/malnutrition and the role of nutritional support as a part of an overall treatment plan.
This course is focused toward the experienced technician and veterinarian who routinely deals with critical care cases, or has an interest in obtaining or has the VTS (ECC) and/or VTS (SAIM) designation. Participants should be versed in basics of critical care medicine and nutrition as basic knowledge of these parameters will be reviewed only. Veterinarians are welcome to take this course; we will be applying for RACE approval for both veterinarians and veterinary technicians.
Upon completion of this course participants will be able to understand and discuss
TEXTBOOKS: There are no required texts for this course; however, the instructors recommend the following:
Week 1: Nutrition in disease and health
Content: Review of normal nutritional physiology basics and the deleterious effects of starvation and malnutrition on disease recovery. Formulation of the nutritional plan for your patient as well as a list of diseases that commonly require nutritional support will be covered. Pro's and con's of appetite stimulants and why force feeding is playing with fire.
Week 2: Tubes, Tubes, Tubes! Enteral nutrition.
Content: Delivery of nutrition using the GI tract. Why we put those tubes in all those places and how we select each one. Review of tube placement, maintenance and complications. The importance of keeping the GI tract healthy through the use of enteral nutrition. All this, and how a can of Coke can save the day!
Week 3: Mainline calories: Parenteral nutrition
Content: When the GI tract has to be bypassed due to illness or injury, patients require parenteral nutrition (PN). The various formulations of partial parenteral nutrition (PPN) and total parenteral nutrition (TPN) will be covered. Different methods for vascular access, complications and the hefty nursing requirements of PN will be covered.
Week 4: The whole enchilada: Nutrition in the ICU, day practice and at home
Content: The final week will cover the incorporation of nutritional support for general practices, outpatients, 24-ICUs and everything in between. For the technician and clinician practicing at all levels, there are many options for improving outcomes for your patients - you don't need a 24 hour ICU to provide nutritional support for your patients. Some resources for products and suppliers and a review of the major points from the previous sessions will be included.
LIBRARY MATERIALS: Library materials will be made available prior to the topic week so participants will have plenty of time to prepare for the real time sessions and discussion.
MESSAGE BOARD DISCUSSIONS: Message board discussions regarding the topic presented will begin on the day the course opens and continue for one week following the last real time session. These discussions will be held in the VSPN CE course area.
CE HOURS: 6
$117 ($105.00 early bird special if registered before October 29, 2008).
*Students currently enrolled in and taking at least 2 classes or 5 units at an AVMA accredited or CAAHT approved Veterinary Technician Program may be eligible to receive a 50% discount off the regular rate for this course (upon verification of student status). You must include the following information in the comments section of the CE enrollment form in order to be eligible for this discount: your program director's name and contact information (email/phone) and school name.
** NOTE: Enrollment will be closed when the maximum number of participants is reached or at 5pm ET the day of the first real time session.
For More Information on how our online CE courses work please read the following:
Nanette R. Walker Smith, M.Ed., RVT, CVT, LVT
VSPN Content Director & CE Coordinator
1-800-846-0028 or 1-530-297-4950, ext 187
777 West Covell Blvd, Davis, CA 95616
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