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This book is a guide for clinicians seeking to use metabolic approaches in the care of hospitalized patients. Since a nutritional component exists for practically any disease process managed, it is important to properly address the macro- and micronutrient issues that can help facilitate a favourable clinical outcome.Metabolic medicine is a newly recognized speciality that applies proven nutritional approaches to support hospitalized patients within existing standards of care. Optimizing Metabolic Status for the Hospitalized Patient: The Role of Macro- and Micronutrition on Disease Management addresses the gap of nutrition knowledge among physicians who generally care for patients without addressing the nutritional and metabolic perspective.This book is written by Dr Michael M. Rothkopf, Clinical Professor of Medicine at Rutgers/New Jersey Medical School. Dr Rothkopf founded the Metabolic Medicine Center at Morristown Medical Center and is the current Metabolic Medicine Consultant for the Heart Transplant, Lung Transplant, Cardiac Surgery and Wound Care Programs at RWJBH/Newark Beth Israel Medical Center.This book is directed at the physician level of hospital care. It provides value to a broad range of physicians regardless of their medical specialty or subspecialty. It will also be useful for medical students and resident physicians in training as well as nurse practitioners and physician assistants working in hospital settings.
An Introduction to Metabolic Medicine
A Brief History of Nutritional Medicine and the Emergence of Nutrition as a Medical Subspecialty
An Abbreviated History of Nutritional Support
Overview of the Metabolic Practices
Hospital Resources
The Initial Metabolic Medicine Hospital Consult
The Nutrition-Focused History and Physical Examination (NFPE) in Malnutrition
Metabolic Laboratory Data
The Metabolic Cart
Preparing the Malnourished Patient for TPN
Parenteral Nutrition Components, Admixture and Administration
Writing the Initial Parenteral Nutrition Order
The Follow-up Metabolic Hospital Consultation
Parenteral and Enteral Nutrition in Critical Illness
Tube Feedings Formulas and Methods
Oral Nutritional Supplements and Appetite Stimulation Therapy
Transitioning the Nutritional Support Patient to Homecare
The Metabolic Post-Operative Bariatric Surgery Consultation