Optimal caloric intake for critically ill patients: first, do no harmRoland N Dickerson
University of Tennessee Memphis, Memphis, TN 38136, USA
Nutr Clin Pract 26:48-54. 2011
..Further research is necessary to determine the minimum amount of nutrition required to achieve a therapeutic benefit as well as to ascertain at what amount of additional nutrition intake offers no further improvement in clinical outcome...
- Safety and efficacy of intravenous hypotonic 0.225% sodium chloride infusion for the treatment of hypernatremia in critically ill patients
Roland N Dickerson
Roland N Dickerson, University of Tennessee Health Science Center, 881 Madison Avenue, Suite 345, Memphis, TN 38163, USA Email
Nutr Clin Pract 28:400-8. 2013
..Conclusions: Although IV ¼ NS was effective for decreasing serum sodium concentration, evidence for minor hemolysis warrants further research to establish its safety before its routine use can be recommended...
A reappraisal of nitrogen requirements for patients with critical illness and traumaRoland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA
J Trauma Acute Care Surg 73:549-57. 2012
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- Evaluation of nursing adherence to a paper-based graduated continuous intravenous regular human insulin infusion algorithm
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 28:1008-11. 2012
..The objective of this study was to assess nursing adherence to our RHI infusion algorithm...
- Jonathan E. Rhoads lecture 2012: improving patient care with practice-based research
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, 881 Madison Ave, Suite 345, Memphis, TN 38163, USA
JPEN J Parenter Enteral Nutr 36:562-73. 2012
..Common barriers to practice-based research are discussed as well as potential solutions offered for consideration...
- Increased hypoglycemia associated with renal failure during continuous intravenous insulin infusion and specialized nutritional support
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 27:766-72. 2011
..To evaluate glycemic control for critically ill, hyperglycemic trauma patients with renal failure who received concurrent intensive insulin therapy and continuous enteral nutrition (EN) or parenteral nutrition (PN)...
- Clinical relevancy of the levothyroxine-continuous enteral nutrition interaction
Roland N Dickerson
University of Tennessee Health Science Center, Memphis, TN 38163, USA
Nutr Clin Pract 25:646-52. 2010
..The objective of this study was to determine if patients requiring levothyroxine therapy develop hypothyroidism during concurrent continuous enteral nutrition (EN)...
- Monitoring nutrition therapy in the critically ill patient with obesity
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, 910 Madison Ave, Memphis, TN 38163, USA
JPEN J Parenter Enteral Nutr 35:44S-51S. 2011
..Conventional nutrition outcome markers should be employed, with their limitations understood, when used for the critically ill obese patient...
- Use of a standardized progress note and assessment form for performance evaluation and quality improvement
Roland N Dickerson
University of Tennessee Health Science Center, Memphis, TN 38163, USA
Nutr Clin Pract 25:490-6. 2010
..001). Trainees were unanimous that this tool facilitated improvement of their clinical skills and ability to write effective daily progress notes...
- Safety and efficacy of a graduated intravenous insulin infusion protocol in critically ill trauma patients receiving specialized nutritional support
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN, USA
Nutrition 24:536-45. 2008
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- Energy requirements of non-ambulatory, tube-fed adult patients with cerebral palsy and chronic hypothermia
Roland N Dickerson
Department of Pharmacy, University of Tennessee, Arlington, Tennessee 38163, USA
Nutrition 19:741-6. 2003
..We investigated the energy requirements of non-ambulatory patients with severe neurodevelopmental disabilities and chronic hypothermia...
- Dose-dependent characteristics of intravenous calcium therapy for hypocalcemic critically ill trauma patients receiving specialized nutritional support
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 23:9-15. 2007
..The purpose of this investigation was to evaluate the dose-dependent characteristics of intravenous calcium gluconate therapy for hypocalcemic critically ill patients...
- Treatment of moderate to severe acute hypocalcemia in critically ill trauma patients
Roland N Dickerson
Department of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA
JPEN J Parenter Enteral Nutr 31:228-33. 2007
..However, evidence-based methods for the treatment of moderate to severe acute hypocalcemia (ionized calcium concentration [iCa] <1 mmol/L) are lacking...
- A new graduated dosing regimen for phosphorus replacement in patients receiving nutrition support
Kaleb A Brown
Department of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA
JPEN J Parenter Enteral Nutr 30:209-14. 2006
..CONCLUSIONS: This weight-based phosphorus-dosing algorithm is safe for use in critically ill patients receiving nutrition support. The moderate and severe-dose regimens effectively increase serum phosphorus concentrations...
- Evaluation of an artificial neural network to predict urea nitrogen appearance for critically ill multiple-trauma patients
Roland N Dickerson
Department of Pharmacy, University of Tennessee Health Science Center, Memphis, 38163, USA
JPEN J Parenter Enteral Nutr 29:429-35. 2005
..Computer-based simulated biologic neural network models have made significant strides in clinical medicine...
- Treatment of acute hypocalcemia in critically ill multiple-trauma patients
Roland N Dickerson
Departments of Pharmacy and Surgery, University of Tennessee Health Science Center, Memphis, 38163, USA
JPEN J Parenter Enteral Nutr 29:436-41. 2005
..12 mmol/L). However, validated methods for the treatment of acute hypocalcemia are lacking...
- Disparate response to metoclopramide therapy for gastric feeding intolerance in trauma patients with and without traumatic brain injury
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA
JPEN J Parenter Enteral Nutr 33:646-55. 2009
..Combination therapy with erythromycin as first-line therapy for TBI trauma patients with gastric feeding intolerance is indicated if there are no contraindications or significant drug interactions...
- Accuracy of methods to estimate ionized and "corrected" serum calcium concentrations in critically ill multiple trauma patients receiving specialized nutrition support
Roland N Dickerson
Department of Pharmacy, University of Tennessee Health Science Center, 26 South Dunlap St, Room 210, Memphis, TN 38163, USA
JPEN J Parenter Enteral Nutr 28:133-41. 2004
..Predictive methods for estimating ionized or corrected serum concentrations should not be used. Direct measurement of serum iCa concentration is indicated for assessing calcium status for this population...
- Influence of traumatic brain injury on potassium and phosphorus homeostasis in critically ill multiple trauma patients
Kimberly A Lindsey
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 26:784-90. 2010
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- Low serum total calcium concentration as a marker of low serum ionized calcium concentration in critically ill patients receiving specialized nutrition support
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA
Nutr Clin Pract 22:323-8. 2007
..12 mmol/L) in critically ill patients receiving specialized nutrition support...
- Hypocaloric feeding of obese patients in the intensive care unit
Roland N Dickerson
University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA
Curr Opin Clin Nutr Metab Care 8:189-96. 2005
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- Effect of upper extremity posturing on measured resting energy expenditure of nonambulatory tube-fed adult patients with severe neurodevelopmental disabilities
Roland N Dickerson
Department of Pharmacy, University of Tennessee Health Science Center, Memphis 38163, USA
JPEN J Parenter Enteral Nutr 26:278-84. 2002
..MEE for nonambulatory tube-fed adult patients with severe neurodevelopmental disabilities and fixed upper extremity contractures is significantly lower than predicted by the Harris-Benedict equations...
- Predicting total urinary nitrogen excretion from urinary urea nitrogen excretion in multiple-trauma patients receiving specialized nutritional support
Roland N Dickerson
Department of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 21:332-8. 2005
..We investigated the accuracy of methods to estimate total urinary nitrogen (TUN) excretion from urinary urea nitrogen (UUN) excretion for patients who have multiple trauma and receive specialized nutritional support...
- Hypocaloric enteral tube feeding in critically ill obese patients
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA
Nutrition 18:241-6. 2002
..We respectively compared the nutritional and clinical efficacies of eucaloric and hypocaloric enteral feedings in 40 critically ill, obese patients admitted to the trauma or surgical intensive care unit...
- Potential aluminum exposure from parenteral nutrition in patients with acute kidney injury
Rex O Brown
Department of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA
Ann Pharmacother 42:1410-5. 2008
..Patients' exposure to and potential toxicity from aluminum in parenteral nutrition (PN) formulations is an important concern of healthcare providers...
- Hypocaloric, High-Protein Nutrition Therapy in Older vs Younger Critically Ill Patients With Obesity
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee
JPEN J Parenter Enteral Nutr 37:342-51. 2013
..Older patients are at greater risk for developing azotemia. Close monitoring is warranted...
- Vitamin K-independent warfarin resistance after concurrent administration of warfarin and continuous enteral nutrition
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Center for the Health Sciences, Memphis, Tennessee 38163, USA
Pharmacotherapy 28:308-13. 2008
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- Treatment of hypocalcemia in critical illness--part 1
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 23:358-61. 2007
- Estimating energy and protein requirements of thermally injured patients: art or science?
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee, Memphis, Tennessee 38163, USA
Nutrition 18:439-42. 2002
- Topiramate and weight loss in patients with neurodevelopmental disabilities
Rex O Brown
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis 38163, USA
Pharmacotherapy 22:831-5. 2002
..To characterize weight changes in patients with neurodevelopmental disabilities who received topiramate...
- Procalcitonin and enteral nutrition tolerance in critically ill patients
Rex O Brown
Department of Pharmacy, College of Medicine, University of Tennessee Health Science Center, Memphis 38163, USA
JPEN J Parenter Enteral Nutr 27:84-8. 2003
..The purpose of this study was to characterize procalcitonin and other serum proteins during EN of trauma patients based on EN tolerance and presence of infection...
- Treatment of hypocalcemia in critical illness--part 2
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 23:436-7. 2007
- Validation of a new method for estimating resting energy expenditure of non-ambulatory tube-fed patients with severe neurodevelopmental disabilities
Roland N Dickerson
Department of Clinical Pharmacy, University of Tennessee Heath Science Center, Memphis, TN 38163, USA
Nutrition 18:578-82. 2002
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- Education and training in nutrition support pharmacy practice
Roland N Dickerson
Department of Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Nutrition 19:693-7. 2003
- Long-term enteral nutrition support and the risk of dehydration
Roland N Dickerson
Department of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA
Nutr Clin Pract 20:646-53. 2005
..The method for treatment and prevention of dehydration depends on the presence or absence of hypovolemia, type of body fluid losses, and whether the patient demonstrates hypernatremia, normonatremia, or hyponatremia...
- Medication effects on metabolic rate: a systematic review (part 1)
Roland N Dickerson
University of Tennessee Health Sciences Center, 26 S. Dunlap Street, Memphis, TN 38163, USA
J Am Diet Assoc 105:835-43. 2005
- The effect of sepsis during parenteral nutrition on hepatic microsomal function in rats
Roland N Dickerson
Department of Pharmacy, University of Tennessee Health Science Center, Memphis 38163, USA
Pharmacotherapy 22:1084-90. 2002
..The disproportional decrease in ECOD activity relative to CYP concentration with PN is unchanged by sepsis, indicating a selective alteration in hepatic isoenzymes by PN...
