1st Edition

Optimizing Metabolic Status for the Hospitalized Patient The Role of Macro- and Micronutrition on Disease Management

    424 Pages 117 B/W Illustrations
    by CRC Press

    424 Pages 117 B/W Illustrations
    by CRC Press

    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.


    • State-of-the-art guidelines for practicing metabolic medicine in the hospital setting
    • “Hands on” guide for day-to-day metabolic management of hospitalized patients
    • Personal insights from one of the field’s leading practitioners, drawing upon decades of experience
    • Historical reviews of key scientific developments

    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.

    Chapter 1. An Introduction to Metabolic Medicine

    Chapter 2. A Brief History of Nutritional Medicine and the Emergence of Nutrition as a Medical Subspecialty

    Chapter 3. An Abbreviated History of Nutritional Support

    Chapter 4. Overview of the Metabolic Practices

    Chapter 5. Hospital Resources

    Chapter 6. The Initial Metabolic Medicine Hospital Consult

    Chapter 7. The Nutrition-Focused History and Physical Examination (NFPE) in Malnutrition

    Chapter 8. Metabolic Laboratory Data

    Chapter 9. The Metabolic Cart

    Chapter 10. Preparing the Malnourished Patient for TPN

    Chapter 11. Parenteral Nutrition Components, Admixture and Administration

    Chapter 12. Writing the Initial Parenteral Nutrition Order

    Chapter 13. The Follow-up Metabolic Hospital Consultation

    Chapter 14. Parenteral and Enteral Nutrition in Critical Illness

    Chapter 15. Tube Feedings Formulas and Methods

    Chapter 16. Oral Nutritional Supplements and Appetite Stimulation Therapy 

    Chapter 17. Transitioning the Nutritional Support Patient to Homecare

    Chapter 18. The Metabolic Post-Operative Bariatric Surgery Consultation


    Dr. Michael Rothkopf’s career represents the balance of compassionate patient care, medical foresight and technological innovation. His clinical efforts have directly touched thousands of patients. He has contributed to important developments in medical nutrition, homecare therapeutics and medical technology. He holds four patents, has written more than 100 scientific publications and three medical textbooks. He is a serial entrepreneur with a track record of successful medical ventures. Dr. Rothkopf is currently the Director of Metabolic Medicine at Morristown Medical Center and President of the National Board of Physician Nutrition Specialists.

    Jennifer C. Johnson is a Professor of Writing Studies at Montclair State University in New Jersey. She hold degrees in English, Spanish, and Molecular Biology with a concentration in Neuroscience. Her teaching centers on science and business writing and technical writing and research skills, but she also has a background in world literatures and cultures. She is the co-author of one science book and has edited several other science and literature books. She is currently the chair of the Professional Writing Minor at Montclair State University.

    The book reviews the foundations of nutritional medicine, the role of physician nutrition specialists, and details of the unique assessments one can offer in this capacity. The book serves as a guide for using traditional tools (e.g., the history and physical exam, laboratory data combined with other datapoints such as indirect calorimetry) to arrive at a complete nutritional assessment. The structure of this book is that it can be read cover to cover incorporating a comprehensive way of assessing patients and a few exemplary cases.

    Jessica Hwang, MD, Cook County Health