Role of clinical pharmacy specialist in nutrition management of bone marrow transplant patient.

I describe the role of the clinical pharmacy specialist (CPS) in the nutrition management of bone marrow transplant (BMT) patients. An example is used to demonstrate the complex nature of nutritional support in BMT patients and the ability of the CPS to provide expertise in the fluid and electrolyte aspect of nutrition management. This example also illustrates the multitude of factors considered by the CPS before changes in parenteral-nutrition therapy are recommended to BMT physicians. The role of the CPS in nutrition assessment, parenteral-formula design, consultation on compatibility and stability issues, formula alteration to meet changing nutrition requirements, and home nutrition management is outlined.