TABLE 20-6 -- PREPARATION OF INFANT FORMULAS FOR STANDARD AND SOY FORMULAS *

Formula Type

Caloric Concentration (kcal/oz)

Amount of Formula

Water (oz)

Liquid concentrates (40 kcal/oz)

20
24
26
28
30

13 oz
13 oz
13 oz
13 oz
13 oz

13
8.5
7
5.5
4.3

Small volume preparation of powder (44 kcal/scoop)

20
24
26
28
30

1 scoop
3 scoops
2 scoops
7 scoops
3 scoops

2
5
3
10
4

*Does not apply to Enfacare, Neocate, Neosure, Elecare. Enfamil AR should not be concentrated greater than 24 kcal/oz. Use a packed measure for Portagen, Nutramigen, and Pregestimil.





TABLE 20-7 -- COMMON CALORIC SUPPLEMENTS *

Component

Calories

PROTEIN

Casec

3.7 kcal/g (0.9 g protein)
17 kcal/tbsp (4 g protein)

CARBOHYDRATE

Polycose

Powder: 3.8 kcal/g
8 kcal/tsp
Liquid: 2.0 kcal/mL, 10 kcal/tsp

FAT

MCT oil

7.7 kcal/mL

Vegetable oil

8.3 kcal/mL

*Use these caloric supplements when you want to increase protein or when you have reached the maximum concentration tolerated and wish to further increase caloric density.
MCT oil is unnecessary unless there is fat malabsorption.




 

467

 

TABLE 20-8 -- CLASSIFICATION OF FORMULAS BY CARBOHYDRATE

 

 

Lactose

Sucrose and Glucose Polymers

Glucose Polymers

Minimal Carbohydrate

Common ingredient names

 

See glucose polymers

Glucose polymers
Maltodextrins
Corn syrup solids
Modified tapioca starch

 

Comments

Requires lactase enzyme for digestion
Contraindicated in galactosemia

Requires sucrase enzyme for digestion (see also glucose polymers)

Easily digested
For individuals with lactose malabsorption

For severe carbohydrate intolerance

Infants

America’s Store Brand Formulas
(generic)
Enfamil
Enfamil AR
Enfamil Enfacare
Enfamil Premature
Evaporated milk formula
Neosure *
Nestlé Follow-up
Nestlé Good Start
Similac
Similac PM 60/40
Similac Special Care

Alimentum
America’s Store Brand Soy
Isomil
Isomil DF (Fiber)
Nestlé Alsoy
Nestlé Follow-Up Soy
Portagen

Enfamil Lactofree
Neocate
Nutramigen
Pregestimil
ProSobee
Similac Lactose Free

MJ3232A
RCF

Toddlers and young children

Cow’s milk
Next Step *
Similac 2

Compleat Pediatric
Isomil 2
Kindercal TF (Fiber)
Neocate One Plus
Next Step Soy
Nutren Junior
PediaSure (also w/Fiber)
Pediatric EO28
Peptamen Junior
ProPeptide for Kids
Resource Just for Kids

EleCare
KetoCal
Neocate Junior
Pepdite One+
Vivonex Pediatric

 

Older children and adolescents

Carnation Instant Breakfast
Scandishake

All other formulas in Table 20-14

Criticare HN
Crucial
Deliver 2.0
L-Emental
faa
Glucerna
Glytrol
Isocal
Jevity (fiber)
Nestlé Modulen IBD
Nutren (all)
Osmolite
Promote
Peptamen
ProPeptide
Replete
Tolerex
Ultracal
Vivonex Plus
Vivonex TEN

 

*Also contains glucose polymers.
† Also contains fruit and vegetable purees.
Unflavored contains glucose polymers only.




 

TABLE 20-9 -- CLASSIFICATION OF FORMULAS BY PROTEIN

 

 

Cow’s Milk Protein

Soy Protein

Hydrolysate

Free Amino Acids

Common ingredient names

Cow’s milk protein
Nonfat milk
Demineralized whey
Reduced mineral whey
Sodium, calcium, magnesium caseinate
Casein

Soy protein
Soy protein isolate

Casein hydrolysate
Hydrolyzed whey, meat, and soy

Comments

Requires normal protein digestion and absorption

Requires normal protein digestion and absorption
Not recommended for premature infants or those with cystic fibrosis

For individuals with protein allergy and/or malabsorption

For individuals with severe protein allergy and/or severe protein malabsorption

Infants

America’s Store Brand
formulas (generic)
Enfamil
Enfamil AR
Enfamil Enfacare
Enfamil Lactofree
Enfamil Premature
Evaporated milk formula
Nestlé Follow-up
Nestlé Good Start
Portagen
Similac
Similac Lactose Free
Similac Neosure
Similac PM 60/40
Similac Special Care

America’s Store Brand Soy
Isomil
Isomil DF
Nestlé Alsoy
Nestlé Follow-up Soy
ProSobee
RCF

Alimentum
MJ3232A
Nutramigen
Pregestimil

Neocate

Toddlers and young children

Compleat Pediatric *
Cow’s milk
KetoCal
Kindercal
Next Step
Nutren Junior
PediaSure
Resource Just for Kids
Similac 2

Next Step Soy
Isomil 2

Pepdite One+
Peptamen Junior
Pro-Peptide for Kids

Vivonex Pediatric
EleCare
Neocate Junior
Neocate One+
Pediatric EO28

Older children and adolescents

All other formulas in Table 20-14

Ensure
Ensure with Nutraflora FOS†
Ensure Plus
Isocal
Osmolite
Promote

Criticare HN
Crucial
Peptamen
ProPeptide
Vital HN

L-Emental
faa
Tolerex
Vivonex TEN
Vivonex Plus

* Blenderized protein diet of meat, vegetables, and fruit.
† Also contains cow’s milk.

 

TABLE 20-10 -- CLASSIFICATION OF FORMULAS BY FAT

 

 

Long-Chain Triglycerides

Medium-Chain and Long-Chain Triglycerides

Common ingredient names

Butterfat
Canola oil
Coconut oil
Corn oil

Palm olein
Safflower oil
Soy oil
Sunflower oil

Fractioned coconut oil
Medium-chain triglycerides (MCT oil)

 

Comments

Requires normal fat digestion and absorption

For individuals with fat malabsorption
Bile digestion not required
Absorbed directly into portal circulation

 

Infants

America’s Store Brand formulas (generic)
America’s Store Brand Soy
Enfamil
Enfamil AR
Enfamil Lactofree
Evaporated milk formula
Isomil (all)
Neocate
Nestlé Alsoy
Nestlé Follow-up

Nestlé Follow-up Soy
Nestlé Good Start
Nutramigen
ProSobee
RCF
Similac
Similac Lactose Free
Similac PM 60/40

Alimentum
Enfamil Enfacare
Enfamil Premature
MJ3232A
Neosure
Portagen
Pregestimil
Similac Special Care

 

Toddlers and young children

Compleat Pediatric
Cow’s milk
Isomil 2
KetoCal
Next Step
Next Step Soy
Similac 2

 

Elecare
Kindercal
Neocate Junior
Neocate One+ powder
Nutren Junior
PediaSure
Pediatric EO28
Peptamen Junior
Pepdite One+
ProPeptide for Kids
Resource Just For Kids
Vivonex Pediatric

 

Older children and adolescents

Carnation Instant Breakfast
Criticare HN
Ensure
Ensure with Fiber
Ensure Plus
GlucernaL-Emental
Tolerex
Vivonex Plus
Vivonex TEN

Boost
Boost High-Protein
Boost Plus
Nepro
Scandishake
Suplena

Crucial
Deliver 2.0
faa
Isocal
Jevity
Glytrol
Nestlé
  Modulen
  FBD
Nutren 2.0
Nutren 1.0 (with Fiber)

Osmolite
Peptamen
Promote
Propeptide
Replete
Subdue
Traumacal
Ultracal
Vital HN

 

 

TABLE 20-12 -- HUMAN MILK AND FORTIFIERS ANALYSIS (PER LITER)

Formula

kcal/mL (kcal/oz)

Protein g (% kcal)

Carbohydrate g (% kcal)

Fat g (% kcal)

Na (mEq)

K (mEq)

Ca (mg)

P (mg)

Fe (mg)

Osmolality (mOsm/kg water)

Suggested Uses

Human milk (mature)

0.69 (20)

10 (6)
Human milk protein

72 (42)
Lactose

39 (54)
Human milk fat

7

13

280

147

0.4

286

Infants

Human milk * (Preterm)

0.67 (20)

14 (8)
Human milk protein

66 (40)
Lactose

39 (52)
Human milk fat

11

15

248

128

1.2

290

Preterm infants

Enfamil Human Milk Fortifier (per packet) (Mead Johnson)

3.5 (−)

0.3 (29)
Whey protein isolate
Na caseinate

0.26 (30)
Corn syrup solids

0.16 (42)
From caseinate

0.12

0.13

23

11

0.36

Fortifier for preterm human milk

Similac Human Milk Fortifier (Ross) per packet

3.5 kcal per packet

0.25 (29)
Whey protein concentrate
Nonfat milk

0.45 (51)
Corn syrup solids

0.09 (23)
MCT oil

0.16

0.4

29

17

0.09

Fortifier for preterm human milk

Similac Natural Care Human Milk Fortifier (Ross)

0.8 (24)

22 (11)
Nonfat milk
Whey protein concentrate

86 (42)
Corn syrup solids (50%)
Lactose (50%)

44 (47)
MCT oil (50%)
Soy oil (30%)
Coconut oil (20%)

15

26.6

1694

935

3

280

Fortifier for preterm human milk

Preterm Human Milk |+ Enfamil Human Milk Fortifier (1 pkt/25 mL)

0.79 (24)

27 (13)
Human milk protein
Whey protein concnetrate
Na caseinate

82 (41)
Lactose
Corn syrup solids

41 (46)
Human milk fat

165

18

1140

590

15

410

Preterm infants

Preterm Human Milk + Similac Human Milk Fortifier (1 packet/ 25 ml)

0.79 (24)

23 (12)
Nonfat milk
Whey protein concentrate
Human milk protein

82 (42)
Lactose
Corn syrup solids

41 (47)
MCT oil
Human milk fat

17

30

1380

776

4.6

385

Preterm infants

Preterm Human Milk + Similac Natural Care 75:25 ratio

0.7 (21)

16 (9)
Human milk protein
Nonfat milk
Whey protein concentrate

71 (40)
Lactose
Corn syrup colids

40 (51)
Human milk fat
MCT oil
Soy oil
Coconut oil

12

18

610

330

1.65

288

Preterm infants

Preterm Human Milk + Similac Natural Care 50:50 ratio

0.74 (22)

18 (10)
Human milk protein
Nonfat milk
Whey protein concentrate

71 (40)
Lactose
Corn syrup solids

41 (50)
Human milk fat
MCT oil
Soy oil
Coconut oil

13

21

971

531

2.1

285

Preterm infants

From Ross Products Division, Abbott Laboratories, Inc.

*Composition of human milk varies with maternal diet, stage of lactation, within feedings, diurnally, and among mothers.




 

TABLE 20-13 -- TODDLER AND YOUNG CHILD FORMULA ANALYSIS (PER LITER)

Formula

kcal/mL (kcal/oz)

Protein g (% kcal)

Carbohydrate g (% kcal)

Fat g (% kcal)

Na (mEq)

K (mEq)

Ca (mg)

P (mg)

Fe (mg)

Osmolality (mOsm/kg water)

Suggested Uses

Compleat Pediatric (Novartis)

1 (30)

38 (15)
Beef
Na caseinate
Ca caseinate

130 (50)
Vegeta bles
Fruit
Hydrolyzed cornstarch
Apple juice

39 (35)
HO sun oil
Soy oil
MCT oil

30

38

1000

1000

13

380

For those who desire a blenderized tube feeding

Cow’s milk, whole

0.63 (19)

Cow’s milk
34 (22)

Lactose
48 (31)

34 (49)
Butterfat

22

40

1226

956

0.5

285

Children >1 year of age with normal GI tract

Elecare (Ross)

1 (30)

30 (15)
Free L-amino acids

107 (43)
Corn syrup solids

47.6 (42)
HO saff oil (39%)
MCT oil (33%)
Soy oil (28%)

20

39

1082

808

18

596

Children with malabsorption, protein allergy

Isomil 2 (Ross)

0.67 (20)

17 (10)
Soy protisolate
Methionine

70 (41)
Corn syrup (80%)
Sucrose (20%)

37 (49)
Ho saff (40%)
Coconut (30%)
Soy oil (30%)

13

19

912

608

12

200

Milk sensitive 6–18 mo eating cereal and baby foods

KetoCal (SHS North America)

1.44 (43)

30 (8.4)
Cow’s milk protein

6 (1.6)
Corn syrup solids

144 (90)
Soybean oil

26

55

1600

1300

22

197

Children on ketogenic diet

Kindercal TF (contains fiber) (Mead Johnson)

1.06 (32)

30 (11)
Milk protein concentrate

135 (52)
Maltodextrins
Sucrose

44 (37)
Canola oil (40%)
Ho sun oil (28%)
Corn oil (12%)
MCT oil (20%)

16

34

1010

850

11

345 institutional and retail
440 vanilla
520 chocolate

Tube feeding and oral supplement for children with normal GI tract

Neocate Junior (SHS North America)

1 (30)

30 (12)
Free amino acids

104 (42)
Corn syrup solids

50 (46)
Canola oil
MCT oil (25%)
Saff oil

18

35

1130

940

14

602

Children with malabsorption, protein allergy

Neocate One+ Powder (SHS North America)

1 (30)

25 (10)
Free amino acids

146 (58)
Corn syrup solids

35 (22)
MCT oil (35%)
Canola oil
Saff oil

9

24

620

620

8

610

Children with malabsorption, protein allergy

Next Step (Mead Johnson)

0.67 (20)

18 (10)
Nonfat milk protein

75 (45)
Lactose
Corn syrup solids

34 (45)
Palm olein (45%)
Soy oil (20%)
Coconut oil (20%)
HO sun oil (15%)

12

23

810

570

12

270

Toddlers with normal GI tract

Next Step Soy (Mead Johnson)

0.67 (20)

22 (13)
Soy protein isolate

80 (47)
Corn syrup solids
Sucrose

30 (40)
Palm olein (45%)
Soy oil (20%)
Coconut oil (20%)
HO sun oil (15%)

13

26

780

610

12

260

Toddlers with cow’s milk allergy, galactosemia

Nutren Junior (also with fiber) (Nestlé)

1 (30)

30 (12)
Casein (50%)
Whey (50%)

128 (51)
Maltodextrins
Sucrose
(Soy polysacharides)

42 (37)
Soy oil
MCT oil (25%)
Canola oil
Soy lecithin

20

34

1000

800

14

350

Tube feeding and oral supplement for children with normal GI tract

PediaSure (also with fiber) (Ross)

1 (30)

30 (12)
Na caseinate
Whey protein concentrate

110 (44)
Maltodextrins
Sucrose
(soy fibre)

50 (44)
HO saff oil (50%)
Soy oil (30%)
MCT oil (20%)

17

34

970

800

14

335 (institutional)
430 (retail/oral)

Tube feeding and oral supplement for children with normal GI tract

Pediatric EO28 (SHS North America)

1 (30)

25 (10)
Free amino acids

146 (58)
Maltodextrins
Sucrose

35 (32)
MCT oil
Canola oil
HO saff oil

9

24

620

620

8

820

Children with malabsorption, protein allergy

Pepdite One+ (SHS North America)

1 (30)

31 (12)
Hydrolized meat and soy protein
Free amino acids

106 (42)
Corn syrup solids

50 (46)
MCT oil
Canola oil
Saff oil

18

35

1130

940

14

432–440

Children with malabsorption

Peptamen Junior (Nestlé) (also with fiber)

1 (30)

30 (12)
Enzymatically hydrolyzed whey protein

138 (55)
Maltodextrin
Sucrose (flavoured)
cornstarch

38.5 (33)
MCT oil (60%)
Soy oil
Canola oil
Lecithin

20

33

1000

800

14

260 (unflavored)
360 (flavored)

Children with malabsorption

Propeptide for Kids (Hormel Health Labs)

1 (30)


Enzymatically hydrolyzed whey protein30 (12)

137.5 (55)
Maltodextrin
Sucrose
Cornstarch

38.5 (33)
MCT oil (18.5%)
Soy oil (22%)
Canola oil (60%)
Lecithin

20

34

1000

800

14

360

Children with malabsorption

Resource Just for Kids (Novartis)

1 (30)

30 (12)
Na caseinate
Ca caseinate
Whey protein concentrate

110 (44)
Hydolyzed cornstarch
Sucrose

50 (44)
HO Sun oil
Soy oil
MCT oil

17

33

1140

800

14

390

Tube feeding and oral supplement for children with normal GI tract

Similac 2

0.67 (20)

14 (8)
Nonfat milk
Whey protein concentrate

72 (43)
Lactose

37 (49)
HO saff (40%)
Coconut oil (30%)
Soy oil (30%)

7

18

797

432

12

300

6–18 months eating cereal and baby foods

Vivonex Pediatric (Novartis)

0.8 (24)

24 (12)
Free amino acids

130 (63)
Maltodextrins
Modified starch

24 (25)
MCT oil (68%)
Soy oil (32%)

17

31

970

800

10

360

Children with malabsorption, protein allergy

 

 

TABLE 20-14 -- OLDER CHILD AND ADULT FORMULA ANALYSIS (PER LITER)

Formula

kcal/mL (kcal/oz)

Protein g (% kcal)

Carbohydrate g (% kcal)

Fat g (% kcal)

Na (mEq)

K (mEq)

Ca (mg)

P (mg)

Fe (mg)

Osmolality (mOsm/kg water)

Suggested Uses

Boost (Mead Johnson)

1 (30)

42 (17)
Milk protein concentrate

171 (67)
Corn syrup solids
Sucrose

17 (16)
Canola oil
HO sun oil
Corn oil

24

43

1248

1040

15

610

Oral supplement

Boost High Protein (Mead Johnson)

1 (30)

61 (24)
Na caseinate
Ca caseinate
Milk protein concentrate

139 (55)
Corn syrup solids
Sucrose

23 (21)
Canola oil
HO sun oil
Corn oil

31

41

1390

1310

19

540

Oral supplement or tube feeding for patients with increased protein needs

Boost Plus (Mead Johnson)

1.5 (45)

59 (16)
Na caseinate
Ca caseinate
Milk protein concentrate

200 (50)
Corn syrup solids
Sucrose

58 (34)
Canola oil
HO sun oil
Corn oil

31

41

1390

1310

19

720

Oral supplement or tube feeding for patients with high calorie needs, normal GI tract, volume fluid restriction

Carnation Instant Breakfast w/whole milk (Nestlé)

1.2 (36)

53 (18)
Cow’s milk

161 (54)
Lactose
Maltodextrin
Sucrose

34 (26)
Butterfat

42

67

1632

1400

17

590

High-calorie supplement for patients with normal GI tract

Criticare HN (Mead Johnson)

1.06 (32)

38 (14)
Hydrolyzed casein
Amino acids

220 (81.5)
Maltodextrin
Modified cornstarch

5 (4.5)
Safflower oil

27

34

530

530

9.7

650

Patients with malabsorption

Crucial (Nestlé)

1.5 (45)

94 (25)
Enzymatically hydrolyzed casein arginine glutamine

135 (36)
Maltodextrin
Cron starch

68 (39)
Marine oil
MCT oil (50%)
Soybean oil

51

48

1000

1000

18

490

Volume-restricted critically ill patients

Deliver 2.0 (Mead Johnson)

2 (60)

75 (15)
Ca caseinate
Na caseinate

200 (40)
Corn syrup

101 (45)
Soy oil (70%)
MCT oil (30%)

35

43

1010

1010

18

640

Oral supplement or tube feeding for patients with fluid restriction or liver disease increased calorie needs

Ensure (Ross)

1.06 (32)

37 (14)
Ca caseinate
Na caseinate
Soy protein isolate
Whey protein isolate

167 (64)
Corn syrup
Maltodextrin
Sucrose

25 (22)
HO saff oil (40%)
Canola oil (40%)
Corn oil (20%)

36

40

1250

1250

18.7

590

Oral supplement or tube feeding for patients with normal GI tract

Ensure Fiber with FOS (Ross)

1.06 (32)

37 (14)
Ca caseinate
Na caseinate
Soy protein isolate
Whey protein isolate

175 (64)
Maltodextrin (65%)
Sucrose (29%)
Soy fiber (2%)
Oat fiber (2%)
Fructoligosacharides (2%)

25 (22)
Corn oil (20%)
HO saff oil (40%)
Canola oil (20%)

37

40

1458

1250

19

500

Oral supplement or tube feeding with fiber, normal GI tract

Ensure Plus (Ross)

1.5 (45)

54 (15)
Na caseinate
Ca caseinate
Soy protein isolate

208 (56)
Corn syrup
Sucrose
Maltodextrin

48 (29)
Corn oil (25%)
Canola oil (50%)
HO saff oil (25%)

43

47

833

833

19

680

Oral supplement or tube feeding for patients with higher calorie needs, normal GI tract

faa (Nestlé)

1.0

50 (20)
Free amino acids

176 (70)
Maltodextrin

11 (10)
Soy oil
MCT oil

24

38

800

700

18

700

Tube feeding or oral supplement for malabsorption, not for protein allergy

Glucerna (Ross)

1 (30)

42 (17)
Na caseinate
Ca caseinate

96 (34)
Soy fiber
Fructose
Maltodextrin

54 (49)
HO saff oil (85%)
Canola oil (10%)
Lecithin (5%)

40

40

705

705

13

355

Patients with impaired glucose tolerance, also contains fiber

Glytrol (Nestlé)

1.0

45 (18)
Ca Potassium caseinates

100 (40)
Maltodextrin
Modified cornstarch
Fructose
Gum arabic
Soy polysacharide
Pectin

48 (42)
Canola oil
HO saff
MCT oil
Soy lecithin

32

36

720

720

13

380

Tube feeding or oral supplement for patients with impaired glucose tolerance

Isocal (Mead Johnson)

1.06 (32)

34 (13)
Na caseinate
Ca caseinate
Soy protein

135 (50)
Maltodextrin

44 (37)
MCT oil (20%)
Soy oil (80%)

23

34

630

530

10

270

Tube feeding for patients with normal GI tract

Jevity (Ross)

1.06 (32)

44 (17)
Na caseinate
Ca caseinate

155 (54)
Corn syrup
Maltodextrin
Soy fiber

35 (29)
HO saff oil (48%)
Canola oil (29%)
MCT oil (20%)
Lecithin (3%)

40

40

910

760

14

300

Tube feeding with fiber, normal GI tract

L-Emental (Hormel Health Labs)

1 (30)

38 (15)
Free amino acids

210 (82)
Maltodextrins

2.85 (3)
Safflower oil

20

20

500

500

9

630

Patients with malabsorption, protein allergy

Nepro (Ross)

2 (60)

70 (14)
Ca caseinate
Mg caseinate
Na caseinate
Milk protein isolate

222 (43)
Corn syrup
Sucrose
Fructo oiligosccharides

96 (43)
HO saff oil (67%)
Canola oil (29%)
Lecithin (4%)

36

27

1370

685

19

665

Patients with renal failure undergoing dialysis

Nestlé Modulen IBD (Nestlé)

1 (30)

36 (14)
Acid casein with TGF-β2

108 (44)
Corn syrup
Sucrose

46 (42)
Milk fat
MCT oil
Corn oil
Soy oil
Lecithin

15

31

888

600

12

370

Patients with Crohn’s disease

Nutren 1.0 with fiber (Nestlé)

1 (30)

40 (16)
K caseinate
Ca caseinate

127 (51)
Maltodextrin
Corn syrup solids
(Soy polysacch)

38 (33)
Canola oil
MCT oil (25%)
Corn oil

38

32

668

668

12

315–370

Standard tube feeding with fiber

Nutren 2.0 (Nestlé)

2 (60)

80 (16)
K caseinate
Ca caseinate

196 (39)
Corn syrup solids
Maltodextrin
Sucrose

106 (45)
MCT oil (75%)
Canola oil
Corn oil
Soy lecithin

57

49

1340

1340

24

745

Oral supplement or tube feedings for patients with fluid restriction or increased calorie needs

Osmolite (Ross)

1.06 (32)

37 (14)
Na caseinate
Ca caseinate
Soy protein isolate

151 (57)
Maltodextrin

35 (29)
HO saff oil (48%)
Canola oil (29%)
MCT oil (20%)
Lecithin (3%)

28

26

535

535

9.6

300

Tube feeding for patients with normal GI tract

Peptamen (Nestlé)

1 (30)

40 (16)
Enzymatically hydrolyzed whey protein

127 (51)
Maltodextrin
Corn starch

39 (33)
MCT oil (70%)
Soybean oil (30%)

24

39

800

700

18

270–380

Patients with malabsorption

Promote (Ross)

1 (30)

63 (25)
Na caseinate
Ca caseinate
Soy protein isolate

130 (52)
Maltodextrin
Sucrose

26 (23)
HO saff oil (47%)
Canola oil (28%)
MCT oil (19%)
Lecithin (6%)

43

50

1200

1200

18

340

Tube feeding or oral supplement for patients with increased protein needs

ProPeptide (unflavored) (Hormel Health Labs)

1 (30)

40 (16)
Hydrolyzed whey

127 (51)
Maltodextrins
Starch

39 (33)
Sunflower oil (30%)
MCT oil (70%)

22

32

800

700

14

270

Patients with malabsorption

Replete (with fiber) (Nestlé)

1 (30)

62 (25)
Ca Potassium Caseinate

113 (40)
Maltodextrin
Corn syrup solids

34 (30)
Canola oil
MCT oil
Soy lecithin

38

39

1000

1000

18

300–398

Tube feeding or oral supplement for patients with increased protein needs

Scandishake w/ whole milk (Scandipharm)

2.5 (75)

50 (8)
Cow’s milk

292 (47)
Lactose
Maltodextrin
Soy oil

125 (45)
Coconut oil
Safflower oil
Palm oil

240

103

391

478

trace

1094

High-calorie supplement and for fat malabsorption

Subdue (Mead Johnson)

1 (30)

50 (20)
Hydrolyzed whey protein concentrate

127 (50)
Maltodextrin
Corn starch
Sucrose

34 (30)
Canola oil
HO sun
Corn oil
MCT oil

48

41

1081

1040

15

330

Patients with malabsorption, IBD

Suplena (Ross)

2 (60)

30 (6)
Na caseinate
Ca caseinate

255 (51)
Maltodextrin
Sucrose (10%)

96 (43)
HO saff oil (86%)
Soy oil (10%)
Lecithin (4%)

34

29

1430

730

19

600

Patients with renal failure not undergoing dialysis

Tolerex (Novartis)

1 (30)

21 (8)
Free amino acids

230 (91)
maltodextrin

1.5 (1)
Safflower oil

20

30

560

560

10

550

Patients with chylothorax, malabsorption, or severe food allergy

Traumacal (Mead Johnson)

1.5 (45)

82 (22)
Na caseinate
Ca caseinate

144 (38)
Corn syrup
Sucrose

68 (40)
Soy oil (70%)
MCT oil (30%)

51

36

750

750

9

560

Patients with increased protein and calorie needs

Ultracal (Mead Johnson)

1.06 (32)

45 (17)
Na caseinate
Ca caseinate
Milk protein concentrate

132 (50)
Maltodextrin
soy fiber
Microcrystalline cellulose
Acacia

39 (33)
MCT oil (30%)
Canola oil (35%)
HO sun oil (25%)
Corn oil (10%)

59

47

1000

1000

18

360

Oral supplement or tube feeding with fiber, normal GI tract

Vital HN (Ross)

1 (30)

42 (17)
Hydrolyzed whey, meat and soy protein (87%)
Free amino acids (13%)

185 (74)
Maltodextrin
Sucrose
Lactose (<0.5%)

11 (9)
Safflower oil (55%)
MCT oil (45%)

25

36

667

667

12

500

Patients with malabsorption, IBD

Vivonex Plus (Novartis)

1 (30)

45 (18)
Free amino acids

190 (76)
maltodextrin
Modified cornstarch

6.7 (6)
Soybean oil

27

27

560

560

10

650

Patients with malabsorption or severe food allergy

Vivonex TEN (Novartis)

1 (30)

38 (15)
Free amino acids

210 (82)
Maltodextrin
Modified cornstarch

2.8 (3)
Safflower oil

26

24

500

500

9

630

Patients with malabsorption or severe food allergy

 

 

TABLE 20-15 -- ORAL REHYDRATION SOLUTIONS

Solution

Kcal/mL (kcal/oz)

Carbohydrate (g/L)

Na (mEq/L)

K (mEq/L)

Osmolality (mOsm/kg H2 0)

CeraLyte-70 (Cera)

0.16 (4.9)

Rice digest 40

70

20

232

CeraLyte-50 (Cera)

0.16 (4.9)

Rice digest, Glucose 40

50

20

200

Enfalyte (Mead Johnson)

0.12 (3.7)

Rice syrup solids 30

50

25

200

Oral Rehydration Salts (WHO) (Jianas)

0.06 (2)

Dextrose 20

90

20

330

Pedialyte Unflavored (Ross)

0.1 (3)

Dextrose 25

45

20

250

Rehydralyte (Ross)

0.1 (3)

Dextrose 25

75

20

305