PATIENT FOOD AND NUTRITION SERVICES ENTERAL PRODUCTS QUICK REFERENCE FOR ADULTS

GENERIC NAME NON-STRESSED FORMULA STANDARD FORMULA FIBER FORMULA HIGH PROTEIN FORMULA 1.5 CAL/ML FORMULA 2 CAL/ML FORMULA RENAL LOW PROTEIN FORMULA Suplena with Carb Steady Renal disease tube feeding or oral supplement 1.8 45 Sodium caseinate Milk protein isolate RENAL FORMULA RENAL LOW PROTEIN NO ELECTROLYTES FORMULA Renalcal METABOLIC STRESS FORMULA CHEMICALLY DEFINED ENCEPHALOPATHY FORMULA

TRADE NAME

Nutren 1.0

Osmolite 1.2

Fibersource HN

Promote

Osmolite 1.5

Nutren 2.0

Nepro with Carb Steady Renal disease tube feeding or oral supplement 1.8 81 Calcium, magnesium and sodium caseinate Milk protein isolate 96 High oleic safflower oil Canola oil Soy lecithin 167 Corn syrup solids Sucrose 1060 (46.1) 1060 (27.2) 115:1 948

Crucial

Peptamen Unflavored/ Vanilla Elemental tube feeding

Nutrihep Unflavored Hepatic disease branched chain amino acids 1.5 40 Crystalline-L Amino Acids Whey protein concentrate

Description

Isotonic tube feeding formula

Isotonic tube feeding formula

Fiber containing tube feeding formula 1.2 53 Soy protein isolate Soy protein concentrate 39 Canola oil MCT

Stress/Trauma tube feeding or oral supplement 1.0 62.5 Sodium and calcium caseinate

High calorie tube feeding

High calorie, tube feeding or oral supplement 2.0 80 Calcium and potassium caseinate

Renal disease tube feeding or oral supplement 2.0 34.4 Whey protein concentrate Amino acid blend 82.4 MCT Canola oil Corn oil Soy lecithin 290.4 Maltrodextrin

Metabolic stress tube feeding with immunomodulatory ingredients 1.5 94 Enzymatically hydrolyzed casein

kcal/ml Protein Source gm/L

1.0 40 Calcium and potassium caseinate

1.2 55.5 Sodium and calcium caseinate

1.5 62.7 Sodium and calcium caseinate

1.0 40 Enzymatically hydrolyzed whey

Fat Source gm/L

38 Canola oil Corn oil MCT Soy lecithin

39.3 High oleic safflower oil Canola oil MCT Soy lecithin 157.5 Corn maltodextrin

26 Safflower oil Canola oil MCT

49.1 High oleic safflower oil Canola oil Soy lecithin MCT 203.6 Corn maltodextrin

104 Canola oil Corn oil Soy lecithin

96 High oleic safflower oil Canola oil Soy lecithin

67.6 MCT Soybean oil Fish oil Soy lecithin

39 MCT Sunflower oil Soy lecithin

21.2 MCT Canola oil

Carbohydrate Source gm/L

127 Corn syrup solids

160 Corn syrup

130 Corn maltodextrin Sucrose

196 Corn syrup

205 Corn maltodextrin Sucrose

134 Maltrodextrin

127 Maltodextrin

290 Maltodextrin Modified cornstarch

Sodium mg (mEq)/L Potassium mg (mEq)/L Non-Protein Kcal/gm Nitrogen Volume to meet 100% RDA, ml

876 (38) 1248 (32) 133:1 1500

1340 (58.3) 1810 (46.4) 110:1 1000

1200 (52) 2000 (51) 115:1 1165

1000 (43.5) 1980 (50.8) 75:1 1000

1400 (60.9) 1800 (46) 125:1 1000

1300 (56.5) 1920 (49.2) 131:1 750

785 (34) 1120 (28.6) 227:1 948

0 0 300:1 1000 (for 9 water soluble vitamins)

1168 (50.8) 1872 (48) 67:1 1000

560 (24.3) 1500 (37.5) 131:1 1500

160 (7) 1320 (33) 209:1 1000

mOsm/kg water

315

360

490

340

525

745

600

585

600

490

270 Unflavored 380 Flavored

790

Free Water ml/L Phosphorus mg/L Comments

848 668 Kosher Gluten free Lactose free Low residue Unflavored

820 1200 Kosher Gluten free Lactose free Low residue Unflavored

814 1000 Kosher Lactose free - may be suitable for Gluten free diet. 10g/L fiber

839 1200 Lactose free Gluten free Low residue Kosher Vanilla flavor

762 1000 Gluten free Lactose free Low residue Kosher Unflavored

703 1340 Lactose free Gluten free Low residue Kosher

735 700 Gluten free Lactose free Low residue Kosher 16g fiber/L

725 700 Lactose free Gluten free Low residue Kosher 16g fiber/L

700 0 Lactose free Gluten free Low residue Kosher

772 1000 Lactose free Gluten free Low residue

850 700 Lactose free Gluten free Low residue Not palatable

760 1000 Lactose Free Gluten free Low residue Kosher Not palatable

For a complete enteral formulary list go to http://www.med.umich.edu/i/pfans/ or the ADA on-line manual: http://www.nutritioncaremanual.org/

PATIENT FOOD AND NUTRITION SERVICES ENTERAL PRODUCTS QUICK REFERENCE FOR ADULTS
ORAL SUPPLEMENTS TRADE NAME Nestle Carnation Instant Breakfast Lactose-Free Container/ Serving Size Description 250 ml/can Nestle Carnation Instant Breakfast VHC 250 ml/can Nestle Carnation Instant Breakfast No Sugar Added 20 gm packet (270 ml) Reduced calorie and carbohydrate oral food supplement Van or Choc flavored 140 w/skim milk 13 Nestle Carnation Instant Breakfast Packet 36 gm packet (270 ml) Low fat oral food supplement Van/Choc/Straw flavored 250 w/low fat milk 13 250 ml/can Peptamen 1.5 ReGen HP/HC 6 oz carton (180 ml) Renal oral supplement Van/Straw flavored 375/345 Resource Breeze Juice Drink 8 oz box (237 ml) Clear liquid oral supplement Orange or Wild Berry flavored 250 Mighty Shake Scandi Shake 3 oz packet mixed w/ 8 oz whole milk High calorie oral supplement Choc/Van flavored 600 w/whole milk 14 MODULARS TRADE NAME Prostat 64 Polycose Resource Benefiber 4gm packet

4 oz carton (120 ml) Oral supplement Van/Choc/Straw flavored

Container/Serving Size Description

30 mL packet

1T = 6gm

Canned oral food supplement

Canned oral food supplement Vanilla flavored

Canned oral food supplement Vanilla flavored 375

Liquid protein modular

Glucose polymer module

Fiber modular

kcal/serving

250

560

200

Kcal/mL

60 kcal/ packet 15 Collagen

23 kcal per Tbsp 0

16 kcal tbsp or packet 0

Protein Source gm/serving

8.75 Calcium Caseinate

22.5 Calcium Caseinate Potassium Caseinate Isolated soy protein 30.6 Canola oil Corn oil Soy lechithin 49.2 Corn syrup solids Sugar

16.9 Enzymotically Hydrolyzed whey protein

12/14

9 Whey protein isolate

Protein Source gm/scoop or packet

Fat Source gm/serving

9.2 Canola oil Corn oil Soy lechithin 33.1 Corn syrup solids Sugar

0.5

14 MCT oil Soy oil Soy lechithin 47 Maltodextrin Corn starch

17/16

29

Carbohydrate Source gm/scoop or packet Sodium mg per scoop or packet

5.6

Carbohydrate Source gm/serving

23 Maltodextrin

38 Maltodextrin Sugar

47/35

54 Sucrose Corn syrup Corn syrup solids 80 (3.5)

29

65

39.3

7.8

4 (3 gm fiber) High fructose corn syrup Sugar Partially Hydrolyzed 15

Sodium mg (mEq)/serving Potassium mg (mEq)/serving Volume to meet 100% RDA, ml mOsm/kg water Free Water ml/serving Phosphorus mg/serving Comments

219 (9.5)

290 (12.6)

180 (7.8)

220 (9.6)

255 (11)

180 (7.8)/ 188 (8.2) 23 (0.6)/ 30 (0.8) -

60 (2.6)

230 (10)

Potassium mg per scoop or packet Phosphorus mg per scoop or packet Comments

3.9

0.6

15

312 (8)

440 (11.3)

706 (18.1)

617 (15.8)

465 (12)

20 (0.5)

150 (3.8)

970 (24.9)

5.9

0.9

2100

750

1080 (4 svg)

1080 (4 svg)

1000

Lactose free 635 mOsm/kg water/packet Yes

Kosher Gluten free Lactose free Yes

Fat free

490 213 125 Kosher Lactose free Gluten free Low residue Yes

950 168 308 Kosher Lactose free Gluten free Low residue Yes

497 Kosher Gluten free Calorie restricted Low residue Yes

482 Contains Lactose Oral Supplement

550 193 250 Lactose free Elemental oral or tube feeding Yes

68/90 Kosher Low lactose Low sodium Yes

750 196 160 Kosher Lactose free Low residue Yes

100 Kosher Gluten free

515 Kosher Gluten free

Oral supplement charge to patient

Dispensed from Pharmacy

Oral supplement charge to patient applies

Yes

No

Yes

* Values calculated for Vanilla flavor, other flavors may vary in regards to sodium, potassium and phosphorus.

Revised 11/5/08