1. 20kca/oz
1.1. Lactose Free Formula
1.1.1. Enfamil Prosobee
1.1.2. Goodstart
1.2. Enfamil LIpi/ Gentelease
1.3. Good Start Gentle plus
1.4. Mauture Human breast milk
1.4.1. gold standard
2. adult
2.1. Standard Adult Tube Feedin
2.1.1. Jevity 1Kcal
2.1.1.1. Isotonic formula with fiber
2.1.1.2. provides 1.06kcal/ml
2.1.2. Jevity 1.5 cal
2.1.2.1. contains soluble and insolube fiber and short chain fructooligosaccharides
2.1.3. Nutren 1.0
2.1.3.1. milk based standard tube feeding
2.1.3.2. does not contain fiber
2.1.3.3. lower in sodium than Jevity 1 Cal
2.1.4. Nutren 2.0
2.1.4.1. used for those who are fluid restricted or with high calori needs
2.1.4.2. 75% MCT
2.1.5. Promote
2.1.5.1. high protein formula
2.1.5.2. useful high protein needs with low calories
2.2. Elemntal Adult
2.2.1. Peptamin
2.2.1.1. 1 kcal/ml
2.2.1.2. 70% MCT oil
2.2.1.3. Isotonic elemntal tube feeding
2.2.1.4. meets RDA 1500ml
2.3. Amino Acid Based Adult
2.3.1. Tolerex
2.3.1.1. very low in fat 1.3% fat calories
2.3.1.2. glutamine and L-arginine
2.3.1.3. develop essental fatty acid deficiency if used long term with no supplement fat provided
2.3.2. Vivonex RTF
2.3.2.1. low in fat 10% calroies as fat
2.3.2.2. Contains L - arginine
2.3.2.3. Nutritionally complete
2.4. Adult Specialty
2.4.1. Oxaped
2.4.1.1. indication
2.4.1.1.1. acute lung injury
2.4.1.1.2. systemic inflammatory response syndrome
2.4.1.1.3. acute respiratory distress syndrome
2.4.1.2. 1.5 kcal/ml
2.4.1.3. contains EPA and GLA to help modulate inflammatory resposne
3. Intact Protein Formula
3.1. 1kcal/ml
3.1.1. Pediasure Enteral
3.1.1.1. vanilla flavor
3.1.2. Boost Kid Essentials
3.1.2.1. vanilla, chocolate, strawberry
3.1.3. with or without fiber
3.1.4. orally or Peg
3.1.5. used for 1-13 years of age
3.1.6. soy
3.1.6.1. Bright Beginning
3.1.6.1.1. 1-11 years old
3.1.6.1.2. vegetarian
3.1.6.1.3. milk protein allergy
3.1.6.1.4. lactose intolerance
3.1.6.1.5. cautiously use my have milk protein allergy
3.2. 1.5cal/ml
3.2.1. Pediasure
3.2.2. Boost Kid Essential
3.2.3. with or without fiber
3.2.4. Peg/Oral
3.2.5. 1-13 years old
4. Hydrolyzed Protein Formulas
4.1. big guns not else helps
4.1.1. Nutramigen
4.1.1.1. sensitivity to intact proteins or allergies to cow milk protein/soy
4.1.1.2. with enflora/LGG contains Lactobacillus
4.1.1.3. Child with diarrhea
4.1.1.4. Pregestimil
4.1.1.4.1. sensitivity to intact proteins found in cows milk and soy
4.1.1.4.2. 55% MCT oil, gear to decrease fat malabsopriton
4.1.1.5. Alimentum
4.1.1.5.1. sensitivity/colic r/t cows mil
4.1.1.5.2. 38% MCT oil for fat malabsorption
4.2. indicated for
4.2.1. malabsorption states
4.2.1.1. SBS
4.2.1.2. Crohns Disease
4.2.1.3. Cholestatic Liver Disease
4.3. Peptamen Junio- 60%
4.3.1. 1.5kcal.ml
4.3.2. used in pateitn with fluid restritvciton and high kcal
4.3.3. 1-13 years ol age
4.3.4. 5.4 g/l Prebio fiber as insluin and oligfructose
4.3.5. oral/peg
4.4. Vital Jr - 50% MCT oil
4.5. Pepdite Jr- 35%
5. Amino Acid Formulas
5.1. protein maldigestion, malabsorption , severe food allergy, short bowel syndrome, eosinophilic, GI disorders, GI tract impairment, or other condition that require elemental diet
5.2. elecare
5.3. neocate
5.4. Nutramigen AA
5.5. taste bad more for PEG tube
5.6. no protein from soy
5.7. ilues
5.8. GI tract more acid base formual
6. Formula Composition
6.1. Protein
6.2. Fat
6.3. CHO
7. Water
7.1. 1 kcal/ml 75-85% water
7.2. 2kcal/ml 70% water
7.3. 88-90% water for 20-24kca/oz
7.4. Calculate free water ,multiply volume of pediasure enteral by amount of free water in formula (85.4% in Pediasure Enteral) 984 ml Pediasure Enteral x 0.854 = 840ml free water NEEDs 260ml more free water
7.5. 1100ml of free water
8. Specialty Formulas
8.1. Compleat Pedatrics
8.1.1. made from blenderized who food
8.1.2. cranberry juice, chicken, peas, green beans, peach
8.1.3. benefiber
8.2. Ketocal
8.2.1. in ketogenic diet
8.2.2. complete nutritionally
8.2.3. 4: 1 ratio Fat:CHO
8.2.4. powder read to feed
8.2.5. also have 3:1 ratio