Download Jevity 1.5 - Savoy Medical Supply Co., Inc.

Jevity® 1.5 Cal
high-protein nutrition with FOS and a patented fiber blend
Usage Features Availability Administration Ingredients Protein Fat Carbohydrate Fiber Vitamins
and Minerals Osmotic Concentration Renal Solute Load Analysis References Support Materials
Usage:
JEVITY 1.5 CAL is a calorically dense liquid food with a patented fiber blend that provides complete,
balanced nutrition.
z
z
z
For tube feeding
For supplemental or sole-source nutrition
May be used for oral feeding of patients with altered taste perception
Features:
Concentrated calories (1.5 Cal/mL) to help tube-fed patients gain and maintain healthy weight
z 22 g of dietary fiber in 1 liter (12 g of a patented soluble and insoluble fiber blend and 10 g of
fructooligosaccharides [FOS]), which helps meet daily fiber needs. Fiber helps moderate bowel
function
z Includes 2.4 g of FOS/8 fl oz (10 g/L and 15 g/1500 mL). FOS are prebiotics that stimulate the
growth of beneficial bacteria in the colon2
z Meets or exceeds 100% of the DVs for 24 essential vitamins and minerals in 1500 Cal (1 liter)
z Lactose- and gluten-free
z Kosher
z Contains milk and soy ingredients
Caloric Distribution
Per 8 fl oz
Per Liter
Per 1500 mL
% Calories
Calories
355
1500
2250
—
Protein, g
15.1
63.8
95.7
17.0
Total Fat, g
11.8
49.8
74.7
29.4
Total Carbohydrate,
g*
51.0
215.7
323.6
53.6
Water, g†
180
760
1140
—
*Includes 2.9 g/8 fl oz (12.0 g/L and 18.0 g/1500 mL) of total dietary fiber from a patented fiber blend and 2.4
g/8 fl oz (10.0 g/L and 15.0 g/1500 mL) of FOS.
†1 g water = 1 mL water = 1 cc water.
Availability:
Ready-To-Use
8-fl-oz cans; 24/case
Flavor
List Number
Unflavored
57333
Ross Ready-To-Hang®
1000-mL prefilled containers; 8/case
Flavor
List Number
Unflavored
57329
Ross Ready-To-Hang
1500-mL prefilled containers; 6/case
Flavor
List Number
Unflavored
57331
See the Reimbursement section of Ross.com for third-party reimbursement information. The
Reimbursement link can be found at the top of each page of Ross.com.
Product information and values listed are subject to change. Please refer to product label or
packaging for the most current information.
Administration:
Use under medical supervision. Not for parenteral use.
Use by date on container.
8-fl-oz cans: Oral feeding: May be fed at room temperature or chilled. Tube feeding: Follow
physician's instructions. Adjust flow rate and volume according to patient's condition and tolerance.
Gravity feed at room temperature with a 12 Fr or larger tube; use a pump with smaller tubes.
Additional fluid requirements should be met by giving water between or after feedings, or when
flushing the tube. Avoid contamination during preparation and use.
Ross Ready-To-Hang: Pump feeding is recommended. Gravity feed at room temperature with a 12
Fr or larger tube; use a pump with smaller tubes.
Note: Hang product up to 48 hours after initial spike when clean technique and only one new feeding set are
used. Otherwise, hang no longer than 24 hours. The availability of extended hangtime does not supersede your
institution's policies, procedures, or good clinical practice guidelines. (See attached PDF at the top of this page,
"Ross Ready-To-Hang® Suggested Setup Procedure.")
Click Here To View Administration Schedule.
Ingredients:
(U)-D water, corn syrup solids, corn maltodextrin, sodium and calcium caseinates, high oleic
safflower oil, canola oil, soy protein isolate, fructooligosaccharides, medium chain triglycerides, oat
fiber, soy fiber, potassium citrate, calcium phosphate, gum arabic, sodium citrate, magnesium
phosphate, soy lecithin, magnesium chloride, carboxymethylcellulose, ascorbic acid, choline
chloride, potassium chloride, taurine, L-carnitine, zinc sulfate, ferrous sulfate, dl-alpha-tocopheryl
acetate, niacinamide, calcium pantothenate, manganese sulfate, cupric sulfate, thiamine chloride
hydrochloride, pyridoxine hydrochloride, riboflavin, vitamin A palmitate, folic acid, biotin, chromium
chloride, sodium molybdate, potassium iodide, sodium selenate, phylloquinone, cyanocobalamin
and vitamin D3. Allergy information: Contains milk and soy ingredients. (7818-02)
Protein:
The protein in JEVITY 1.5 CAL consists of sodium and calcium caseinates and soy protein isolate.
The total calorie/nitrogen (Cal/N) ratio of JEVITY 1.5 CAL (147:1) has been demonstrated to
maintain nitrogen balance in long-term tube-fed patients.3 The amino acid profile of the protein
system in JEVITY 1.5 CAL meets or surpasses the standard amino acid profile for high-biologicvalue protein.
Protein Profile
Percent of total calories from protein
17.0
Protein content
63.8 g/L
Cal/N ratio
147:1
Nonprotein Cal/N ratio
122:1
Fat:
The fat blend in JEVITY 1.5 CAL contains high oleic safflower oil, canola oil, MCT oil, and soy
lecithin. As recommended by the American Heart Association, less than 30% of calories in JEVITY
1.5 CAL come from fat, with less than 10% of calories from polyunsaturated fatty acids and less than
10% of calories from saturated fatty acids.4
MCTs are added to provide lipid substrates, which are rapidly absorbed, metabolized, and oxidized
by the liver.5 MCTs are an excellent energy source that may be helpful in providing an alternative
source of energy for patients with increased energy needs.
Fat Profile
Percent of total calories from fat
29.4
Total fat
49.8 g/L
Polyunsaturated fatty acids
7.5 g/L
Monounsaturated fatty acids
26.0 g/L
Saturated fatty acids
13.8 g/L
omega-6/omega-3 ratio
5.4:1
Cholesterol
<20 mg/L
Carbohydrate:
The carbohydrate sources in JEVITY 1.5 CAL are corn maltodextrin, corn syrup solids, the patented
fiber blend, and FOS. The composition of the FOS and patented fiber blend, the dietary fiber source
in JEVITY 1.5 CAL, is provided in the Fiber section.
Carbohydrate Profile
Percent of total calories from carbohydrate
53.6
Total carbohydrate
215.7 g/L
Fiber:
JEVITY 1.5 CAL contains a unique patented blend of 75% insoluble and 25% soluble fibers, a
proportion that represents the types of fiber found in a diet containing a wide variety of foods.6 The
sources are oat fiber, soy fiber, gum arabic, and carboxymethylcellulose. This blend of fiber sources
was selected for its water-absorbing ability, fermentability, contribution to stool bulking, and minimal
contribution to product viscosity.7, 8 The total dietary fiber content of JEVITY 1.5 CAL is 22 g/L,
which meets the recommendation of 20 g to 35 g/day for daily fiber intake by the US Department of
Health and Human Services.9
The blend of insoluble and soluble fibers in JEVITY 1.5 CAL is an effective fiber source, as
demonstrated in animal models, healthy subjects, and in the clinical setting.10-14 In studies
comparing formulas containing either a fiber blend or soy polysaccharide, animals and healthy
people who consumed the fiber blend produced stools of heavier weight and similar
consistency.10,11 In the clinical setting, long-term care patients receiving formulas containing a
lower level of the fiber blend (10.0 g total dietary fiber/1000Cal) had stool weights and stool
consistencies similar to those of patients receiving a higher intake of soy fiber (13.6 g total dietary
fiber/1000 Cal).12,13
FOS are indigestible, highly fermentable carbohydrates that occur naturally in many foods, such as
onions, bananas, tomatoes, honey, garlic, barley, and wheat. FOS are prebiotics that stimulate the
growth of beneficial GI bacteria (eg, bifidobacteria) in the colon. FOS are fermented by bacteria in
the colon to short-chain fatty acids (SCFAs) that inhibit the growth of C difficile in at-risk patients.
SCFAs enhance water and electrolyte uptake in the colon, which is important in the management of
diarrhea.2 The FOS content of JEVITY 1.5 CAL is 2.4 g/8 fl oz (10 g/L and 15 g/1500 mL).
Dietary fiber is considered the sum of FOS and total dietary fiber. JEVITY 1.5 CAL provides 5.3 g/8 fl
oz (22 g/L and 33 g/1500 mL).
Vitamins and Minerals:
JEVITY 1.5 CAL meets or exceeds 100% of the DVs for 24 key vitamins and minerals (except
chloride) in 1500 Cal (1000 mL) or about 4.2 eight-fl-oz servings. JEVITY 1.5 CAL is supplemented
with the conditionally essential nutrients L-carnitine and taurine at levels within the range of typical
daily intakes (150 mg/L).
Osmotic Concentration:
The main determinants of the osmolality of a formula are simple carbohydrates, electrolytes, and
amino acids or small peptides. JEVITY 1.5 CAL contains corn maltodextrin, corn syrup solids, the
patented fiber blend, and FOS as the carbohydrate sources, and an intact protein system.
Osmolality (mOsm/kg H2O)
525
Osmolarity (mOsm/L)
477
Renal Solute Load:
Renal solute load represents the solutes excreted per liter of product consumed. The major
determinants of renal solute load are dietary protein and electrolytes. Each milliequivalent of sodium,
potassium, and chloride contributes approximately 1 mOsm to the renal solute load; in adults, each
gram of protein contributes approximately 5.7 mOsm.
Renal Solute Load (RSL)
Electrolyte Content (mEq/L)
Contribution to RSL (mOsm/L)
Sodium
60.9
60.9
Potassium
55.1
55.1
Chloride
38.4
38.4
Protein content
63.8 g/L x 5.7 =
363.7
Total RSL
518
Analysis:
Nutrient Facts
8 fl oz
1000 mL
1500 mL
FAN (label number)
7818-02
7818-02
7818-02
Cal/mL
1.50
1.50
1.50
Energy, Cal
355
1500
2250
Protein, g
15.1
63.8
95.7
% of total Calories 17.0
17.0
17.0
11.8
49.8
74.7
% of total Calories 29.4
29.4
29.4
Cholesterol, mg <5
<20
<30
215.7
323.6
Fat, g
Carbohydrate, g
51
53.6
53.6
Water, g*
% of total Calories 53.6
180
760
1140
Dietary Fiber, g
5.3
22.0
33.0
L-carnitine, mg
36
150
225
Taurine, mg
36
150
225
m-Inositol, mg
* 1 g water = 1 mL water = 1 cc water.
Includes 2.9 g/8 fl oz (12.0 g/L and 18.0 g/1500 mL) of total dietary fiber from a patented fiber blend and
2.4 g/8 fl oz (10.0 g/L and 15.0 g/1500 mL) of FOS.
Vitamins
8 fl oz
1000 mL
1500 mL
Vitamin A, IU
1185
5000
7500
Vitamin D, IU
95
400
600
Vitamin E, IU
11
45
68
Vitamin K, mcg
19
80
120
Vitamin C, mg
72
300
450
Folic Acid, mcg
145
600
900
Thiamin (Vitamin B1), mg
0.54
2.3
3.4
Riboflavin (Vitamin B2),
mg
0.61
2.6
3.9
Vitamin B6, mg
0.72
3
4.5
Vitamin B12, mcg
2.2
9
14
Niacin, mg
7.2
30
45
Choline, mg
145
600
900
Biotin, mcg
110
450
675
Pantothenic Acid, mg
3.6
15
23
Minerals
8 fl oz
1000 mL
1500 mL
Sodium, mg (mEq)
330 (14.3)
1400 (60.9)
2100 (91.3)
Potassium, mg (mEq)
510 (13.1)
2150 (55.1)
3225 (82.7)
Chloride, mg (mEq)
320 (9.0)
1360 (38.4)
2040 (57.6)
Calcium, mg
285
1200
1800
Phosphorus, mg
285
1200
1800
Magnesium, mg
95
400
600
Iodine, mcg
36
150
225
Manganese, mg
1.2
5
7.5
Copper, mg
0.48
2
3
Zinc, mg
5.4
23
34
Iron, mg
4.3
18
27
Selenium, mcg
17
70
105
Chromium, mcg
29
120
180
Molybdenum, mcg
36
150
225
Amino Acids
8 fl oz
1000 mL
1500 mL
Essential
Histidine, mg
433
1832
2748
Isoleucine*, mg
764
3234
4852
Leucine*, mg
1466
6204
9306
Lysine, mg
1124
4758
7137
Methionine, mg
399
1689
2533
Phenylalanine, mg
824
3488
5232
Threonine, mg
683
2892
4338
Tryptophan, mg
166
702
1081
Valine*, mg
957
4051
6077
Alanine, mg
527
2230
3345
Arginine, mg
639
2704
4057
Aspartic Acid, mg
1268
5365
8048
Cystine, mg
61
255
393
Glutamic Acid, mg
3706
15676
23515
Glycine, mg
362
1534
2301
Proline, mg
1607
6800
10200
Serine, mg
913
3864
5796
Tyrosine, mg
780
3300
4951
Nonessential
* Branched-chain amino acids.
Fatty Acids
8 fl oz
1000 mL
1500 mL
Linoleic (18:2), mg
1572
6749
10117
α-Linolenic (18:3), mg
290
1248
1871
Caprylic (8:0), mg
1266
5434
8146
Capric (10:0), mg
889
3817
5721
Lauric (12:0), mg
319
1371
2057
Myristic (14:0), mg
23
99
148
Palmitic (16:0), mg
489
2100
3147
Stearic (18:0), mg
203
875
1311
Oleic (18:1), mg
6063
26024
59009
Arachidic (20:0), mg
47
203
304
Fatty acids equal approximately 95% of total fat.
Key for values In parentheses (carbon atoms:double bonds).
Other Values
Density at 23°C, g/mL
1.104
pH
6.4
Osmolality, mosm/kg H2O
525
Osmolarity, mosm/L
477
Renal Solute Load, mosm/L
518
Cal to meet 100% RDIs
1500
mL to meet 100% RDIs
1000
Total Cal/g nitrogen
147.1
Nonprotein Cal/g nitrogen
122:1
References:
1. The Effects of Handling on Prolonged Hangtime for Ross Ready-To-Hang Containers.
Columbus: Abbott Laboratories, 2002 (#65472).
2. Royall D, Wolever TMS, Jeejeebhoy KN: Clinical significance of colonic fermentation. Am J
Gastroenterol 1990;85:1307-1312.
3. Mitchell CO, Lipschitz DA: Nitrogen balance in long-term tube feeders on diets of varying
calorie to nitrogen ratios (abstract). J Am Coll Nutr 1984;3:249.
4. Krauss R, Eckel R, Howard B, et al: AHA dietary guidelines: Revision 2000: A statement for
healthcare professionals from the Nutrition Committee of the American Heart Association.
Circulation 2000;102:2296-2311.
5. Bach AC, Babayan VK: Medium-chain triglycerides: An update. Am J Clin Nutr 1982;36:950962.
6. Tisdale MJ, Beck SA: Inhibition of tumour-induced lipolysis in vitro and cachexia and tumour
growth in vivo by eicosapentaenoic acid. Biochem Pharmacol 1991;41:103-107.
7. Wigmore SJ, Fearon KCH, Maingay JP, Ross JA: Down-regulation of the acute-phase
response in patients with pancreatic cancer cachexia receiving oral eicosapentaenoic acid is
mediated via suppression of interleukin-6. Clin Sci 1997;92:215-221.
8. Wigmore SJ, Barber MD, Ross JA, et al: Effect of oral eicosapentaenoic acid on weight loss in
patients with pancreatic cancer. Nutr Cancer 2000;36:177-184.
9. Federation of American Societies for Experimental Biology: Physiological Effects and Health
Consequences of Dietary Fiber. US Dept of Health and Human Services, 1987.
10. Prosky L, Hoebregs H: Methods to determine food inulin and oligofructose. J Nutr 1999;129
(suppl 7):1418S-1423S.
11. Gibson G, Wang X: Bifidogenic properties of different types of fructo-oligosaccharides. Food
Microbiol (London) 1994;11:491-498.
12. Cummings JH, Macfarlane GT: The control and consequences of bacterial fermentation in the
human colon. J Appl Bacteriol 1991;70:443-459.
13. Macfarlane GT, Cummings JH: The colonic flora, fermentation, and large bowel digestive
function, in Phillips SF, Pemberton JH, Shorter RG (eds): The Large Intestine: Physiology,
Pathophysiology, and Disease. New York: Raven Press, 1991, pp 51-92.
14. Jenkins DJ, Kendall CW, Vuksan V: Inulin, oligofructose and intestinal function. J Nutr
1999;129:1431S-1433S.