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Tube Feeding Per 1000 mL
Intact Protein
Ordering Enteral Prescriptions
When ordering a tube feeding, the following information
will help ensure an accurate order.
• Formula name (or equivalent)
• Method of administration (bolus, gravity, or pump)
• For bolus or gravity: total formula volume (mL, cans, or
calories) and amount per feeding frequency/day
• For pump: rate (mL/hour) and hours/day
• Water flushes: total amount and amount per frequency/day
• Route of administration (NG, NJ, GT, or JT)
• Indicate tube type for supplies: GT or JT (standard vs.
low profile/button)
Peptamen®
B4150
B4154
Novasource®
Renal
B4154
• Flush feeding tube with water before and after
administering each medication via feeding tube. Avoid
mixing medications with formula, as precipitation may
occur, resulting in feeding tube occlusion.
B4153
B4153
PediaSure®
Promote®
Enteral Formula
1.0 Cal with Fiber
Promote®
with Fiber
Glucerna® 1.0 Cal Glucerna® 1.2 Cal Pulmocare®
Nepro® with
Carb Steady™
Vital® 1.0 Cal
Vital® 1.0 Cal
Oxepa®
Vital® 1.5 Cal
PediaSure®
Peptide 1.0 Cal
PediaSure®
Peptide 1.5 Cal
Calorically dense, Calorically dense, Calorically dense, Complete
complete nutrition complete
complete
liquid nutrition
nutrition
nutrition
with fiber
Complete
liquid nutrition
Very high
protein,
complete
nutrition
Very high protein,
complete
nutrition
with fiber
Complete
nutrition for
patients with
hyperglycemia
Advanced control Complete
tube feeding
liquid nutrition
Nutritionally
Complete,
complete formula peptide-based
nutrition
Complete,
peptide-based
nutrition
Complete,
peptide-based
nutrition with EPA,
DHA, and PREBIO¹™
soluble fiber
Complete,
Complete,
calorically dense, peptide-based
peptide-based formula
nutrition
Complete,
peptide-based
formula
1.2
1.5
1.5
2.0
1.0
1.0
1.0
1.0
1.0
1.2
1.5
2.0
1.0
1.0
1.2
1.5
1.0
1.5
54
54
68
68
84
30
30
64
64
45.2
60
68
90.7
40
40
76
68
30
45
16%
18%
18%
18%
18%
16%
12%
12%
25%
25%
18%
20%
18%
18%
16%
16%
25%
18%
12%
12%
136
148
156
164
176
176
216
110
110
112
124
100
100
100
183
128
128
112
188
136
180
Carbohydrate (% of kcal) 54%
54%
53%
53%
47%
47%
43%
44%
44%
45%
45%
40%
36%
26%
37%
51%
49%
35%
49%
54%
48%
Fat (g)
34
34
40
40
60
59.2
92
49.6
49.6
34
34
47.6
58.8
94.8
100
39
40
54
56
38.4
68
Fat (% of kcal)
30%
30%
29%
29%
35%
35%
41%
44%
44%
30%
30%
42%
44%
56%
45%
33%
35%
40%
33%
34%
40%
Fiber (g)
N/A
15.2
N/A
15.2
N/A
15.2
N/A
N/A
6
N/A
15.2
15.2
15.2
N/A
N/A
N/A
4
6
N/A
3.6
5.6
Water (%)
85%
83%
81%
81%
76%
76%
69%
85%
85%
84%
83%
84%
82%
78%
72%
85%
84%
81%
77%
84%
77%
Sodium (mg)
880
880
1120
1120
1300
1300
1500
460
460
880
880
740
1060
1168
945
560
560
800
1040
460
692
Potassium (mg)
1600
1600
1920
1920
2400
2400
2100
1320
1320
1600
1600
1400
1600
1872
945
1500
1500
1600
1880
1320
1980
Phosphorus (mg)
800
800
960
960
1200
1200
1480
840
840
800
800
720
800
1200
819
700
700
800
1000
840
1352
Calcium (mg)
800
800
960
960
1200
1200
1600
1200
1200
800
800
720
800
1200
840
800
800
800
1000
1120
1650
Osmolality (mOsm/kg)
330
340
510
480
530
650
780
350
350
300
330
280
450
330 - 450
800
270
300
390
550
390 - 435
450
Meet or exceed
100% RDI/DRI (mL)
1500
1500
1250
1250
1000
1000
750
1-8 years 1000 mL, 1-8 years 1000 mL, 1500
9-13 years 1500 mL 9-13 years 1500 mL
1500
1500
1250
1000
1000*
1500
1500
1250
1000
1-8 years 1000 mL, 1-8 years 750 mL,
9-13 years 1500 mL 9-13 years 1000 mL
Nutren® 1.5
B4150
B4150
B4150
B4150
B4152
Osmolite® 1 Cal
Jevity® 1 Cal
Osmolite® 1.2 Cal Jevity® 1.2 Cal
Osmolite® 1.5 Cal Jevity® 1.5 Cal
Description
Complete
nutrition
Complete
nutrition
with fiber
High nitrogen,
complete
nutrition
High nitrogen,
complete
nutrition
with fiber
Calories per mL
1.0
1.0
1.2
Protein (g)
40
40
Protein (% of kcal)
16%
Carbohydrate (g)
Alternate to
• Flush feeding tube with water before and after every bolus/
gravity feeding or at least every 4-6 hours for continuous
feeding, as per physician orders. Volume of water flushes
depends on fluid requirements.
Peptamen® 1.5
Fibersource® HN
• Enteral nutrition should be initiated with full strength
formula, and rate gradually increased as tolerated to
goal volume.
• Hold feedings and notify physician if patient experiences
abdominal distention, elevated gastric residuals, and/or
vomiting. Possible interventions for feeding intolerance
may include: reduce or discontinue narcotic medications,
trial on a more tolerated formula, administer feeds at room
temperature, reduce infusion rate by 20-25 ml/hr until
tolerance is established, and/or consider use of a prokinetic
agent if delayed gastric emptying is identified.
Peptamen AF®
B4153
Peptamen®
with Prebio¹™
B4153
Nutren® 1.0 Fiber Isosource® HN
Product Name ◊
†
Isosource®
1.5 Cal
B4152
Nutren® 2.0
Nutren Junior®
B4152
B4160
Nutren Junior®
Fiber
B4160
TwoCal® HN
PediaSure®
Enteral Formula
1.0 Cal
Replete®
Replete® Fiber
Glytrol®
B4150
Peptide-Based
Diabetisource® AC Nutren®
Pulmonary
B4154
B4154
Nutren® 1.0
Enteral Care Guidelines
• To reduce risk of aspiration, have the patient remain in a
seated position or elevate the head of the bed to greater
than 30 to 45 degrees during feeding and at least 1 hour
after feeding is completed. If giving a bolus feeding, wait
at least an hour before lying having the patient lie down.
Condition Specific
* Except for vitamin A, chloride, phosphorus, and magnesium pertains to Novasource Renal and Meet or exceed 100% RDI/DRI (mL).
◊
Registered trademarks of Société des Produits Nestlé S.A., Vevey, Switzerland.
†
Registered trademarks of Abbott Laboratories.
These recommendations are guidelines only and do not replace expert clinical
advice. Patients should consult their clinicians regarding use of tube feeding
products and any concerns they may have.
Disclaimers: All formula substitutions require clinical judgment; please contact a clinician for appropriateness of alternative options. Not all clinical considerations are included and the listed alternatives may not be nutritionally comparable or equivalent in all respects. All product information is
obtained from product literature as available upon the date of issue and is subject to change. For specific nutritional information, please consult the manufacturer. For assistance in Nestlé product selection and clinical application, call Nestlé at 1-800-422-ASK2 (2752). In addition, please note the
following: PEPTAMEN® formulas contain milk protein. May not be appropriate for individuals with cow’s milk protein allergy. © 2016 Nestlé. Reprinted with permission. Except where noted, all trademarks are owned by Société des Produits Nestlé S.A., Vevey, Switzerland.
Peptamen Junior® Peptamen Junior®
with Prebio¹™
1.5
B4161
B4161