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Enteral Formulary

Enteral Formulary. Good Shepherd Medical Center - Longview Created by: Clinical Dietitians, 2013. Objectives. Participant will be able to identify facility approved enteral products Participant will be able to identify appropriate hang time for an open and closed system

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Enteral Formulary

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  1. Enteral Formulary Good Shepherd Medical Center - Longview Created by: Clinical Dietitians, 2013

  2. Objectives • Participant will be able to identify facility approved enteral products • Participant will be able to identify appropriate hang time for an open and closed system • Participant will understand signs of intolerance as designated by facility • Participants will be able to identify formulary resources available

  3. Enteral Products • Jevity 1 • Standard Formula, fiber; 1kcal/ml, 16.7% protein • Jevity 1.5 • Standard Formula, fiber; 1.5 kcal/ml, 17% protein • Osmolite 1 • Standard Formula, no fiber; 1 kcal/ml, 16.7% protein

  4. Enteral Products • TwoCal HN • Standard, Concentrated Formula ; 2 kcal/ml, 16.7% protein • Glucerna 1.2 • Speciality, Carb Steady Formula; 1.2 kcal/ml, 20% protein • Pulmocare • Speciality, High Fat, Carb Steady Formula; 1.5 kcal/ml, 16.7% protein

  5. Enteral Products • Oxepa • Critical Care Formula, Vent Specific; 1.5 kcal/ml, 16.7% protein • Vital AF 1.2 • Specialized, Semi-Elemental Formula; 1.2 kcal/ml, 25% protein • Pivot 1.5 • Specialized, Semi-Elemental Formula; 1.5 kcal/ml, 25% protein

  6. Enteral Products • Nepro • Specialized, High Protein, Electrolyte Controlled, Impaired Renal Fxn; 1.8kcal/ml, 18% protein • Suplena • Specialized, Low Protein, Electrolyte Controlled, Impaired Renal Fxn; 1.8kcal/ml, 10% protein

  7. Enteral Products • Peptamen Bariatric • Critical Care, Semi-Elemental Formula; 1kcal/ml, 37% protein

  8. Modular Products • Beneprotein • Whey Protein, Given As Flush; 25kcal/scoop, 6g protein • Juven • Essential Amino Acids, Tissue Building, Increase Lean Body Mass; 86 kcal/pack

  9. Hang Times • Closed System (Ready To Hang) • 48 hours after initial spike and tubing not disconnected from bottle. • 24 hours if tubing disconnected from bottle at any time. • Open System (Fill Bag) • 24 hours only • Fill bag to provide 8 hours of feeding, after 8 hours rinse and flush entire system ***Reference Mosby’s Nursing Skills: Enteral Nutrition via Nasoenteric, Gastrostomy, or Jejunostomy Tube

  10. Signs of Intolerance • Physical Signs • Complaints of abdominal discomfort, bloating, gas, vomiting • Clinical Signs • Gastric residual volume > (greater than) 500mL • Tubes placed into jejunum (DHT or PEJ) are not appropriate for checking residuals • **Refer to Mosby’s Nursing Skills: Enteral Nutrition via Nasoenteric, Gastrostomy, or Jejunostomy Tube for full guidelines.

  11. Resources • ALWAYS Consult Dietitian • Formulary Card and Conversion Chart • Located in nourishment rooms and/or TF storage area on each floor.

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