Question

For each of the below situations, please choose the appropriate formula you would switch to. Please note, there are multiple correct answers. If multiple formulas apply, write tham all or be prepared to defend why the formula you chose is best. (Formula options: Osmolite 1.2, Vital AF 1.2, Promote with Fiber, Nepro, TwoCal HN, Jevity 1.5, Perative, Pivot 1.5, Glucerna 1.2, and Ensure).

1.) Pt. admitted on Osmolite 1.2, now having loose stool. Initial change to.....and why.

2.) Pt. admitted on Jevity 1.5, feels very full after each Tube feed bolus. Initial change to...and why.

Answer 1

1) In the first case if the patient admitted on Osmolite 1.2 is now having loose stool.

• ?Initially change to jevity 1.5 because this is a calorically dense formula with a unique fiber blend that promotes complete balanced nutrition. It consists of concentrated calories to help tube fed patients gain and maintain healthy weight.

2) Patient admitted on Jevity 1.5, feels very full after each Tube feed bolus.

• Initially change to Glucerna 1.2 because it consists of slow digestible carbs and it also helps minimize blood glucose response