Estimation of stature from segmental measures Baseline fluid requirements Initiating and advancing enteral nutrition Growth velocity

Initiating and advancing enteral nutrition Growth velocity Estimated Energy Requirements (EER) Calorie and protein requirements, RDA Estimates for overweight children
estimation of Stature in Centimeters 1-10 kg 100 mL/kg Initial age Weight (g/day) Length (cm/mo) category Age (years) kcal/kg Protein g/kg Total energy expenditure (TEE) for weight maintenance in overweight*
type Age Advancement Goal WHOa and Schofieldb children ages 3-18 years
Infusion < 3 mo 25-35 2.6-3.5 0.0-0.5 108 2.2
(4.35 x UAL) + 21.8 10-20 kg 1000 mL + 50 mL/kg for each kg above 10 kg EER (kcal/day) = Resting Energy Expenditure X Activity Factor X Stress Factor Infants
0-12 mos 1-2 mL/kg/hr 1-2 mL/kg every 2-8 hr 6 mL/kg/hr 3-6 mo 15-21 1.6-2.5 0.5-1.0 98 1.6 gENDER TEE (kcal/day)
Age 0-121 (3.26 x TL) + 30.8 > 20 kg 1500 mL + 20 mL/kg for each kg above 20 kg Resting energy expenditure
Continuous 1-6 yrs 1 mL/kg/hr 1 mL/kg every 2-8 hr 4-5 mL/kg/hr 6-12 mo 10-13 1.2-1.7 1-3 102 1.2
(2.68 x KH) + 24.2 Boys 114-50.9 x age (y) + PA x (19.5 x weight [kg] + 1161.4 x height [m])
1-3 yr 4-10 0.7-1.1 aGE GENDER WHOa Schofieldb
> 6 yrs 25 mL/hr 25 mL every 2-8 hr 100-150 mL/hr Children 4-6 90 1.1
4-6 yr 5-8 0.5-0.8 Girls 389-41.2 x age (y) + PA x (15.0 x weight [kg] + 701.6 x height [m])
0-3 yrs Male 60.7W - 54 0.17W + 15.17H - 617.6 7-10 70 1.0
White male: (2.22 x KH) + 40.54 Daily fluid 0-12 mos 10-60 mL/2-3 hr 10-60 mL/feeding 90-180 mL/4-5 hr 7-10 yr 5-12 0.4-0.6
11-14 55 1.0
*Defined as BMI >95th %ile for age and sex
AA male: (2.18 x KH) + 39.60 Bolus 1-6 yrs 30-90 mL/2-3 hr 30-90 mL/feeding 150-300 mL/4-5 hr Adapted from Fomon SJ, Haschke F, et al. Body composition of reference children from birth to age 10 Female 61W - 51 16.25W + 10.232H - 413.5 PA = physical activity coefficient
Age 6-182 Fluid needs based on above formula: years. Am J Clin Nutr 1982;35:1169.
White female: (2.15 x KH) + 43.21 Males 15-18 45 0.9 Physical activity coefficients (PAs) for overweight children ages 3-18 years
> 6 yrs 60-120 mL/2-3 hr 60-90 mL/feeding 240-480 mL/4-5 hr 3-10 yrs Male 22.7W + 495 19.6W + 1.303H + 414.9
AA female: (2.02 x KH) + 46.59 WEIGHT (kg) DAILY FLUID WEIGHT (kg) DAILY FLUID 19-24 40 0.8
60-90 mL/hr Female 22.5W + 499 16.97W + 1.618H + 371.2 Physical Activity Level
REQUIREMENTS* (mL) REQUIREMENTS* (mL)
UAL = Upper Arm Length 1 100 52 2140
0-12 mos 1-2 mL/kg/hr 1-2 mL/kg/2 hr
12-18 hr/d Catch-up growth requirements 11-14 47 1.0
GENDER sedentary Low active Active very Active
10-18 yrs Male 17.5W + 651 16.25W + 1.372H + 515.5 Females 15-18 40 0.8
TL = Tibia Length
2 200 54 2180 75-125 mL/hr Catch-up growth RDA calories for age Ideal weight Boys 1.00 1.12 1.24 1.45
KH = Knee Height Cyclic 1-6 yrs 1 mL/kg/hr 1 mL/kg/2 hr Female 12.2W + 746 8.365W + 4.65H + 200.0 19-24 38 0.8
1. North American Growth in Cerebral Palsy Project at http://www.Healthsystem.Virginia.Edu 3 300 56 2220
8-16 hr/d Requirement = (kcal/kg/d) x for height (kg)
(kcal/kg/d) Note: W=Weight (kg); H=Height (cm) Recommended Dietary Allowances, 10th ed, National Academy of Sciences, National Academy Press 1989; Girls 1.00 1.18 1.35 1.60
2. Chumlea WC, Guo SS, Steinbaugh ML. Prediction of stature from knee height for black and
4 400 58 2260 100-175 mL/hr 33-36. Adapted with permission.
white adults and children with application to mobility-impaired or handicapped persons. > 6 yrs 25 mL/hr 25 mL/kg/2 hr Actual weight (kg) A. WHO. Energy and Protein Requirements. WHO Tech Rep Ser no 724. Geneva; 1985. Physical activity level (PAL) is defined as the ratio of total energy expenditure to basal energy expenditure.
J Am Diet Assoc 1994;94(12):1385-8.
8-16 hr/d B. Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. PAL is determined from assessment of the amount of time the child or adolescent spends in moderate and
5 500 60 2300
6 600 62 2340
Adapted from Davis A. Pediatrics. In Contemporary Nutrition Support Practice; 1998; ch 26; 358.
Used with permission. Protein requirement RDA protein for age Ideal weight
Hum Nutr Clin Nutr 1985;39c(1s):5-42.
Body mass index (BMI) vigorous play and work.
Food And Nutrition Board. Dietary Reference Intakes For Energy, Carbohydrate, Fiber, Fat, Fatty Acids,
7 700 64 2380 (g/kg/d) = (g/kg/d) x for height (kg)
BMI is recommended as a routine screening tool for overweight children
Cholesterol, Protein and Amino Acids. Prepublication edition. Washington, DC: National Academies Press; 2005.
activity Factors Stress Factors
8 800 66 2420 Actual weight (kg) and adolescents1 Waterlow criteria for assessing degree
9 900 68 2460 Energy requirements in children with Paralyzed 1.0 Surgery 1.2-1.5 Burn 1.5-2.5
of malnutrition
10 1000 70 2500 developmental disabilities 1. Plot the childs height and weight on the growth charts (WHO charts if child Confined to bed 1.1 Infection 1.2-1.6 Starvation 0.7 Procedure:
Acute nutrition status (weight status):
12 1100 72 2540 is 0-2 years, NCHS charts if child is over the age of 2) Ambulatory 1.2-1.3 Trauma 1.1-1.8 Growth Failure 1.5-2.0 1. Obtain standing height for children ages 2 to 20 with a stadiometer
14 1200 74 2580 clinical Condition Calorie Requirement 2. Determine the childs recommended calories per kg for this childs age (Actual wt (kg)/expected wt (kg) for ht (cm) at 50th %ile)*100
From Nutrient Requirements. In Page CP, Hardin TC, Melnik G (eds): Nutritional Assessment and Support 2. Record weight to the nearest 12 ounce or 0.01 kg2
16 1300 76 2620 13.9 kcal/cm height with mild to 3. Determine the ideal weight (50th percentile) for this childs height
a Primer, ed 2. Baltimore: Williams and Wilkins, 1994;32. Reprinted with permission. Stage 0 (normal): > 90%
3. Calculate BMI3
18 1400 78 2660 Cerebral Palsy moderate activity Stage I (mild): 80-90%
4. Multiply the value obtained in (2) by the value obtained in (3)
(age 5-11 yrs) 11.1 kcal/cm height with severe weight (kg)
weight (lb)
20 1500 80 2700 5. Divide the value obtained in (4) by actual weight Dietary Reference Intakes (DRI) Stage II (moderate): 70-80%
physical restrictions EER (kcal/day) = Total Energy Expenditure + Energy Deposition
BMI = or BMI = x 703
22 1540 82 2740 height (m)2 height (in)2 Stage III (severe): < 70%
Athetoid Cerebral Palsy up to 6000 kcal/d (adolescence) Infants and young children Children and adolescents
24 1580 84 2780 For the protein equation, follow same steps, but in (2), substitute protein
Down Syndrome for calories. (ages 0-35 months) (ages 3-18 years) 4. For children ages 2 to 20, plot BMI using the BMI growth chart appropriate Chronic nutrition status (height/linear growth):
26 1620 86 2820
Boys (age 5-12 yrs) 16.1 kcal/cm height for gender4 (Actual ht (cm)/expected ht (cm) for age at 50th %ile)*100
28 1660 88 2860 Adapted with permission from KM Corrales and SL Utter, Failure to Thrive. In Samour PQ, Helm KK and aGE EER aGE EER
Girls (age 5-12 yrs) 14.3 kcal/cm height Stage 0 (normal): > 95%
30 1700 90 2900 Lang CE. Handbook of Pediatric Nutrition, 2nd ed. Aspen Publishers. 1999;406.
0-3 mos (89W - 100) + 175 Boys 3-8 yrs 88.5 - (61.9A + PA[(26.7W + 903H])+20 Recommended BMI-for-age cutoffs5,6:
32 1740 92 2940 9-11 kcal/cm height for maintenance 1. 95th percentile is considered obese Stage I (mild): 90-95%
Myelomeningocele 7 kcal/cm for weight loss 4-6 mos (89W - 100) + 56 9-18 yrs 88.5 - (61.9A + PA[(26.7W + 903H])+25
34 1780 94 2980 2. 85th to 95th percentile is considered overweight Stage II (moderate): 85-90%
(Spina Bifida) approximately 50% RDA for age 7-12 mos (89W - 100) + 22 Girls 3-8 yrs 135.3 - (30.8A + PA[(10W + 934H])+20
36 1820 96 3020 3. < 5th percentile is considered underweight Stage III (severe): < 85%
after infancy
38 1860 98 3060 13-35 mos (89W - 100) + 20 9-18 yrs 135.3 - (30.8A + PA[(10W + 934H])+25 Waterlow JC. Classification and definition of protein-calorie malnutrition. BMJ 1972;3:566-9.
40 1900 100 3100 10-11 kcal/cm height for maintenance Note: W= Weight (kg); H= Height (m); A= Age Nestl Health Science has endeavored to include in this guide only such clinical information that it believes to
Prader-Willi Syndrome
42 1940 102 3140 8.5 kcal/cm height for weight loss 1. Barlow, SE and Dietz, wh. Obesity evaluation and treatment: expert committee recommendations.
be accurate and reliable as of the date of publication. The information contained in these guidelines is not in-
tended as a replacement for medical advice, standards of care, approved practices or policies of a particular
Journal of Pediatrics 1998; 102(3):e29.
44 1980 104 3180 physician and/or healthcare facility, all of which should be considered when utilizing this guide.
1. Protein requirements may be met by providing RDA for age Physical activity coefficients (PA), DRI (ages 3-18 years) 2. U.S. Department of health and human services. Accurately weighing & Measuring: Technique: http://depts.
46 2020 106 3220 Washington.Edu/growth/module5/text/intro.htm. Accessed august 29, 2005.
2. Fluid requirements attention to fluid needs is critical in these patients gENDER sedentary Low active Active very Active 3. Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL. Indices of relative weight and obesity. Journal of
Nutrition. The factor that can make a difference.
48 2060 108 3260 Chronic Disease 1972; 25:329-343.
because many do not have, or cannot express, a thirst sensation
50 2100 110 3300 Boys 1.00 1.13 1.26 1.42 4. Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC Growth Charts for the United States: Methods and www.NestleHealthScience.us
*This number is only an estimate based on the above equation. Physician may determine actual individual
3. Formula choice guideline if weight age is 13 years, use pediatric Development. National Center for Health Statistics. Vital Health Statitistics 2002;11(246). 1-800-422-ASK2 (2752)
fluid needs to be either lower or higher than this amount. formula; if weight age is >13 years, may use adult formula Girls 1.00 1.16 1.31 1.56 5. Himes, JH and Deitz, WH. Guidelines for overweight in adolescent preventive services: recommendations Florham Park, NJ 07932-1521 USA
(30-60 Mins. Daily moderate activity) from an expert committee. AmericanJournal of Clinical Nutrition 1994;59:307-316. All trademarks are owned by Socit des Produits
Adapted with permission from: Johnson KB. Fluid and Electrolytes. The Harriet Lane Handbook. St. Louis. Ekvall SW, Bandini L., Ekvall V: Obesity. In Ekvall SW (ed): Pediatric Nutrition in Chronic Diseases and 6. American Medical Association. Expert Committee Recommendations on the Assessment, Prevention, and Nestl S.A., Vevey, Switzerland.
CV Mosby 1993: 164-165. Developmental Disorders, Oxford University Press, 1993; 168. Used with permission. (60 Mins. Daily moderate activity) 2012 Nestl. All rights reserved.
Treatment of Child and Adolescent Overweight and Obesity. June 6, 2007.
Davis A. Pediatrics. In Contemporary Nutrition Support Practice;1998, ch 26;356. Used with permission. (120 Mins. Daily moderate activity, or 60 mins. Moderate + 60 mins. Vigorous activity) http://www.Ama-assn.Org/ama1/pub/upload/mm/433/ped_obesity_recs.pdf. Accessed: july 20, 2007. NEST-11118-0512

HCN 148-12_PEPT Helpful Hints_R3.indd 1-7 9/27/12 10:43 AM

 Troubleshooting Troubleshooting Nutrition Information Nutrition Information Home Delivery Carton Calculator Ordering Information
Gastrointestinal Mechanical These NESTL BOOST BOOST COMPLEAT COMPLEAT NUTREN PEPTAMEN PEPTAMEN VIVONEX
For Nestl Enteral Nutrition Formulas PRODUCT NDC FORMAT
COMPLICATION POSSIBLE CAUSE MANAGEMENT/PREVENTION COMPLICATION POSSIBLE CAUSE MANAGEMENT/PREVENTION products are
formulated for children
Kid
ESSENTIALS
Kid
ESSENTIALS
PEDIATRIC
Formula
PEDIATRIC
reduced
JUNIOR
Formula*
JUNIOR
Formula*
JUNIOR 1.5
Formula
PEDIATRIC
Formula*
 se this calculator to determine each patients weekly or monthly enteral product
U
PRODUCT
CODE NUMBER
CASE PACKAGING
Specialized nutrition for your
over 1 year of age. 1.5* calorie BOOST KID ESSENTIALS

Aspiration Aspiration of feedings Confirm tube placement prior Clogged tube Inadequate flushing Flush tube before and after Formula needs for homedelivery based on volume of formula ordered per day
pneumonia Emesis to administration of feeds aspirating residuals, after bolus
feedings, and every 4-8 hours
Serving Size 237 mL 237 mL 250 mL 250 mL 250 mL Carton 250 mL Carton 250 mL Carton 250 mL Very Vanilla Tetra Brik 33510000 00212-3351-13 27-8 fl oz Briks/case most vulnerable patients.
Displacement or migration Elevate head 30 to 45 degrees Indication Tube/Oral Tube/Oral Tube Tube Tube/Oral Tube/Oral Tube/Oral Tube/Oral Total Daily Vol. CARTONS/ Rich Chocolate
during continuous feeds Cases/Week Cases/Month 33520000 00212-3352-13 27-8 fl oz Briks/case
Supine position during feeds
Gastroesophageal reflux
Inadequate crushing of Dissolve crushed tablets in
Calories kcal
Fat g
240
9*
360
18**
250
9.7*
150
5*
250
12.4**
250
9.6**
375
17*
200
5.8**
(mL/d)
500
Day
2.0 0.6 2.6
Tetra Brik
Creamy Strawberry
We call it the
medications warm water Sodium mg (mEq) 130 (5.6) 165 (7.1) 190 (8.3) 193 (8.4) 115 (5) 115 (5) 173 (7.5) 100 (4.3) 33530000 00212-3353-13 27-8 fl oz Briks/case
Presence of nasogastric tube Tube placement into the Formula and medication residue Flush tube before and after 550 2.2 0.6 2.8 Tetra Brik
Potassium mg (mEq) 270 (6.9) 310 (7.9) 410 (10.5) 400 (11.3) 330 (8.5) 330 (8.5) 495 (12.7) 300 (7.7)
preventing complete closure of duodenum medication administration; 1.5 Very Vanilla
Carbohydrate g 32 39 33 18.8 27.5 34 45 31.5 600 2.4 0.7 3.0 33540000 00212-3354-13 27-8 fl oz Briks/case
esophagus avoid mixing formula with Tetra Brik
Protein g 7 10 9.5 7.5 7.5 7.5 11.3 6.0*** 650 2.6 0.8 3.3
Delayed gastric emptying Use of prokinetics or formula medication 1.5 Rich Chocolate
Vitamin A IU 750** 750*** 830** 820** 830*** 830*** 1200** 625**** 33580000 00212-3358-13 27-8 fl oz Briks/case
change Kinking of the feeding tube Replace feeding tube 700 2.8 0.8 3.5 Tetra Brik
Vitamin C mg 30 24 25 24 25 25 37.5 25
Bloating/ Air in tubing Remove as much air as Highly viscous fiber-rich 750 3.0 0.9 3.8
Calcium mg 300 350 360 360 300 280 413 280 1.5 Creamy Strawberry
cramps/gas possible when setting up feeding formulas 33590000 00212-3359-13 27-8 fl oz Briks/case
Iron mg 3.3 3.3 3.5 3.3 3.5 3.5 5.2 2.5 800 3.2 0.9 4.0 Tetra Brik
Diarrhea Bacterial contamination Proper storage, preparation Tube Coughing Replace the tube Vitamin D IU 150 200 150 250 150 150 200 160
of formula and administration of feeds 850 3.4 1.0 4.3 1.5 Very Vanilla with
displacement Vomiting Vitamin E IU 7.5 5.4 7 5.3 7 7 10.5 7.5 33500000 00212-3350-13 27-8 fl oz Briks/case
Fiber Tetra Brik
Change feeding bag daily Vitamin K mcg 15 20 15 15 15 15 23 15 900 3.6 1.1 4.5
Inadvertent dislodgement COMPLEAT PEDIATRIC
Limit hang time of formulas to Thiamine mg 0.64 0.28 0.64 0.65 0.6 0.6 0.9 0.38 950 3.8 1.1 4.8
8-12 hours for commercially Removal of tube by patient Unflavored 14240000 00212-1424-51 24-250 mL cartons/case
Riboflavin mg 0.5 0.4 0.50 0.50 0.5 0.5 0.75 0.5
manufactured products Niacin mg 2.4 3 2.4 2.5 2.4 2.4 3.6 2.4
1000 4.0 1.2 5.0
COMPLEAT PEDIATRIC REDUCED CALORIE
Undiluted, ready to feed Vitamin B6 mg 0.62 0.38 0.6 0.6 0.6 0.6 0.9 0.5 1050 4.2 1.2 5.3
products minimize risk Unflavored 4390038074 43900-0380-74 24-250 mL cartons/case
Folic Acid mcg 70 70 70 71 70 70 100 50 1100 4.4 1.3 5.5
Food allergies Consider changing formula Metabolic Vitamin B12 mcg 1.4 0.6 1.5 1.4 1.5 1.5 2.3 0.8 Microlipid
COMPLICATION POSSIBLE CAUSE MANAGEMENT/PREVENTION 1150 4.6 1.3 5.8
Hyperosmolar formulas Consider an isotonic formula Biotin mcg 47 36 50 50 50 50 75 25 Unflavored 00870200 41679-0087-02 48-3 fl oz bottles/case
Too rapid infusion Slow rate of infusion Dehydration Inadequate free water Monitor Is and Os Pantothenic Acid mg 2.4 2.4 2.4 2.4 2.5 2.5 3.8 1.25 1200 4.8 1.4 6.0 NUTREN JUNIOR
Low fiber intake Consider a fiber-containing Monitor hydration status of Phosphorus mg 210 300 250 263 210 210 338 210 1250 5.0 1.5 6.3
Iodine mcg 28 30 33 32.5 25 25 40 30 Vanilla 9871616062 0065-9043-70 24-250 mL cartons/case
formula patient routinely
Magnesium mg 47 60 58 57.5 50 50 75 50 1300 5.2 1.5 6.5 1000 mL UltraPak 9871677380 00212-7380-61 6-1000 mL bags/case
Fat malabsorption Consider changing formula Hyperosmolar feedings Assess renal solute load of
to product with partial MCT formula Zinc mg 2.7 2 2.7 1.7 2.7 2.7 4 1.75 1350 5.4 1.6 6.8 With Fiber Vanilla 9871616063 0065-9045-70 24-250 mL cartons/case
content Overhydration Excessive fluid administration Advance feeds slowly Selenium mcg 8 10 7.5 13 7.5 7.5 11 7.5 1400 5.6 1.6 7.0 With Fiber 1000 mL
Medications (antibiotics, Copper mg 0.2 0.26 0.25 0.25 0.25 0.25 0.35 0.25 9871677400 00212-7410-61 6-1000 mL bags/case
Too rapid refeeding or patients Allow a 5-7 day period to meet 1450 5.8 1.7 7.3 UltraPak
antacids, sorbitol, magnesium, Manganese mg 0.45 0.6 0.56 0.5 0.4 0.4 0.6 0.5
with moderate to severe PEM nutritional goals PEPTAMEN JUNIOR
antineoplastic agents) Chromium mcg 7.5 16 7.5 22 7.5 6 11 11.3 1500 6.0 1.8 7.5
Electrolyte Formula components Evaluate electrolyte adequacy Molybdenum mcg 10 14 15 14 15 12 18 18.8 Unflavored 9871616253 0065-9069-70 24-250 mL cartons/case
Dumping Cold formula Administer formula at room 1550 6.2 1.8 7.8
imbalance of specific formula and appro- Chloride mg (mEq) 130 (3.66) 178 (5) 140 (3.9) 140 (3.9) 270 (7.6) 270 (7.6) 405 (11.4) 250 (7.1)
syndrome temperature 1000 mL UltraPak 9871677360 00212-7400-61 6-1000 mL bags/case
priateness of formula dilution L-Carnitine mg 4 6.2 4.0 4 10 10 15 6.25 1600 6.4 1.9 8.0
Vomiting Rapid feeding Slow rate of feeding Vanilla 9871616252 0065-9070-70 24-250 mL cartons/case
Hyperosmolar formulas Consider changing to isotonic
formula
Medical condition/diagnosis Monitor electrolytes, phospho-
Taurine mg
Choline mg
20
100
32
95
21
125
20.8
125
20
75
20
75
30
113
20
63
1650
1700
6.6
6.8
1.9
2.0
8.3
8.5
Chocolate 9871660120 0065-9070-71 24-250 mL cartons/case Pediatric Nutrition
rus, BUN, creatinine, glucose M-Inositol mg 19 28 30 18.8 20 20 30 15
Delayed gastric emptying Consider transpyloric route
for feeding Failure to Inadequate nutrient intake Evaluate adequacy of nutrient Water mL 200 170 205 218 213 212**** 193 220 1750 7.0 2.0 8.8
Strawberry
1.5
9871660130
9871617363
0065-9070-72
00212-8473-15
24-250 mL cartons/case
24-250 mL cartons/case
Helpful Hints
Consider continuous infusion achieve intake Osmolality MOsm/ KgH2o 550-600*** 390 380 300 350 260-400***** 450 360 1800 7.2 2.1 9.0
weight gain Perform routine nutritional 1.5 - 1000 mL
Elevate head of bed 45 degrees * MCT provides 1.8 g/237 * BOOST KID ESSENTIALS * MCT provides 1.9 g/250 * MCT provides * NUTREN JUNIOR FIBER * PEPTAMEN JUNIOR formula contains milk protein. * MCT provides 10.2 * Each 1.7 oz dry 1850 7.4 2.2 9.3 9871618543 00212-8415-15 6-1000 mL bags/case
assessments mL and 7.6 g/1000 mL 1.5 WITH FIBER drink mL and 7.6 g/1000 mL 1.1 g/250 mL and formula contains 1.5 g of Not appropriate for individuals with cows milk g/250 mL and 40.8 packet mixed with UltraPak
during feeding ** Includes 36% vitamin A contains 2 g of dietary ** Includes 40% vitamin A 7.6 g/1000 mL dietary fiber per 250 mL protein allergy. PEPTAMEN JUNIOR Fiber formula g/1000 mL 220 mL of water
1900 7.6 2.2 9.5
Check residuals prior to Cox JH, ed. Nutrition Manual for At-Risk Infants and Toddlers. Chicago: Precept Press;1997. activity from beta fiber per 237 mL activity from beta ** Includes 40% vitamin ** MCT provides 2.7 g/250 contains 1.85 g of dietaryfiber per 250 mL. ** Includes 35% yields 250 mL of With Fiber Vanilla 9871660210 0065-9068-71 24-250 mL cartons/case
carotene ** MCT provides 1.8 g/237 carotene A activity from beta mL and 10.8 g/1000 mL PEPTAMEN JUNIOR with PREBIO1 formula vitamin A activity formula
feeding mL and 7.6 g/1000 mL carotene contains 0.9 g of dietary fiber per 250 mL from beta carotene ** MCT provides 4 g/250
1950 7.8 2.3 9.8 With PREBIO1 Vanilla 9871616261 0065-9068-70 24-250 mL cartons/case
*** Vanilla: 550, CalciLockTM blend *** Includes 40% vitamin A
** MCT provides 6 g/250 mL and 24 g/1000 mL mL and 16 g/1000 mL
Consider prokinetics Chocolate: 600, *** Includes 40% vitamin A CalciLockTM blend activity from beta CalciLockTM blend 2000 8.0 2.3 10.0 VIVONEX PEDIATRIC
Strawberry: 570 activity from beta carotene carotene *** Includes 40% vitamin A activity from beta carotene *** As amino acids
Obstruction Discontinue feeding CalciLockTM blend CalciLockTM blend CalciLockTM blend **** PEPTAMEN JUNIOR FIBER and PEPTAMEN JUNIOR **** Includes 46% vitamin 2050 8.2 2.4 10.3
WITH PREBIO1 formulas each contain 211 mL A activity from beta
Unflavored packets 07131000 00212-7131-76 36-1.7 oz packets/case
Too rapid advancement of Return to previously tolerated water per 250 mL carotene 2100 8.4 2.5 10.5
volume or concentration strength and volume, and ***** Unflavored: 260, Vanilla: 380, Chocolate: 380, CalciLockTM blend
Tetra Brik is a registered trademark of Tetra Laval Holdings & Finance S.A.
Strawberry: 400
advance more slowly
See packaging for most up-to-date nutritional information. CalciLockTM blend

HCN 148-12_PEPT Helpful Hints_R3.indd 8-14 9/27/12 10:43 AM