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 Jevity 1.5 Osmolite 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 Glucerna 1.2 Pulmocare
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 Vital AF 1.2 Pivot 1.5
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 Suplena
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 Juven
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) Open System (Fill Bag)
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 Clinical 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.