Enteral Feed Formula Selection Guide



A basic guide on how to choose which enteral feed formulations and brands are most appropriate to select depending on the clinical situation.



Most Wards Patients:

- Formulation: Standard Polymeric

- Common Brands: Jevity 1.2, Osmolite 1.0



Diabetes:

- Formulation: ↓Glycemic

- Common Brands: Glucerna 1.5, Glytrol 1.0

 

CHF:

- Formulation: ↑Calorie, ↑Protein, ↓Volume, ↓Na

- Common Brands: Osmolite 1.5, TwoCal HN 2.0

- Additional Notes: Osmolar load can cause diarrhea



ESRD on HD:

- Formulation: ↑Calorie, ↓Volume, ↓K, ↓Phos, moderate Protein

- Common Brands: Nepro 1.8, Novasource Renal 2.0

 

CKD no HD:

- Formulation: ↑Calorie, ↓Protein

- Common Brands: Suplena 1.8, RenalCal 2.0

 

Short-gut, pancreatitis, severe PCM:

- Formulation: Peptide / elemental

- Common Brands: Peptamen 1.2/1.5, Vital AF 1.2

- Additional Notes: High Osmolar, start slow



COPD, Vent weaning:

- Formulation: ↓CHO, ↑fat to lower CO₂

- Common Brands: Pulmocare 1.5

- Additional Notes: Avoid in pancreatitis, fat malabsorption



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