Use for: 

  1. Major trauma patients for the first 7 days of nutrition support.
  2. Moderately malnourished patients undergoing major elective procedures of the esophagus, stomach, pancreas, hepatobiliary tree or abdominal-perineal resection
  3. Severely malnourished patients (pre-albumin < 10gm/dl) undergoing large bowel resection.
  4. Prolonged starvation > 6 days.
  5. High output distal small bowel fistula (>500 mL output).
  6. Burn patients.
  1. Proven intolerance to the first formula used
  2. Persistent, severe diarrhea > 48hrs
  3. Pancreatic or duodenal injury
  4. Moderate distention > 24hrs
  5. Short bowel syndrome
  6. At discretion of attending physician
  1. Patients with a moderate protein need, normal digestive and absorptive capacity of the GI tract.
  1. Stable, long term patients and those requiring a bowel regimen (e.g., paraplegics)
  1. Isosource 1.5—high protein, high calorie, fiber containing formula with 1.5 kcal/ml to limit volume.
  2. Nepro— volume concentrated (1.8 kcal/mL), lower in K+, Mg, Phos therapeutic nutrition with mixed fiber for patients on dialysis
  3. Promote, Replete: High protein, polymeric formula, 1.0 kcal/mL. Appropriate for use in patients who tolerate a standard formula but require additional protein and do not need a volume concentrated product.