7

votes

Clinical Nutrition

Answered on August 19, 2014
Created October 06, 2011 at 1:40 PM

I work in an ICU and deal with different types of liquid nutritional supplements for patients who cannot eat solid food. I thought I would post some facts about these supplements to see what people think.

Jevity - 29.4% fat/53.6% CHO/17% protein - Major Ingredients: water, corn maltodextrin, corn syrup, caseinates, corn & canola oil, MCTs, soy protein isolates..... - http://abbottnutrition.com/products/jevity-1_5-cal

Promote - 23% fat/52% CHO/23% protein - Major Ingredients: water, corn maltodextrin, caseinate, soy protein isolate, MCTs, soy & safflower oil... Intended for those with low caloric needs and those at risk for protein energy malnutrition - http://abbottnutrition.com/products/promote

Oxepa -55.2% fat/28.1% CHO/16.7% protein - Major Ingredients: water, caseinates, sugar, corn maltodextrin, canola oil, MCTs, marine oil (anchovy, menhaden, salmon, sardine, tuna), borage oil... Intended to modulate the inflammatory response - http://abbottnutrition.com/Products/oxepa

Obviously one is quite different from the others and this one is usually the least used. Thoughts? Comments? Concerns?

If you have a loved one in the hospital receiving any of these, please do not storm into the place with a loaded semi-auto making demands. I am not a medical doctor and therefore the information I post should not be used as medical advice. I do not condone the use of one of these substances over the other.

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 05:54 PM

I would use it for general casey. I guess your 'sickest' means that clinicans think they need antiinflamantory response. However, omega-3 oils are not that fast. They need first to get integrated into cell membranes. The major benefit here is low carb + antioxidants. On longer ICU omega-3 would kick in.

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 05:52 PM

And we all live on the same planet with corn... yeah, I get it :)

Bece6312a7d51fc6a98a49bd62cf3152

(85)

on October 06, 2011
at 03:31 PM

This is what is usually used for the "sickest."

Bece6312a7d51fc6a98a49bd62cf3152

(85)

on October 06, 2011
at 03:28 PM

These substances don't go through peripheral IV, they go into the stomach via various routes. Only total parenteral nutrition (TPN) is used for direct venous nutritional support which is definitely more than just sugar water.

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 02:39 PM

Ah, but the last is certainly true.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on October 06, 2011
at 02:35 PM

Sugar is corn maltodextrin, caseinates are from cows fed with corn, MCTs are from coconuts harvested by people fed with corn. The last hopefully isn't true.

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 02:26 PM

ALmost everything is in everything - sugar, caseinates, MCT....

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 06, 2011
at 02:23 PM

Even your answer has corn in!

667f6c030b0245d71d8ef50c72b097dc

(15976)

on October 06, 2011
at 02:19 PM

thanks so much for posting this. I spent two weeks in hospital years ago and had an IV of one of these prolly for almost the entire time. I asked multiple times what these were and all I was ever told was, sugar water. I should've just read the label but my mind was on other things

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2 Answers

5
21fd060d0796fdb8a4a990441e08eae7

(24543)

on October 06, 2011
at 01:45 PM

Just one thought.

clinical-nutrition

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 02:39 PM

Ah, but the last is certainly true.

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 05:52 PM

And we all live on the same planet with corn... yeah, I get it :)

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 02:26 PM

ALmost everything is in everything - sugar, caseinates, MCT....

21fd060d0796fdb8a4a990441e08eae7

(24543)

on October 06, 2011
at 02:35 PM

Sugar is corn maltodextrin, caseinates are from cows fed with corn, MCTs are from coconuts harvested by people fed with corn. The last hopefully isn't true.

0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on October 06, 2011
at 02:23 PM

Even your answer has corn in!

2
77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 02:28 PM

Oxepa IMO is the best for general case. The point is that you need lowcarb diet to promote healing by ascorbic acid which is boosted in this solution along with Vitamin E. Fish oil will help hospital depression.

Bece6312a7d51fc6a98a49bd62cf3152

(85)

on October 06, 2011
at 03:31 PM

This is what is usually used for the "sickest."

77877f762c40637911396daa19b53094

(78467)

on October 06, 2011
at 05:54 PM

I would use it for general casey. I guess your 'sickest' means that clinicans think they need antiinflamantory response. However, omega-3 oils are not that fast. They need first to get integrated into cell membranes. The major benefit here is low carb + antioxidants. On longer ICU omega-3 would kick in.

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