Perative - 8 oz cans

Case of 24

Ross Perative - 8 oz cans
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$137
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Ross
189930
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Features

Ross Perative - 8 oz cans

  • For metabolically stressed patients
  • For tube feeding
  • Lactose and gluten free
  • Ready-to-feed enteral product

Product Overview

Ross Perative - 8 oz cans

Usage:
 
PERATIVE is a ready-to-feed enteral product designed for use in the nutritional management of metabolically stressed patients. PERATIVE is calorie-dense at 1.3 Cal/mL, and contains a protein system of partially hydrolyzed proteins, including peptides and amino acids, to utilize the dual absorption system of the gut.
  • Multiple fractures
  • Wounds
  • Burns
  • Decubitus ulcers
  • Surgery
  • Hypermetabolism
  • Susceptibility to sepsis

 

Features:
 
  • Complete, balanced nutrition
  • For supplemental or sole-source nutrition
  • For tube feeding
  • Protein provided as partially hydrolyzed proteins, including peptides and free amino acids, to utilize the dual protein absorption system of the gut
  • Supplemented with L-arginine at a level of 2% of calories
  • Lactose- and gluten-free
    Caloric Distribution
    Per 8 fl oz % Calories
    Calories 308 —
    Protein, g 15.8 20.5
    Fat, g 8.8 25.0
    Carbohydrate, g 42.0 54.5
    Water, g* 187 —
    * 1 g water = 1 mL water = 1 cc water.
 

 

Availability:
 
Ready-To-Use
8-fl-oz cans, 24/case #50628

Product information and values listed are subject to change. Please refer to product label or packaging for the most current information. 		 

 

Administration:
 

Use under medical supervision. Not for parenteral use. Minimum tube size for gravity feeding is 10 F; 8 F for pump feeding.
 

 

Ingredients:
 
-D Water, maltodextrin (corn), partially hydrolyzed sodium caseinate, lactalbumin hydrolysate, canola oil, medium-chain triglycerides (fractionated coconut oil), L-arginine, corn oil, magnesium chloride, potassium citrate, calcium phosphate tribasic, citric acid, soy lecithin, ascorbic acid, potassium phosphate dibasic, choline chloride, carrageenan, potassium chloride, taurine, L-carnitine, zinc sulfate, ferrous sulfate, alpha-tocopheryl acetate, niacinamide, calcium pantothenate, manganese sulfate, beta-carotene, cupric sulfate, thiamine chloride hydrochloride, pyridoxine hydrochloride, riboflavin, vitamin A palmitate, folic acid, biotin, chromium chloride, sodium molybdate, potassium iodide, sodium selenate, phylloquinone, cyanocobalamin and vitamin D3.  

 

Protein:
 
PERATIVE contains a blend of partially hydrolyzed sodium caseinate, lactalbumin hydrolysate, and L-arginine. Added L-arginine is 2% of total calories. The protein blend provides an amino acid profile that meets standards for high-quality proteins.1 PERATIVE is gluten-free.


Protein Profile

Percent of total calories from protein 20.5
Protein content 66.6 g/L

Protein Source
Partially hydrolyzed sodium caseinate 65%
Lactalbumin hydrolysate 25%
L-arginine 10%

Cal/N ratio 122:1
Nonprotein Cal/N ratio 97:1
 

 

Fat:
 
The fat blend in PERATIVE contains canola oil, MCT oil, and corn oil.


Corn oil is a rich source of linolenic acid. Canola oil provides alpha-linolenic acid. People who malabsorb lipids may benefit from the consumption of MCTs as part of the fat source. MCTs are predominantly a mixture of C8:0 and C10:0 fatty acids. MCTs can be absorbed without emulsification by bile acids and are more rapidly taken up and used by tissues than are long-chain fatty acids.2

PERATIVE contains 25% of total calories as fat. Consistent with recommendations,3 PERATIVE contains less than 10% of total calories as omega-6 polyunsaturated fatty acids, and is low in saturated long-chain fatty acids.

Fat Profile

Percent of total calories from fat 25.0

Fat Content 37.4 g/L
Polyunsaturated fatty acids 8.1 g/L
Monounsaturated fatty acids 10.1 g/L
Saturated fatty acids 17.1 g/L

Fat Source
Canola oil 40%
MCT oil 40%
Corn oil 16%
Lecithin 4%

omega-6/omega-3 ratio 4.8:1
 

 

Carbohydrate:
 
The carbohydrate source in PERATIVE is maltodextrin produced by the controlled hydrolysis of cornstarch. PERATIVE is lactose-free.


Carbohydrate Profile

Percent of total calories from carbohydrate 54.5
Carbohydrate content 177.2 g/L

Carbohydrate Source
Maltodextrin 100%
 

 

Vitamins and Minerals:
 
PERATIVE provides at least 100% of the RDI for 24 key vitamins and minerals for adults and children
4 or more years of age in 1500 Cal (1155 mL) or just under five 8-fl-oz servings. PERATIVE meets or exceeds 100% of the highest National Academy of Sciences—National Research Council (NAS/NRC) RDAs for vitamins and minerals for nonpregnant, nonlactating adults in 1800 Cal (1385 mL) or about 5.8 8-fl-oz servings.


PERATIVE includes 1325 IU/8 fl oz (5570 IU/L) of vitamin A activity from 1.0 mg beta-carotene/8 fl oz (4.2 mg beta-carotene/L). Beta-carotene, a carotenoid compound, has provitamin A activity and is found naturally in the diet.3-5 PERATIVE is also fortified with carnitine and taurine (31 mg/8-fl-oz serving; 140 mg/L).

  

 

Osmotic Concentration:
 
Osmolality* (mosm/kg H2O) 385
Osmolarity (mosm/L) 304

* Measured on undiluted product using vapor pressure methodology. 		 

 

Renal Solute Load:
 

Renal solute load represents the solutes excreted per liter of product consumed. The major determinants of renal solute load are dietary protein and electrolytes. Each milliequivalent of sodium, potassium, and chloride contributes approximately 1 mosm to the renal solute load; in adults, each gram of protein contributes approximately 5.7 mosm.

Renal Solute Load (RSL)



Electrolyte Content (mEq/L)
Contribution to RSL (mosm/L)

Sodium
45.2
45.2

Potassium
44.2
44.2

Chloride
46.5
46.5

Protein content
66.6 g/L x 5.7 =
379.6

Total RSL

516
 

 

Analysis:
 

Nutrient Facts
8 fl oz
FAN (label number) 7223-02
Cal/mL 1.30
Energy, Cal  
Protein, g 15.8
% of total Calories
20.5
Fat, g 8.8
% of total Calories
25.0
Cholesterol, mg
0
Carbohydrate, g 42
% of total Calories
54.5
Water, g* 187
Dietary Fiber, g 0
L-carnitine, mg 31
Taurine, mg 31
m-Inositol, mg 0
* 1 g water = 1 mL water = 1 cc water.
Vitamins
8 fl oz
Vitamin A, IU 2060
Vitamin D, IU 83
Vitamin E, IU 9.3
Vitamin K, mcg 17
Vitamin C, mg 62
Folic Acid, mcg 125
Thiamin (Vitamin B1), mg 0.47
Riboflavin (Vitamin B2), mg 0.53
Vitamin B6, mg 0.62
Vitamin B12, mcg 1.9
Niacin, mg 6.2
Choline, mg 125
Biotin, mcg 93
Pantothenic Acid, mg 3.1
Includes 1325 IU/8 fl oz (5570 IU/L) of vitamin A activity from 1.0 mg/8 fl oz (4.2 mg/L) of beta-carotene.
Minerals
8 fl oz
Sodium, mg (mEq) 250 (10.7)
Potassium, mg (mEq) 410 (10.5)
Chloride, mg (mEq) 390 (11.0)
Calcium, mg 210
Phosphorus, mg 210
Magnesium, mg 83
Iodine, mcg 31
Manganese, mg 1.1
Copper, mg 0.42
Zinc, mg 4.7
Iron, mg 3.7
Selenium, mcg 15
Chromium, mcg 25
Molybdenum, mcg 31

Amino Acids
8 fl oz
Essential
Histidine, mg 331.8
Isoleucine*, mg 663.6
Leucine*, mg 1422
Lysine, mg 1121.8
Methionine, mg 363.4
Phenylalanine, mg 647.8
Threonine, mg 632
Tryptophan, mg 189.6
Valine*, mg 790
Nonessential
Alanine, mg 521.4
Arginine, mg 1911.8
Aspartic Acid, mg 1185
Cystine, mg 173.8
Glutamic Acid, mg 2891.4
Glycine, mg 252.8
Proline, mg 1264
Serine, mg 774.2
Tyrosine, mg 663.6
* Branched-chain amino acids.
Fatty Acids
8 fl oz
Linoleic (18:2), mg 1605
a-Linolenic (18:3), mg 293
Caprylic (8:0), mg 2107
Capric (10:0), mg 1346
Lauric (12:0), mg 33
Myristic (14:0), mg 25
Palmitic (16:0), mg 385
Stearic (18:0), mg 109
Oleic (18:1), mg 2366
Arachidic (20:0), mg 25
Fatty acids equal approximately 95% of total fat.
In parentheses, carbon atoms/double bonds.
 

 

References:
 
Clinical Documentation Brown RO, Hunt H, Mowatt-Larssen CA, et al: Comparison of a specialized to standard enteral formula in trauma patients. Pharmacotherapy 1994;14(3):314-320.

Henningfield MF, Brantley S, Pierce J, et al: Tolerance and clinical utility of a specialized enteral formula (abstract). FASEB J 1993;7(3):A377.

Zaloga G, Meredith JW, Roberts P, et al: Improved hepatic protein responses with hydrolyzed protein versus intact protein diets after trauma (abstract). Crit Care Med 1992;20:S94.

References

1. National Research Council: Recommended Dietary Allowances, ed 9. Washington, DC: National Academy Press, 1980.

2. Bach AC, Babayan UK: Medium-chain triglycerides: An update. Am J Clin Nutr 1982;36:950-962.

3. National Research Council: Recommended Dietary Allowances, ed 10. Washington, DC: National Academy Press, 1989.

4. Lachance P: Dietary intake of carotenes and the carotene gap. Clin Nutr 1988;7:118-122.

5. Bendich A: The safety of b-carotene. Nutr Cancer 1988;11:207-214.

Perative - 8 oz cans Reviews Summary

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Part Number(s): 50628