TwoCal HN - Vanilla - 8 oz cans
Case of 24
Features
Ross TwoCal HN - Vanilla - 8 oz cans
- For oral or tube feeding
- For patients with severe fluid restrictions
- High-nitrogen liquid formula
- Ideal for medication pass programs
Product Overview
Ross TwoCal HN - Vanilla - 8 oz cans
| Usage: |
TWOCAL HN is a nutritionally complete, high-nitrogen liquid
formula. It is an ideal tube feeding to meet the increased
protein and calorie needs of patients with severe fluid
restrictions or for those with limited volume tolerance.
With 119 Cal per 2 fl oz, TWOCAL HN is also an excellent
oral supplement for medication pass programs.
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| Features: | |||||||||||||||||||
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| Availability: | |
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Ready-To-Use 8-fl-oz cans, 24/case Vanilla #00729 Product information and values listed are subject to change. Please refer to product label or packaging for the most current information. |
| Administration: |
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Use under medical supervision. Not for parenteral use. Pump feeding with an 8 F tube or larger is recommended. Use TWOCAL HN at room temperature for tube feeding. |
| Ingredients: | |
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Vanilla: |
| Protein: | |||||||||||
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The quantity and concentration of protein provided in
TWOCAL HN are adequate to meet the needs of most moderately
to severely stressed patients. The high-quality protein of
TWOCAL HN meets or surpasses the standard amino acid
profile for protein of high biologic value.
Protein Source
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| Fat: | |||||||||||||||||||||
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The fat blend in TWOCAL HN consists of 64% high-oleic
safflower oil, 19% MCT oil, 15% canola oil, and 2%
lecithin. The high-oleic safflower oil and canola oil blend
is high in monounsaturated fatty acids and low in
cholesterol. The level of MCT oil is designed to aid fat
digestion. Effective absorption of MCTs—unlike that of
long-chain triglycerides—does not depend on pancreatic
lipase or bile salts. MCTs are thus more rapidly absorbed
by the intestinal mucosa.1 This may be
particularly important for patient tolerance of
concentrated formulas that provide significant levels of
fat.
Fat Source
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| Carbohydrate: | |||||||||||||
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TWOCAL HN contains a combination of corn syrup solids,
maltodextrin, sucrose, and fructooligosaccharides (FOS).
FOS are indigestible sugars that occur naturally in onions,
barley, bananas, and other common foods.2 FOS
are fermented by beneficial bacteria in the colon to
short-chain fatty acids (SCFAs), the preferrred fuel of
colonocytes. SCFAs increase electrolyte and water
absorption—two significant factors in
diarrhea management.3 In an in vitro study, FOS
fermentation resulted in the greatest growth of
acid-producing bacteria and the lowest pH. These factors,
in turn, did not support the growth of some pathogenic
bacteria, eg, Clostridium difficile.4
TWOCAL HN contains 1.2 g of FOS per 8-fl-oz can, 5 g/L.
Carbohydrate Source
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| Vitamins and Minerals: | |
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TWOCAL HN provides 100% of the RDIs for 24 key vitamins and
minerals in 1900 Cal (947 mL) or four 8-fl-oz servings.
TWOCAL HN is supplemented with conditionally essential
nutrients L-carnitine and taurine (38 mg/8 fl oz), which
may become depleted during periods of metabolic stress.
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| Osmotic Concentration: | |||||
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The main determinants of the osmolality of a formula are
simple carbohydrates, electrolytes, amino acids, and small
peptides. Formulas that are calorically concentrated, such
as TWOCAL HN at 2 Cal/mL, have a higher osmotic
concentration than standard 1 Cal/mL formulas due to the
concentration of nutrients in a limited volume.
* Measured on undiluted product using vapor pressure methodology. |
| Renal Solute Load: | |||||||||||||||||||
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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 increases as
nutrients (electrolytes and protein) are concentrated.
When used as the sole source of nutrition, products
containing 2 Cal/mL do not provide adequate water to meet
hydration needs. It is important to monitor hydration
status and provide additional water as indicated.
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| Analysis: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Nutrient Facts
Fatty acids equal approximately 95% of
total fat.
In parentheses, carbon atoms/double bonds. |
| References: |
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Clinical Documentation Burns PE, McCall L, Wirsching
R: Physical compatibility of enteral formulas with various
common medications. J Am Diet Assoc
1988;88:1094-1096.
Meredith CN, Frontera WR, O'Reilly KP, Evans WJ: Body composition in elderly men: Effect of dietary modification during strength training. J Am Geriatr Soc 1992;40:155-162. Mitchell CO, Lipschitz DA: Evaluation of gastrointestinal tolerance in long-term tube feeders receiving defined formula diets. Abstracts of the 67th annual meeting of The American Dietetic Association, 1984, pp 283-284. References
1. Bach AC, Babayan VK: Medium-chain triglycerides: An
update. Am J Clin Nutr 1982;36:950-962.
2. Spiegel JE, Rose R, Karabell P, et al: Safety and benefits of fructooligosaccharides as food ingredients. Food Technol 1994;48:85-89. 3. Royall D, Wolever TMS, Jeejeebhoy KN: Clinical significance of colonic fermentation. Am J Gastroenterol 1990;85:1307-1312. 4. May T, Mackie RI, Fahey GC Jr, et al: Effect of fiber source on short-chain fatty acid production and on the growth and toxin production by Clostridium difficile. Scand J Gastroenterol 1994;19:916-922. |
Part Number(s): 00729
