Pivot 1.5 RTH

Pivot 1.5 RTH

Pivot® 1.5 Cal 

HCPCS Code:  B4153

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Therapeutic, Peptide-Based, Very-High-Protein Nutrition for Metabolic Stress

  • PIVOT 1.5 CAL is designed for metabolically stressed surgical, trauma, burn, and head and neck cancer patients who could benefit from an immune modulating enteral formula.
  • For tube feeding.
  • For sole-source nutrition.
  • Use under medical supervision.

Features

  • Provides 1.5 Cal/mL—concentrated calories for fluid-restricted patients.
  • Very high protein (93.8 g/L, 25% of calories) to support protein synthesis, tissue repair and wound healing.
  • Immune support:
    • Arginine (13 g/L, 3.5% of calories) to support proliferation and function of immune cells.
    • Glutamine (inherent) (7.6 g/L) for GI-tract integrity and energy for immune cells.
    • Omega-3 fatty acids (EPA, 2.6 g/L; DHA, 1.1 g/L) to help modulate inflammation and support immune function.1,2
  • Tolerance:
    • Advanced blend of hydrolyzed protein, structured lipid, and prebiotic (NutraFlora® scFOS®*) to promote absorption and tolerance.
    • Hydrolyzed, peptide-based protein system.
    • MCT/fish oil structured lipid, a well-tolerated3,4 and absorbed4next generation fat to promote absorption of fatty acids.
    • 1.8 g of NutraFlora scFOS/8 fl oz (7.5 g/L). scFOS are prebiotic soluble fibers that stimulate the growth of beneficial bacteria in the colon.
  • Elevated antioxidants vitamin C, vitamin E and beta-carotene to help reduce free radical damage.
  • Meets or exceeds 100% of the RDI for 24 vitamins and minerals in 1500 Cal (1000 mL).
  • Halal.
  • Gluten free.
  • Suitable for lactose intolerance.

Precautions

  • Not for IV use.
  • Not for people with galactosemia.
* NutraFlora® and scFOS® are not registered trademarks of Abbott Laboratories.
1 Calder PC. Prostaglandins Leukot Essent Fatty Acids. 2008;79:101-108.
2 Calder PC. Clin Nutr. 2010;29:5-12.
3 Kenler AS, et al. Ann Surg 1996;223:316-333.
4 McKenna MC, et al. J Pediatr Gastroenterol Nutr. 1985;4:45-51.

Instructions for Use: Ready-To-Hang Container

All liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination. NOTE: Failure to follow the Instructions for Use increases the potential for microbial contamination and may reduce hangtime.
  • Pump feeding is recommended; use an 8 Fr or larger tube. Gravity feeding not recommended.
  • Administer product at room temperature.
  • THOROUGHLY wash hands with soap and water before handling container or feeding set.
  • Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds.
  • DO NOT touch any part of the container or feeding set that comes into contact with the formula.
  • When initiating feeding, follow physician's instructions. Adjust flow rate and volume according to patient's condition and tolerance.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
  • Always follow directions for use provided with feeding set.

For Use with Enteral Feeding Set:
  • Remove the dust cover from the Abbott RTH Safety Screw Cap.
  • Remove the dust cover from the safety connector on the feeding set.
  • Insert the safety connector into the port on the Abbott RTH Safety Screw Cap, completely pierce foil.
  • Turn the safety connector clockwise until it is securely fastened.
  • Close clamp on set before inverting container.
  • Invert container and suspend, using the hanging ring on the bottom of the container.
  • Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Otherwise hang for no more than 24 hours.

Nutrition 

  • Pivot 1.5 Cal Ready-To-Hang / 1000-mL (1.1-QT) bottle / 8 ct

 

Serving Size: 8 fl oz(237 mL)
Amount Per Serving % DV % RDI*
Characteristics
    Nutrient Density, Cal/mL:1.5    
    Protein, % Cal:25.0    
    Fat, % Cal:30.0    
    Carbohydrate, % Cal:45.0    
    MCT:LCT:20:80    
    Cal to Meet 100% RDIs:1500    
    mL to Meet 100% RDIs:1000    
    Total Cal:g Nitrogen:100:1    
    Nonprotein Cal:g Nitrogen:75:1    
    Osmolality, mOsm/kg H2O:595    
    Renal Solute Load, mOsm/L:692    
    Minimum Tube Size for Gravity/Pump Feeding (Fr):Not Recommended/8    
Nutrient Data
Protein, g:22.2    
Fat, g:12.0    
Carbohydrate, g:40.9    
    Dietary Fiber, g: 1.8†    
L-Carnitine, mg:36    
Taurine, mg:36    
Water, g:180    
Calories:355    
Vitamins
Vitamin A, IU: 2370‡   47 
    Beta-Carotene, mg:1.2    
Vitamin D, IU:95   24 
Vitamin E, IU:60   200 
Vitamin K, mcg:19   24 
Vitamin C, mg:72   120 
Folic Acid, mcg:145   36 
Thiamin (Vitamin B1), mg:0.54   36 
Riboflavin (Vitamin B2), mg:0.61   36 
Vitamin B6, mg:0.71   36 
Vitamin B12, mcg:2.2   37 
Niacin, mg:7.1   36 
Choline, mg:145   Not established 
Biotin, mcg:110   37 
Pantothenic Acid, mg:3.6   36 
Minerals
Sodium, mg:330   Not established 
Sodium, mEq:14.4    
Potassium, mg:475   Not established 
Potassium, mEq:12.1    
Chloride, mg:380   11 
Chloride, mEq:10.7    
Calcium, mg:240   24 
Phosphorus, mg:240   24 
Magnesium, mg:95   24 
Iodine, mcg:36   24 
Manganese, mg:1.2   60 
Copper, mg:0.48   24 
Zinc, mg:6.0   40 
Iron, mg:4.3   24 
Selenium, mcg:17   24 
Chromium, mcg:29   24 
Molybdenum, mcg:36   48 
* RDI percentages for adults and children 4 or more years of age.
† 1.8 g of fructooligosaccharides.
‡ 1590 IU of vitamin A activity supplied by 1.2 mg of beta-carotene.



Serving Size: 1000 mL
Amount Per Serving % DV % RDI*
Characteristics
    Nutrient Density, Cal/mL:1.5    
    Protein, % Cal:25.0    
    Fat, % Cal:30.0    
    Carbohydrate, % Cal:45.0    
    MCT:LCT:20:80    
    Cal to Meet 100% RDIs:1500    
    mL to Meet 100% RDIs:1000    
    Total Cal:g Nitrogen:100:1    
    Nonprotein Cal:g Nitrogen:75:1    
    Osmolality, mOsm/kg H2O:595    
    Renal Solute Load, mOsm/L:692    
    Minimum Tube Size for Gravity/Pump Feeding (Fr):Not Recommended/8    
Nutrient Data
Protein, g:93.8    
Fat, g:50.8    
Carbohydrate, g:172.4    
    Dietary Fiber, g: 7.5†    
L-Carnitine, mg:150    
Taurine, mg:150    
Water, g:759    
Calories:1500    
Vitamins
Vitamin A, IU:10000   200 
    Beta-Carotene, mg:4.8    
Vitamin D, IU:400   100 
Vitamin E, IU:250   835 
Vitamin K, mcg:80   100 
Vitamin C, mg:300   500 
Folic Acid, mcg:600   150 
Thiamin (Vitamin B1), mg:2.3   155 
Riboflavin (Vitamin B2), mg:2.6   155 
Vitamin B6, mg:3.0   150 
Vitamin B12, mcg:9.0   150 
Niacin, mg:30   150 
Choline, mg:600   Not established 
Biotin, mcg:450   150 
Pantothenic Acid, mg:15   150 
Minerals
Sodium, mg:1400   Not established 
Sodium, mEq:60.9    
Potassium, mg:2000   Not established 
Potassium, mEq:51.2    
Chloride, mg:1600   47 
Chloride, mEq:45.1    
Calcium, mg:1000   100 
Phosphorus, mg:1000   100 
Magnesium, mg:400   100 
Iodine, mcg:150   100 
Manganese, mg:5.0   250 
Copper, mg:2.0   100 
Zinc, mg:25   165 
Iron, mg:18   100 
Selenium, mcg:70   100 
Chromium, mcg:120   100 
Molybdenum, mcg:150   200 
* RDI percentages for adults and children 4 or more years of age.
† 7.5 g of fructooligosaccharides.
‡ 6360 IU of vitamin A activity supplied by 4.8 mg of beta-carotene.

 

Ingredients

  • Pivot 1.5 Cal Ready-To-Hang / 1000-mL (1.1-QT) bottle / 8 ct


Water, Corn Syrup Solids, Partially Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Structured Lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Menhaden, Salmon, Sardine, Tuna], Medium-Chain Triglycerides), Soy Oil, Canola Oil, L-Arginine, Fructooligosaccharides, Potassium Citrate, Citric Acid, Calcium Phosphate, Magnesium Chloride, Soy Lecithin, Natural & Artificial Flavor, Ascorbic Acid, Cellulose Gel, Choline Chloride, Magnesium Phosphate, Potassium Chloride, Carrageenan, Taurine, d-Alpha-Tocopheryl Acetate, L-Carnitine, Cellulose Gum, Zinc Sulfate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Beta-Carotene, Riboflavin, Vitamin A Palmitate, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients.