Pivot® 1.5 Cal
HCPCS Code: B4153
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Pivot 1.5 RTH
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.
