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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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©2013 UpToDate ® Print Email Methods of increasing caloric density of infant formula For concentrated formula (40 kcal/oz)* Caloric density (kcal/oz) Volume concentrate (oz) Volume water (oz) 20 13 13 22 13 10.5 24 13 8.5 For powdered formula (40 kcal/scoop) • Caloric density (kcal/oz) Volume powder (scoops) Volume water (oz) 20 1 2 22 1 1.8 24 1 1.6 Agent Kcal/unit Comments Polycose powder (glucose polymer) 8 kcal per teaspoon Increases osmolality Polycose liquid (glucose polymer) 2 kcal/mL Increases osmolality Corn syrup 3.8 kcal/mL Increases osmolality Fat Medium chain triglyceride oil (MCT oil) 7.7 kcal/mL Nonemulsified Corn oil 8.4 kcal/mL Nonemulsified Safflower oil 8.4 kcal/mL Nonemulsified * Based on the calculation: ((a x b)/c) - a = y. a = volume of formula to be diluted (ie, 13 oz), b = caloric density of formula (40 kcal/oz), c = desired caloric density (kcal/oz), and y = amount of water needed. • Based on the calculation (a/b) = x. a = kcal/scoop (ie, 40 kcal/scoop), b = desired concentration of formula mixture (kcal/oz), and x = amount of water to use per scoop. Data from: Singla S, Olsson JM. Enteral nutrition. In: Pediatric Hospital Medicine. Textbook of inpatient Managment, Perkin RM, Swift JD, Newton DA (Eds), Lippincott Williams & Wilkins, Philadelphia 2003. p. 812.