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P.O. Box 5387
Lancaster, PA 17606,


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The daily dose of XtraCal Plus is determined according to the resident’s intake and individual needs as assessed by the dietitian or qualified healthcare provider. In general, however, one to two servings per day are suggested.

Oral: Add to milk, shakes, juice, oral supplements, cereal, toppings, gravies and sauces, soft and pureed foods, or puddings.

Tube feeding: Mix one packet with 120 mL of water. Stir until completely dissolved. Infuse via syringe down feeding tube. Flush tube with 30 mL water before and after administration. Can be mixed with enteral formula after dissolved in 120 mL of water.

We recently got a young brain injury patient who could not tolerate an adequate amount of tube feeding – we tried several different types of formulas, different rates through a pump at different times, bolus feedings and different medications to promote gastric emptying – no matter what we did, he would always regurgitate his feeding after about 500 mls over a 24 hour period. The physician asked me if there was anything else we could do before sending the patient out to get a central line placed for TPN.