This patient was started on an enteral feeding postoperatively. What type of enteral formula is Pivot 1

5? Using the current ASPEN guidelines for initiation of nutrition support, state whether you agree with this choice and provide a rationale for your response.


This patient entered surgery already malnourished. The ability to transition from NPO to an adequate oral diet may take anywhere from 3-7 days. Maximizing her nutritional support will make her recovery easier and decrease the potential for post-operative complications.
Pivot is a high-protein, hydrolyzed formula containing omega-3 fatty acids, MCT/fish oil structured lipid, soluble fiber, and antioxidants (vitamins C, vitamin E, and beta-carotene). It is formulated specifically for GI dysfunction and provides the higher amounts of protein appropriate for the patient's documented malnutrition, her current post-operative status, and the demands of metabolic stress.

Nutritional Science

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