Perative®

Perative®


Therapeutic, Peptide-Based Nutrition for Metabolic Stress
  • PERATIVE is designed for metabolically stressed patients who can benefit from an enteral formula supplemented with arginine.
  • For tube feeding.
  • For supplemental or sole-source nutrition.
  • Use under medical supervision.

Features
  • Calorically dense (1.3 Cal/mL) for the elevated energy needs of metabolically stressed patients.
  • High in protein (20.5% of calories) for the elevated protein needs of metabolically stressed patients.
  • Hydrolyzed, peptide-based protein for easier absorption. Well tolerated as a tube feeding.1,2
  • 1.6 g of NutraFlora® scFOS®*/8 fl oz (6.5 g/L and 9.8 g/1500 mL). scFOS are prebiotic soluble fibers that stimulate the growth of beneficial bacteria in the colon.
  • Added arginine (8 g/L total arginine at 2.5% of total calories) for wound healing and immune support.
  • Meets or exceeds 100% of the RDI for 24 vitamins and minerals in 1500 Cal (1155 mL).
  • Halal.
  • Kosher.
  • Gluten-free.
  • Suitable for lactose intolerance.
  • Low-residue.
Feeding sets are for single-patient use only. Use clean technique to avoid set and/or product contamination

Precautions

  • Not for IV use.
  • Not for people with galactosemia.
* NutraFlora® and scFOS® are not registered trademarks of Abbott Laboratories.
1 Brown RO, et al. Pharmacotherapy 1994;14:314-320.
2 Henningfield MF, et al. FASEB J 1993;7(3):A377.
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Availability
List Number Item
50628 Perative / 8-fl-oz (237-mL) Can / 24 ct
62723 Perative Ready-To-Hang / 1000-mL (1.1-QT) Bottle / 8 ct
62721 Perative Ready-To-Hang / 1500-mL (1.6-QT) Bottle / 6 ct

Nutrition

Unflavored 


  • Perative / 8-fl-oz (237-mL) Can / 24 ct
  • Perative Ready-To-Hang / 1000-mL (1.1-QT) Bottle / 8 ct
  • Perative Ready-To-Hang / 1500-mL (1.6-QT) Bottle / 6 ct

Serving Size: 8 fl oz (237 mL)

Amount Per Serving % DV % RDI*
Characteristics
Nutrient Density, Cal/mL: 1.3    
Protein, % Cal: 20.5    
Fat, % Cal: 25.0    
Carbohydrate, % Cal: 54.5    
MCT:LCT: 40:60    
Cal to Meet 100% RDIs: 1500    
mL to Meet 100% RDIs: 1155    
Total Cal:g Nitrogen: 122:1    
Nonprotein Cal:g Nitrogen: 97:1    
Osmolality, mOsm/kg H2O: 460    
Renal Solute Load, mOsm/L: 539    
Minimum Tube Size for Gravity/Pump Feeding (Fr): 10/8    
Nutrient Data
Protein, g: 15.8    
Fat, g: 8.8    
Carbohydrate, g: 42.8    
    Dietary Fiber, g: 1.6    
L-Carnitine, mg: 31    
Taurine, mg: 31    
Water, g: 187    
Calories: 308    
Vitamins
Vitamin A, IU: 2055   41 
    Beta-Carotene, mg: 1.0    
Vitamin D, IU: 83   21 
Vitamin E, IU: 9.3   31 
Vitamin K, mcg: 17   21 
Vitamin C, mg: 62   105 
Folic Acid, mcg: 125   31 
Thiamin (Vitamin B1), mg: 0.47   31 
Riboflavin (Vitamin B2), mg: 0.53   31 
Vitamin B6, mg: 0.62   31 
Vitamin B12, mcg: 1.9   32 
Niacin, mg: 6.2   31 
Choline, mg: 125   Not established 
Biotin, mcg: 93   31 
Pantothenic Acid, mg: 3.1   31 
Minerals
Sodium, mg: 245   Not established 
Sodium, mEq: 10.7    
Potassium, mg: 410   Not established 
Potassium, mEq: 10.5    
Chloride, mg: 390   11 
Chloride, mEq: 11.0    
Calcium, mg: 210   21 
Phosphorus, mg: 210   21 
Magnesium, mg: 83   21 
Iodine, mcg: 31   21 
Manganese, mg: 1.1   55 
Copper, mg: 0.42   21 
Zinc, mg: 4.7   31 
Iron, mg: 3.7   21 
Selenium, mcg: 15   21 
Chromium, mcg: 25   21 
Molybdenum, mcg: 31   41 
* RDI percentages for adults and children 4 or more years of age.
1.6 g of fructooligosaccharides.
1325 IU of vitamin A activity supplied by 1.0 mg of beta-carotene.


Serving Size: 1000 mL

Amount Per Serving % DV % RDI*
Characteristics
Nutrient Density, Cal/mL: 1.3    
Protein, % Cal: 20.5    
Fat, % Cal: 25.0    
Carbohydrate, % Cal: 54.5    
MCT:LCT: 40:60    
Cal to Meet 100% RDIs: 1500    
mL to Meet 100% RDIs: 1155    
Total Cal:g Nitrogen: 122:1    
Nonprotein Cal:g Nitrogen: 97:1    
Osmolality, mOsm/kg H2O: 460    
Renal Solute Load, mOsm/L: 539    
Minimum Tube Size for Gravity/Pump Feeding (Fr): 10/8    
Nutrient Data
Protein, g: 66.7    
Fat, g: 37.3    
Carbohydrate, g: 180.3    
    Dietary Fiber, g: 6.5    
L-Carnitine, mg: 135    
Taurine, mg: 135    
Water, g: 790    
Calories: 1300    
Vitamins
Vitamin A, IU: 8675   175 
    Beta-Carotene, mg: 4.2    
Vitamin D, IU: 350   87 
Vitamin E, IU: 40   135 
Vitamin K, mcg: 70   87 
Vitamin C, mg: 260   435 
Folic Acid, mcg: 520   130 
Thiamin (Vitamin B1), mg: 2.0   135 
Riboflavin (Vitamin B2), mg: 2.3   135 
Vitamin B6, mg: 2.6   130 
Vitamin B12, mcg: 7.9   130 
Niacin, mg: 27   135 
Choline, mg: 520   Not established 
Biotin, mcg: 395   130 
Pantothenic Acid, mg: 14   140 
Minerals
Sodium, mg: 1040   Not established 
Sodium, mEq: 45.2    
Potassium, mg: 1735   Not established 
Potassium, mEq: 44.4    
Chloride, mg: 1650   49 
Chloride, mEq: 46.6    
Calcium, mg: 870   87 
Phosphorus, mg: 870   87 
Magnesium, mg: 350   87 
Iodine, mcg: 135   90 
Manganese, mg: 4.4   220 
Copper, mg: 1.8   90 
Zinc, mg: 20   135 
Iron, mg: 16.0   89 
Selenium, mcg: 61   87 
Chromium, mcg: 105   87 
Molybdenum, mcg: 135   180 
* RDI percentages for adults and children 4 or more years of age.
6.6 g of fructooligosaccharides.
5565 IU of vitamin A activity supplied by 4.2 mg of beta-carotene.


Serving Size: 1500 mL

Amount Per Serving % DV % RDI*
Characteristics
Nutrient Density, Cal/mL: 1.3    
Protein, % Cal: 20.5    
Fat, % Cal: 25.0    
Carbohydrate, % Cal: 54.5    
MCT:LCT: 40:60    
Cal to Meet 100% RDIs: 1500    
mL to Meet 100% RDIs: 1155    
Total Cal:g Nitrogen: 122:1    
Nonprotein Cal:g Nitrogen: 97:1    
Osmolality, mOsm/kg H2O: 460    
Renal Solute Load, mOsm/L: 539    
Minimum Tube Size for Gravity/Pump Feeding (Fr): 10/8    
Nutrient Data
Protein, g: 100.0    
Fat, g: 56.0    
Carbohydrate, g: 270.4    
    Dietary Fiber, g: 9.8    
L-Carnitine, mg: 200    
Taurine, mg: 200    
Water, g: 1185    
Calories: 1950    
Vitamins
Vitamin A, IU: 13005   260 
    Beta-Carotene, mg: 6.3    
Vitamin D, IU: 525   130 
Vitamin E, IU: 60   200 
Vitamin K, mcg: 105   130 
Vitamin C, mg: 395   660 
Folic Acid, mcg: 785   195 
Thiamin (Vitamin B1), mg: 3.0   200 
Riboflavin (Vitamin B2), mg: 3.4   200 
Vitamin B6, mg: 3.9   195 
Vitamin B12, mcg: 12.0   200 
Niacin, mg: 40   200 
Choline, mg: 785   Not established 
Biotin, mcg: 590   195 
Pantothenic Acid, mg: 20   200 
Minerals
Sodium, mg: 1560   Not established 
Sodium, mEq: 67.8    
Potassium, mg: 2600   Not established 
Potassium, mEq: 66.7    
Chloride, mg: 2470   73 
Chloride, mEq: 69.8    
Calcium, mg: 1305   130 
Phosphorus, mg: 1305   130 
Magnesium, mg: 525   130 
Iodine, mcg: 200   135 
Manganese, mg: 6.5   325 
Copper, mg: 2.6   130 
Zinc, mg: 30   200 
Iron, mg: 24.0   135 
Selenium, mcg: 92   130 
Chromium, mcg: 160   135 
Molybdenum, mcg: 200   265 
* RDI percentages for adults and children 4 or more years of age.
9.8 g of fructooligosaccharides.
8350 IU of vitamin A activity supplied by 6.3 mg of beta-carotene.


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Ingredients

Unflavored 


  • Perative / 8-fl-oz (237-mL) Can / 24 ct
  • Perative Ready-To-Hang / 1000-mL (1.1-QT) Bottle / 8 ct
  • Perative Ready-To-Hang / 1500-mL (1.6-QT) Bottle / 6 ct

Water, Corn Maltodextrin, Partially Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Canola Oil, Medium-Chain Triglycerides, Fructooligosaccharides, L-Arginine, Corn Oil, Magnesium Chloride, Potassium Citrate, Calcium Phosphate, Citric Acid, Soy Lecithin, Ascorbic Acid, Potassium Phosphate, Choline Chloride, Carrageenan, Potassium Chloride, Taurine, L-Carnitine, Zinc Sulfate, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, 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.
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Preparation

  • 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 reduces hangtime.
    • Pump feeding is recommended; use an 8 Fr or larger tube. If gravity feeding use a 10 Fr or larger tube.
    • 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.


    • Instructions for Use: 8-fl-oz-can
      • Store unopened at room temperature; avoid extreme temperatures.
      • Shake well. Perative is ready to use
      • Clean top of container thoroughly before opening.
      • Once opened, cover, refrigerate and use within 48 hours.

      Oral Feeding:
      • May by used for total or supplemental nutrition.
      • May be fed at room temperature or chilled.

      Tube Feeding:
      • Follow physician's instructions.
      • Adjust flow rate and volume according to patient's condition and tolerance.
      • Feed by pump at room temperature with an 8 Fr or larger tube; use a 10 Fr or larger tube for gravity feeding.
      • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
      • Avoid contamination during preparation and use.




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