TwoCal® HN

TwoCal® HN


Calorie and Protein Dense Nutrition
  • TWOCAL® HN is a nutritionally complete, high-calorie formula designed to meet the increased protein and calorie needs of stressed patients and patients requiring low-volume feedings.
  • For tube or oral feeding.
  • Often provided in 2-fl-oz amounts QID with Med Pass programs to assist with weight gain or maintenance.
  • For supplemental or sole-source nutrition.
  • Use under medical supervision.

Features
  • 2 Cal/mL to help patients gain and maintain healthy weight.
  • Protein to help support lean body mass and wound healing.
  • Meets or exceeds 25% of the RDI for 24 essential vitamins and minerals in 8 fl oz.
  • 1.2 g of NutraFlora® scFOS®*/8 fl oz (5 g/L). scFOS are prebiotics that stimulate the growth of beneficial bacteria in the colon.
  • Halal.
  • Kosher.
  • Gluten-free.
  • Low-residue.
  • Suitable for lactose intolerance.
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.
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Availability
List Number Item
54064 TwoCal HN Ready-to-Drink Butter Pecan / 8-fl-oz (237-mL) Can / 24 ct
00729 TwoCal HN Ready-to-Drink Vanilla / 8-fl-oz (237-mL) Can / 24 ct
62709 TwoCal HN Ready-To-Hang Vanilla / 1000-mL (1.1-QT) Bottle / 8 ct

Nutrition

Butter Pecan Ready to Drink


  • TwoCal HN Ready-to-Drink Butter Pecan / 8-fl-oz (237-mL) Can / 24 ct

Serving Size: 8 fl oz (237 mL)

Amount Per Serving % DV % RDI*
Characteristics
Nutrient Density, Cal/mL: 2.0    
Protein, % Cal: 16.7    
Fat, % Cal: 40.1    
MCT:LCT: 19:81    
Carbohydrate, % Cal: 43.2    
Cal to Meet 100% RDIs: 1900    
mL to Meet 100% RDIs: 948    
Total Cal:g Nitrogen: 149:1    
Nonprotein Cal:g Nitrogen: 126:1    
Osmolality, mOsm/kg H2O: 725    
Renal Solute Load, mOsm/L: 656    
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8    
Nutrient Data
Protein, g: 19.9    
Fat, g: 21.5    
Carbohydrate, g: 51.8    
    Dietary Fiber, g: 1.2    
L-Carnitine, mg: 38    
Taurine, mg: 38    
Water, g: 166    
Calories: 475    
Vitamins
Vitamin A, IU: 1250   25 
Vitamin D, IU: 100   25 
Vitamin E, IU: 12   40 
Vitamin K, mcg: 20   25 
Vitamin C, mg: 75   125 
Folic Acid, mcg: 160   40 
Thiamin (Vitamin B1), mg: 0.60   40 
Riboflavin (Vitamin B2), mg: 0.68   40 
Vitamin B6, mg: 0.80   40 
Vitamin B12, mcg: 2.4   40 
Niacin, mg: 8.0   40 
Choline, mg: 150   Not established 
Biotin, mcg: 120   40 
Pantothenic Acid, mg: 4.0   40 
Minerals
Sodium, mg: 345   Not established 
Sodium, mEq: 15    
Potassium, mg: 580   Not established 
Potassium, mEq: 14.8    
Chloride, mg: 430   13 
Chloride, mEq: 12.1    
Calcium, mg: 250   25 
Phosphorus, mg: 250   25 
Magnesium, mg: 100   25 
Iodine, mcg: 38   25 
Manganese, mg: 1.3   65 
Copper, mg: 0.50   25 
Zinc, mg: 5.7   38 
Iron, mg: 4.5   25 
Selenium, mcg: 18   26 
Chromium, mcg: 30   25 
Molybdenum, mcg: 38   51 
* RDI percentages for adults and children 4 or more years of age.


Vanilla 


  • TwoCal HN Ready-to-Drink Vanilla / 8-fl-oz (237-mL) Can / 24 ct
  • TwoCal HN Ready-To-Hang Vanilla / 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: 2.0    
Protein, % Cal: 16.7    
Carbohydrate, % Cal: 43.2    
Fat, % Cal: 40.1    
MCT:LCT: 19:81    
Cal to Meet 100% RDIs: 1900    
mL to Meet 100% RDIs: 948    
Total Cal:g Nitrogen: 149:1    
Nonprotein Cal:g Nitrogen: 126:1    
Osmolality, mOsm/kg H2O: 725    
Renal Solute Load, mOsm/L: 656    
Viscosity: Nectar-Like (Room Temperature and Chilled)    
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8    
Nutrient Data
Protein, g: 19.9    
Fat, g: 21.5    
Carbohydrate, g: 51.8    
    Dietary Fiber, g: 1.2    
L-Carnitine, mg: 38    
Taurine, mg: 38    
Water, g/mL/cc: 166    
Calories: 475    
Vitamins
Vitamin A, IU: 1250   25 
Vitamin D, IU: 100   25 
Vitamin E, IU: 12   40 
Vitamin K, mcg: 20   25 
Vitamin C, mg: 75   125 
Folic Acid, mcg: 160   40 
Thiamin (Vitamin B1), mg: 0.60   40 
Riboflavin (Vitamin B2), mg: 0.68   40 
Vitamin B6, mg: 0.80   40 
Vitamin B12, mcg: 2.4   40 
Niacin, mg: 8.0   40 
Choline, mg: 150   Not established 
Biotin, mcg: 120   40 
Pantothenic Acid, mg: 4.0   40 
Minerals
Sodium, mg: 345   Not established 
Sodium, mEq: 15    
Potassium, mg: 580   Not established 
Potassium, mEq: 14.8    
Chloride, mg: 430   13 
Chloride, mEq: 12.1    
Calcium, mg: 250   25 
Phosphorus, mg: 250   25 
Magnesium, mg: 100   25 
Iodine, mcg: 38   25 
Manganese, mg: 1.3   65 
Copper, mg: 0.50   25 
Zinc, mg: 5.7   38 
Iron, mg: 4.5   25 
Selenium, mcg: 18   26 
Chromium, mcg: 30   25 
Molybdenum, mcg: 38   51 
* RDI percentages for adults and children 4 or more years of age.
1.2 g of fructooligosaccharides.


Serving Size: 1000 mL

Amount Per Serving % DV % RDI*
Characteristics
Nutrient Density, Cal/mL: 2.0    
Protein, % Cal: 16.7    
Carbohydrate, % Cal: 43.2    
Fat, % Cal: 40.1    
MCT:LCT: 19:81    
Cal to Meet 100% RDIs: 1900    
mL to Meet 100% RDIs: 948    
Total Cal:g Nitrogen: 149:1    
Nonprotein Cal:g Nitrogen: 126:1    
Osmolality, mOsm/kg H2O: 725    
Renal Solute Load, mOsm/L: 656    
Viscosity: Nectar-Like (Room Temperature and Chilled)    
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8    
Nutrient Data
Protein, g: 83.5    
Fat, g: 90.5    
Carbohydrate, g: 218.5    
    Dietary Fiber, g: 5.0    
L-Carnitine, mg: 160    
Taurine, mg: 160    
Water, g/mL/cc: 700    
Calories: 2000    
Vitamins
Vitamin A, IU: 5270   105 
Vitamin D, IU: 425   105 
Vitamin E, IU: 51   170 
Vitamin K, mcg: 85   105 
Vitamin C, mg: 320   535 
Folic Acid, mcg: 675   170 
Thiamin (Vitamin B1), mg: 2.6   175 
Riboflavin (Vitamin B2), mg: 2.9   170 
Vitamin B6, mg: 3.4   170 
Vitamin B12, mcg: 10   165 
Niacin, mg: 34   170 
Choline, mg: 635   Not established 
Biotin, mcg: 510   170 
Pantothenic Acid, mg: 17   170 
Minerals
Sodium, mg: 1450   Not established 
Sodium, mEq: 63.6    
Potassium, mg: 2440   Not established 
Potassium, mEq: 62.6    
Chloride, mg: 1810   53 
Chloride, mEq: 51.2    
Calcium, mg: 1050   105 
Phosphorus, mg: 1050   105 
Magnesium, mg: 425   105 
Iodine, mcg: 160   105 
Manganese, mg: 5.3   265 
Copper, mg: 2.1   105 
Zinc, mg: 24   160 
Iron, mg: 19   105 
Selenium, mcg: 74   105 
Chromium, mcg: 130   110 
Molybdenum, mcg: 160   215 
* RDI percentages for adults and children 4 or more years of age.
5 g of fructooligosaccharides.


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Ingredients

Butter Pecan Ready to Drink


  • TwoCal HN Ready-to-Drink Butter Pecan / 8-fl-oz (237-mL) Can / 24 ct

Water, Corn Syrup Solids, Sodium & Calcium Caseinates, Corn Maltodextrin, High Oleic Safflower Oil, Sugar (Sucrose), Medium-Chain Triglycerides, Canola Oil, Fructooligosaccharides, Potassium Citrate, Magnesium Chloride, Calcium Phosphate, Soy Lecithin, Artificial Flavors, Sodium Citrate, Ascorbic Acid, Choline Chloride, Taurine, L-Carnitine, Zinc Sulfate, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, 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.

Vanilla 


  • TwoCal HN Ready-to-Drink Vanilla / 8-fl-oz (237-mL) Can / 24 ct
  • TwoCal HN Ready-To-Hang Vanilla / 1000-mL (1.1-QT) Bottle / 8 ct

Water, Corn Syrup Solids, Sodium & Calcium Caseinates, Corn Maltodextrin, High Oleic Safflower Oil, Sugar (Sucrose), Medium-Chain Triglycerides, Canola Oil, Fructooligosaccharides, Potassium Citrate, Magnesium Chloride, Calcium Phosphate, Natural & Artificial Flavors, Soy Lecithin, Sodium Citrate, Ascorbic Acid, Choline Chloride, Taurine, L-Carnitine, Zinc Sulfate, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, 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. 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.


    • Instructions for Use: 8-fl-oz-can
      • Store unopened at room temperature; avoid extreme temperatures.
      • Shake well.
      • 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; gravity feeding not recommended.
      • Additional fluid requirments 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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