Vital AF 1.2 Cal™

Features

VITAL AF 1.2 CAL is Advanced Formula therapeutic elemental nutrition with ingredients to help manage inflammation and promote GI tolerance

For tube or oral feeding

For supplemental or sole-source nutrition

Caloric distribution - protein, 25%; fat, 39%; carbohydrate, 36%

EPA (2.7 g/L) and DHA (1.1 g/L) from fish oil (10.8 g/L) to help modulate inflammation and metabolic stress

Elevated protein (75 g/L) to meet the increased protein needs of stressed patients (>1.2 g/kg) and support healing¹

Meets or exceeds 100% of the RDI for protein and 24 essential vitamins and minerals in 1422 Cal (1185 mL)

Fortified with vitamin D3 (1013 IU/L) to help meet the increased vitamin D needs of critically ill patients^2,3

Elevated antioxidants vitamin C and (all natural) vitamin E to help reduce free radical damage

Gluten-free; 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
Use by date on container
Contains light-sensitive nutrients
Not for patients with galactosemia

¹ McClave SA, Martindale RG, Vanek VW,et al. JPEN J Parenter Enteral Nutr. 2009;33(3):277-316.

² Lee P, et al. Intensive Care Med. 2009;35(12):2028-2032.

³ Lee P, et al. N Engl J Med. 2009;360(18):1912-1914.

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Availability

List Number	Item
56542	Vital AF 1.2 Cal Ready to Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / Case of 24
62069	Vital AF 1.2 Cal Ready to Hang Vanilla Institutional / 1.6-QT (1.5-L) RTH Container / Case of 6

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Nutrition

Vanilla

Vital AF 1.2 Cal Ready to Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / Case of 24

Vital AF 1.2 Cal Ready to Hang Vanilla Institutional / 1.6-QT (1.5-L) RTH Container / Case of 6

Serving Size: 8 fl oz (237 mL)
Amount Per Serving	% DV	% RDI^*
Characteristics
Nutrient Density, Cal/mL: 1.2
Energy per fl oz, Cal: 35.6
Protein, % Cal: 25
Carbohydrate, % Cal: 36
Fat, % Cal: 39
MCT:LCT: 45:55
Cal to Meet 100% RDIs: 1422
mL to Meet 100% RDIs: 1185
Total Cal:g Nitrogen: 100:1
Nonprotein Cal:g Nitrogen: 75:1
Osmolality, mOsm/kg H2O: 425
Renal Solute Load, mOsm/kg water: 560
Viscosity: Nectar-like (room temperature & chilled)
Minimum Tube Size for Gravity/Pump Feeding (Fr): not recommended/8
Nutrient Data
Protein, g: 17.8
Fat, g: 12.8
Carbohydrate, g: 26.2
Dietary Fiber, g: 1.2^†
Taurine, mg: 30
L-Carnitine, mg: 30
Water, g: 192
Energy, Cal: 284
Vitamins
Vitamin A, IU: 1300		25
Vitamin D, IU: 240		60
Vitamin E, IU: 60		200
Vitamin K, mcg: 16		20
Vitamin C, mg: 100		170
Folic Acid, mcg: 160		40
Vitamin B1, mg: 0.6		40
Vitamin B2, mg: 0.68		40
Vitamin B6, mg: 1.2		60
Vitamin B12, mcg: 2.4		40
Niacin, mg: 8.0		40
Choline, mg: 135		Not established
Biotin, mcg: 120		40
Pantothenic Acid, mg: 4.0		40
Minerals
Sodium, mg: 300		Not established
Potassium, mg: 400		Not established
Chloride, mg: 300		8
Calcium, mg: 200		20
Phosphorus, mg: 200		20
Magnesium, mg: 80		20
Iodine, mcg: 30		20
Manganese, mg: 1.0		50
Copper, mg: 0.40		20
Zinc, mg: 6.0		40
Iron, mg: 3.6		20
Selenium, mcg: 16		25
Chromium, mcg: 24		20
Molybdenum, mcg: 36		50
^* RDI percentages for adults and children 4 or more years of age.
^† 1.2 g of dietary fiber supplied by short-chain fructooligosaccharides.

Serving Size: 1 L
Amount Per Serving	% DV	% RDI^*
Characteristics
Nutrient Density, Cal/mL: 1.2
Energy per fl oz, Cal: 35.6
Protein, % Cal: 25
Carbohydrate, % Cal: 36
Fat, % Cal: 39
MCT:LCT: 45:55
Cal to Meet 100% RDIs: 1422
mL to Meet 100% RDIs: 1185
Total Cal:g Nitrogen: 100:1
Nonprotein Cal:g Nitrogen: 75:1
Osmolality, mOsm/kg H2O: 425
Renal Solute Load, mOsm/kg water: 560
Viscosity: Nectar-like (room temperature & chilled)
Minimum Tube Size for Gravity/Pump Feeding (Fr): not recommended/8
Nutrient Data
Protein, g: 75
Fat, g: 53.9
Carbohydrate, g: 110.6
Dietary Fiber, g: 5.1^†
Taurine, mg: 125
L-Carnitine, mg: 125
Water, g: 811
Energy, Cal: 1200
Vitamins
Vitamin A, IU: 5485		110
Vitamin D, IU: 1013		250
Vitamin E, IU: 253		840
Vitamin K, mcg: 68		80
Vitamin C, mg: 422		700
Folic Acid, mcg: 675		170
Vitamin B1, mg: 2.5		170
Vitamin B2, mg: 2.9		170
Vitamin B6, mg: 5.1		250
Vitamin B12, mcg: 10		170
Niacin, mg: 34		170
Choline, mg: 575		Not established
Biotin, mcg: 506		170
Pantothenic Acid, mg: 17		170
Minerals
Sodium, mg: 1266		Not established
Potassium, mg: 1688		Not established
Chloride, mg: 1266		35
Calcium, mg: 844		80
Phosphorus, mg: 844		80
Magnesium, mg: 338		80
Iodine, mcg: 125		80
Manganese, mg: 4.2		210
Copper, mg: 1.7		90
Zinc, mg: 25		170
Iron, mg: 15		80
Selenium, mcg: 68		100
Chromium, mcg: 100		80
Molybdenum, mcg: 150		200
^* RDI percentages for adults and children 4 or more years of age.
^† 5.1 g of dietary fiber supplied by short-chain fructooligosaccharides.

Serving Size: 1.5 L
Amount Per Serving	% DV	% RDI^*
Characteristics
Nutrient Density, Cal/mL: 1.2
Energy per fl oz, Cal: 35.6
Protein, % Cal: 25
Carbohydrate, % Cal: 36
Fat, % Cal: 39
MCT:LCT: 45:55
Cal to Meet 100% RDIs: 1422
mL to Meet 100% RDIs: 1185
Total Cal:g Nitrogen: 100:1
Nonprotein Cal:g Nitrogen: 75:1
Osmolality, mOsm/kg H2O: 425
Renal Solute Load, mOsm/kg water: 560
Viscosity: Nectar-like (room temperature & chilled)
Minimum Tube Size for Gravity/Pump Feeding (Fr): not recommended/8
Nutrient Data
Protein, g: 112.5
Fat, g: 80.8
Carbohydrate, g: 165.9
Dietary Fiber, g: 7.7^†
Taurine, mg: 190
L-Carnitine, mg: 190
Water, g: 1216
Energy, Cal: 1800
Vitamins
Vitamin A, IU: 8230		160
Vitamin D, IU: 1520		380
Vitamin E, IU: 380		1270
Vitamin K, mcg: 100		130
Vitamin C, mg: 635		1060
Folic Acid, mcg: 1010		250
Vitamin B1, mg: 3.8		250
Vitamin B2, mg: 4.3		250
Vitamin B6, mg: 7.6		380
Vitamin B12, mcg: 15		250
Niacin, mg: 51		250
Choline, mg: 860		Not established
Biotin, mcg: 760		250
Pantothenic Acid, mg: 25		250
Minerals
Sodium, mg: 1900		Not established
Potassium, mg: 2530		Not established
Chloride, mg: 1900		60
Calcium, mg: 1270		130
Phosphorus, mg: 1270		130
Magnesium, mg: 505		130
Iodine, mcg: 190		130
Manganese, mg: 6.3		320
Copper, mg: 2.5		130
Zinc, mg: 38		250
Iron, mg: 23		130
Selenium, mcg: 100		140
Chromium, mcg: 150		130
Molybdenum, mcg: 230		300
^* RDI percentages for adults and children 4 or more years of age.
^† 7.7 g of dietary fiber supplied by short-chain fructooligosaccharides.

Ingredients

Vanilla

Vital AF 1.2 Cal Ready to Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / Case of 24

Vital AF 1.2 Cal Ready to Hang Vanilla Institutional / 1.6-QT (1.5-L) RTH Container / Case of 6

Water, Corn Maltodextrin, Whey Protein Hydrolysate, Hydrolyzed Sodium Caseinate. Less than 2% of the Following: Structured Lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Menhaden, Salmon, Sardine, Tuna], Medium-Chain Triglycerides), Medium-Chain Triglycerides, Canola Oil, Soy Oil, Short-Chain Fructooligosaccharides, Natural & Artificial Flavors, Cellulose Gel, DATEM, Magnesium Phosphate, Calcium Carbonate, Potassium Chloride, Sodium Phosphate, Potassium Citrate, Ascorbic Acid, Choline Chloride, Acesulfame Potassium, Carageenan, Cellulose Gum, Calcium Phosphate, Sucralose, d-Alpha-Tocopheryl Acetate, L-Carnitine, Taurine, Magnesium Chloride, Zinc Sulfate, Ferrous Sulfate, 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, Cyanocobalamin, Phylloquinone, and Vitamin D3.
Contains milk ingredients.

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Preparation

For Use with Abbott Piercing Pin Set:
- Lift tab to remove sticker from cap, taking care NOT to touch port. DO NOT remove the plastic cap.
- Insert spike into preattached cap, completely pierce foil, and turn 1/4 turn.
- Close clamp on set before inverting container.
- Invert container and suspend, using the hanging ring on the bottom of the container.
- Hang product up to 48 hours after initial spike when clean technique and only one new set is used. Otherwise, hang no longer than 24 hours.
For Use with Abbott Screw Cap Set:
- Remove plastic cap from RTH container taking care NOT to touch the foil seal.
- Secure 40 mm Screw Cap set onto the RTH container.
- Close clamp on set before inverting container.
- Invert container and suspend, using the hanging ring on the bottom of the container.
- Hang product up to 24 hours when clean technique and only one Screw Cap feeding set is used.
Instructions for Use: 8-fl-oz-can
- Store unopened at room temperature; avoid extreme temperatures.
- Shake well. Vital AF 1.2 Cal 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; gravity feeding not recommended.
- Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
- Avoid contamination during preparation and use.

Storage & Handling

Instructions for Use:

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 may reduce 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.
- Visually inspect foil for signs of leakage. DO NOT use if leakage is apparent.
- 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.
- Follow Directions for Use provided with Abbott feeding set.
Storage and Handling:
- 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.

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