Manufacturer: Nestle

CRUCIAL is the ready-to-use, complete or supplemental tube-feeding diet clinicians trust.

CRUCIAL is formulated to meet the complex nutritional needs of patients suffering from trauma, major surgery, hypermetabolism, burns, malabsorption, head injury and chronic pressure ulcers. It is available in the ULTRAPAK System for the ultimate in safety and efficiency. Features:

• High-calorie, high-protein elemental diet for immune support and wound healing
• High caloric density (1.5 kcal/mL) for fluid-restricted patients
• 25% of calories from protein supports elevated nitrogen requirements for healing
• Peptide-based for improved tolerance and absorption
• 1000 mL provides 15 g of arginine
• Lipid blend of marine oil, MCT and soy oil with a desirable n6:n3 ratio of 1.5:1
• 50% of fat source as MCT facilitates absorption
• Elevated levels of Beta-Carotene, Vitamin A, Vitamin C and Zinc
• Moderate osmolality (490 mOsm/kg H2O) improves tolerance
• Meets or exceeds 100% of the RDI for 23 key vitamins and minerals in 1000 mL (1500 kcal)
• Lactose-free, gluten-free, low-cholesterol
• Ready-to-use cans and prefilled ULTRAPAK System require no mixing or diluting

NOT FOR PARENTERAL USE
NOT FOR INDIVIDUALS WITH GALACTOSEMIA
U.S. Patent Nos. 5,714,472 and 5,723,446
For the Dietary Management of:

• Trauma
• Burns
• Hypermetabolism
• Fat Malabsorption
• Pre/Post Surgery
• Wound Management
• Malnutrition
• Malabsorption

Other Product Applications:

• Wound Healing and Critical Illness
• Head Injury
• Dual Feeding with TPN
• Complete or Supplemental Tube Feeding

This product is a medical food and should only be used as directed by a healthcare provider.
Ingredients:
Unflavored
Water, Maltodextrin, Enzymatically Hydrolyzed Casein (from cow's milk), Medium-Chain Triglycerides (MCT Source: Fractionated Coconut and Palm Kernel Oil), contains less than 2% of: Fish Oil, Cornstarch, Soybean Oil, L-Arginine, Soy Lecithin, Citric Acid, Calcium Citrate, Potassium Phosphate, Salt (Sodium Chloride), Vitamin C (Ascorbic Acid), Sodium Citrate, Magnesium Chloride, Choline Chloride, Guar Gum, Xanthan Gum, Magnesium Oxide, L-Carnitine, Taurine, Vitamin E (DL-Alpha Tocopheryl Acetate), Zinc Sulfate, Iron (Ferrous Sulfate), Niacinamide, Potassium Citrate, Calcium Pantothenate, Copper Sulfate, Vitamin B6 (Pyridoxine Hydrochloride), Vitamin B1 (Thiamine Mononitrate), Vitamin A (Retinyl Palmitate), Vitamin B2 (Riboflavin), Folic Acid, Biotin, Sodium Molybdate, Potassium Iodide, Chromium Chloride, Sodium Selenate, Vitamin K (Phylloquinone), Manganese Sulfate, Vitamin D (Cholecalciferol), Vitamin B12 (Cyanocobalamin), Beta-Carotene.

Ingredient and nutrition information current as of April, 2005. Please refer to product label for any changes.

Nutrition Panel:
Nutrient Value: per Liter %RDI
Product Name: CRUCIAL
Serving Size: 250mL
Calories per mL: 1.5
Protein(gm): 94
Protein(% kcal): 25%
Carbohydrate (gm): 134
Carbohydrate (% kcal): 36%
Fat (gm): 67.6
Fat (% kcal): 39%
Flavors: Unflavored
Free H2O: 77%
Vitamin A (IU): 15000 (includes approximately 60% vitamin A activity as beta-carotene) 300%
Beta-Carotene (mg): See above
Vitamin D (IU): 400 100%
Vitamin E (IU): 100 333%
Vitamin K (mcg): 75 93%
Vitamin C (mg): 1000 1666%