Q; Calorie dense formula contains

A) higher than usual free water as calories are dense
B) lower than required free water for patients' need
C) it doesn't contain any free water
D) Pharmacy adjust free water in each bag per patients' need


Answer: B

Calorically dense formulas contain as little as 60% free water, and may require supplementation of free water to avoid dehydration and electrolyte imbalance, particularly hypernatremia.

C is wrong answer as all formulas contain free water.

D is a wrong answer as enteral nutrition bags are prepackaged from commercial companies. And at least in US, hospital pharmacies don't prepare enteral formula for each patient, but they do prepare only Total Parenteral Nutrition (TPN), adjusting each patient need.