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Preparing Vivonex Pediatric from Powder 20 kcal/oz.

Your child receives a pediatric formula that needs to be prepared in a different way from the mixing instructions found on the formula packet. Vivonex Pediatric provides instructions on the packet to mix to 24 calories per ounce (kcal/oz.). Your child has been prescribed 20 kcal/oz. by a healthcare provider. Use the mixing chart and instructions in this handout instead of the one found on the formula packet. Your child’s health depends on following these instructions.

Supplies

Mixing Chart for Using Scoops

Note: There are 30 milliliters (mL) in 1 fluid (fl.) oz. 

Instructions

1. Gather your supplies.

2. Wash your hands with soap and water.

3. Measure the water into a clean, dry bottle or liquid measuring cup. Pour the required amount of water into a bottle or pitcher.

4. Open the packet of powder formula.

5. Add the powder formula to the water and mix together. Gently shake formula in a closed bottle or stir with a whisk in a pitcher until lumps are gone.

Feeding and storage of prepared formula

To prevent bacteria growth:

• Feed formula to your child or cover container and store in the refrigerator.

• Throw away formula that is in the bottle 1 hour after the start of the feeding.

• Throw away formula that has been out of the refrigerator for more than 4 hours when given through a feeding tube.

• Throw away unused formula 24 hours after making it.

Your child is receiving a high calorie formula, it is important to watch for:

• Less than six wet diapers in 24 hours

• Dark colored urine

• Loose or watery bowel movements

• Vomiting

• Sleeping more than usual

• Poor feeding

• Fast breathing

If your child has these signs, call their healthcare provider.

Reviewed August 2024 by Megan Dougherty MA, RD, LDN and Kristen Dwinnells MA, RDN, LDN