Product Information: Pulmocare

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Product Information: Pulmocare 1 of 5

PULMOCARE is a high-calorie, low-carbohydrate formula designed to help reduce diet-induced carbon dioxide production, which may be helpful for patients with chronic obstructive pulmonary disease (COPD), cystic fibrosis, or respiratory failure. For tube or oral feeding. For supplemental or sole-source nutrition. Use under medical supervision. Pulmocare Therapeutic Nutrition for People with COPD (Chronic Obstructive Pulmonary Disease) is a highcalorie, low-carbohydrate product designed to help reduce diet-induced carbon dioxide production. One 8-fl-oz serving (355 Calories) meets or exceeds 25% of the RDI for 24 key vitamins and minerals. Complete, Balanced Nutrition. Fortified with the antioxidants all-natural vitamin E, beta-carotene and vitamin C. Gluten-free; suitable for lactose intolerance. Halal. Kosher. Safety Precautions Not for IV use. Not for patients with galactosemia. Feeding sets are for single-patient use only. Use clean technique to avoid set and/or product contamination Ingredients Vanilla Ready to Drink: Water, Sodium & Calcium Caseinates, Sugar (Sucrose), Canola Oil, Corn Maltodextrin, Medium-Chain Triglycerides, Corn Oil, High Oleic Safflower Oil, Magnesium Chloride, Calcium Phosphate, Soy Lecithin, Potassium Citrate, Natural & Artificial Flavors, Sodium Citrate, Potassium Phosphate, Ascorbic Acid, Choline Chloride, Taurine, L-Carnitine, Gellan Gum, Salt (Sodium Chloride), Zinc Sulfate, d-alpha- Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Beta-Carotene, Vitamin A Palmitate, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3. Allergens: Contains milk and soy ingredients. Availability List Number Item 00699 Pulmocare Ready-to-Drink Vanilla Institutional / 8-fl-oz (237-mL) Can / 24 ct 51204 Pulmocare Ready-To-Hang Vanilla Institutional / 1000-mL (33.8-fl-oz) Bottle / 8 ct (discontinued) 62725 Pulmocare Cross Cap Ready-To-Hang Vanilla Institutional / 1000-mL (1.1-QT) Bottle / 8 ct 2 of 5

Nutrition Information - Vanilla Ready to Drink 8 fl oz (237 ml) Value %RDI * / %DV Nutrient Density, Cal/mL 1.5 Protein, % Cal 16.7 Carbohydrate, % Cal 28.2 Fat, % Cal 55.1 MCT:LCT 20:80 Cal to Meet 100% RDIs 1420 ml to Meet 100% RDIs 947 Total Cal:g Nitrogen 150:1 Nonprotein Cal:g Nitrogen 125:1 Osmolality, mosm/kg H2O 475 Renal Solute Load, mosm/l 512 Viscosity Thin (Room Temperature), Nectar- Like (Chilled) Minimum Tube Size for Gravity/Pump Feeding (Fr) 10/8 Protein, g 14.8 Fat, g 22.1 Carbohydrate, g 25.0 L-Carnitine, mg 36 Taurine, mg 36 Water, g 186 Calories 355 Vitamin A, IU 2840 57 Beta-Carotene, mg 1.2 Vitamin D, IU 100 25 Vitamin E, IU 20 67 Vitamin K, mcg 20 25 Vitamin C, mg 75 125 Folic Acid, mcg 200 50 Thiamin (Vitamin B1), mg 0.75 50 Riboflavin (Vitamin B2), mg 0.85 50 Vitamin B6, mg 1.0 50 Vitamin B12, mcg 3.0 50 Niacin, mg 10 50 Choline, mg 150 Not established Biotin, mcg 150 50 Pantothenic Acid, mg 5.0 50 Sodium, mg 310 Not established Sodium, meq 13.5 Potassium, mg 465 Not established 3 of 5

Nutrition Information - Vanilla Ready to Drink 8 fl oz (237 ml) Value %RDI * / %DV Potassium, meq 11.9 Chloride, mg 400 12 Chloride, meq 11.3 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 Vanilla Ready to Drink Footnotes & References Per 8 fl oz (237 ml) * RDI percentages for adults and children 4 or more years of age. 1590 IU of vitamin A activity supplied by 1.2 mg of beta-carotene. Preparation Instructions for Use: 8-fl-oz can Store unopened at room temperature; avoid extreme temperatures. Shake well. Pulmocare 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; use a 10 Fr or larger tube for gravity feeding. Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube. Avoid contamination during preparation and use. 4 of 5

Storage & Handling 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. If gravity feeding use a 10 Fr or larger tube. 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. Follow Directions for Use provided with Abbott feeding set. 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. 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 Safety Screw Connector Set: Remove the dust cover from the RTH Safety Screw Cap. Remove the dust cover from the Safety Screw Connector Set. Insert the Safety Screw Connector Set into the port on the RTH Safety Screw Cap, completely pierce foil. Turn the Safety Screw Connector Clockwise until it is securely fastened. Hang product up to 48 hours when clean technique and only one Screw Cap feeding set is used. For Use with Abbott Screw Cap Set: Remove plastic cap from RTH container taking care NOT to touch the foil seal. Visually inspect foil for signs of leakage. DO NOT use if leakage is apparent. Secure 40 mm Screw Cap set onto the RTH container. Hang product up to 24 hours when clean technique and only one Screw Cap feeding set is used. 5 of 5