Risk Assessment Tools, References, and Readings

Viscosity Levels for Oral and Enteral Feedings

December 14, 2016   /

Viscosity Levels for Oral Products

Oral Product Name

Viscosity (cP)

Type of Liquid

Arginaid®

5

Thin liquid

Boost®

30

Thin liquid

Boost Glucose Control®

30–40

Thin liquid

Boost® High Protein

25–30

Thin liquid

Boost® Plus

50

Thin liquid

Carnation® Breakfast® Lactose Free

7.5–8.8

Thin liquid

Carnation® Breakfast® Lactose Free  Plus

13.5–17

Thin liquid

Carnation® Breakfast® Lactose Free VHC

95

Nectar-like

Ensure® Enlive!®

1–50

Thin liquid

Ensure®

1–50

Thin liquid

Ensure® Bone Health

1–50

Thin liquid

Ensure® Clinical Strength

1–50

Thin liquid

Ensure® High Protein

1–50

Thin liquid

Ensure® Immune Health

1–50

Thin liquid

Ensure® Muscle Health

1–50

Thin liquid

Ensure Plus®

1–50

Thin liquid

Ensure® Pudding

>1751

Spoon-thick

Glucerna® Shake

1–50

Thin liquid

Healthy Shot® Double Protein Peach or Tropical

20–30

Thin liquid

Healthy Shot® High Protein Peach or Tropical

10–25

Thin liquid

Hi-Cal

51–350

Nectar-like

Juven®

1–50

Thin liquid

Mighty Shakes® No Sugar Added Honey Thick

351–1750

Honey-thick

Mighty Shakes® Plus

1–50

Thin liquid

Mighty Shake (Regular) No Sugar Added

51–350

Nectar-like

ProMod® Liquid Protein

51–350

Nectar-like

Renalcal®`

N/A

 

Resource® 2.0

70

Nectar-like

Resource® Breeze®

6

Thin liquid

Resource® Diabetishield®

5

Thin liquid

Resource® Frosty Thick®

N/A

Honey-thick

Resource Health Shake®

150

Nectar-like

Resource® Nutritious Juice Drink

N/A

 

cP=centipoise

 

Proposed terms for liquids and correlating viscosity ranges

As referenced from the National Dysphagia Diet:

  • Thin: 1–50 cP
  • Nectar-like: 51–350 cP
  • Honey-like: 351–1750 cP
  • Spoon-like: >1750 cP

Source: National Dysphagia Diet Task Force, American Dietetic Association. National Dysphagia Diet: Standardization for Optimal Care. Chicago, IL: American Dietetic Association; 2002.

 

 

Viscosity Levels for Enteral Feedings

Enteral Feedings Product Name

Viscosity (cP)

Type of Liquid

Compleat®

70

Nectar-like

Diabetisource® AC

80

Nectar-like

Fibersource®

150

Nectar-like

Glucerna® 1.0 Cal

1–50

Thin liquid

Glucerna® 1.2 Cal

1–50

Thin liquid

Glucerna® 1.5 Cal

1–50

Thin liquid

Glucerna 1.5 Cal (chilled)

51–350

Nectar-like

Impact®

20

Thin liquid

Impact® with Fiber

40

Thin liquid

Impact® Advanced Recovery

40

Thin liquid

Isosource®1.5

45

Thin liquid

Isosource® HN

50

Thin liquid

Jevity® 1 Cal

51–350

Nectar-like

Jevity® 1.2 Cal

51–350

Nectar-like

Jevity® 1.5 Cal

51–350

Nectar-like

Nepro® with Carb Steady®

51–350

Nectar-like

Novasource® Renal

50

Thin liquid

NutriHep®

N/A

 

Nutren® (all products)

19–21

Thin liquid

Optimental®

1–50

Thin liquid

Osmolite® 1 Cal

1–50

Thin liquid

Osmolite® 1.2 Cal

51–350

Nectar-like

Osmolite® 1.5 Cal

51–350

Nectar-like

Peptamen® (standard and with prebiotics)

43

Thin liquid

Peptamen® 1.5

75

Nectar-like

Peptamen AF®

50

Thin liquid

Promote®

1–50

Thin liquid

Promote® with Fiber

51–350

Nectar-like

Pulmocare®

1–50

Thin liquid

Pulmocare® (chilled)

51–350

Nectar-like

Suplena® with Carb Steady®

51–350

Nectar-like

TwoCal® HN

51–350

Nectar-like

Vital® 1.0 Cal

1–50

Thin liquid

Vital® 1.5 Cal

1–50

Thin liquid

Vital 1.5 (chilled)

51–350

Nectar-like

Vital AF 1.2 Cal™

51–350

Nectar-like

Vivonex® Plus

15

Thin liquid

Vivonex® RTF

80

Nectar-like

Vivonex® T.E.N.

13

Thin liquid

Viscosity (cP) is listed as the full range if the manufacturer described the product only by type of liquid (eg, thin/nectar). Products are assumed at specified viscosity for both room temperature and chilled unless specified. Product information obtained from Nestlé Nutrition and Abbott Nutrition

Note: Unless labeled as such, supplements that may have a viscosity level that falls within the nectar-like category were not standardized for consideration as such and may vary by batch. You should administer these products only under the supervision of speech therapy.

 

Contributed by Elissa Olson, MBA, RD, and Sarah Kavlich