Incorrectly prepared formula contributing to severe hypovolemic hypernatremia in enteral tube-fed children: A report of two cases

Formula for medically fragile, enteral tube-fed children should be prepared with utmost care - particularly when family caregivers are responsible for home feeding. In these cases, additional education and feeding support should be considered - including provision of pre-mixed formula. The clinical biochemistry laboratory can verify formula osmolality for these high-risk patients.