Transition Guide

If this is your patient’s first enteral feed:

The 2009 ASPEN Enteral Nutrition Practice Recommendations suggest the following initiation and advancement schedule for pump-assisted feedings:1

Pediatrics: Initiate at 1-2 mL per kg of weight per hour and advance by 0.5-1.0 mL per kg per hour every 6-24 hours or as tolerated until goal rate is reached.

Adults: Initiate at 10-40 mL per hour and advance to goal rate by 10-20 mL per hour every 8-12 hours or as tolerated by the patient.

If you are transitioning your patient from another formula or blend to Kate Farms:

You can slowly incorporate Kate Farms with the patient’s current formula or blend. The following tables are meant to act as a guide to clinical practice.*

Kate Farms Formulas

(v)=vanilla, (c)=chocolate, (p)=plain, (bb)=Banana & Blue, (sc)=Squash & Carrot, (ms)=Mango & Straw

Guide to transitioning to Kate Farms


* These practice guidelines are intended to assist you in providing quality patient care. They do not alter, replace, eliminate, or dilute any of the existing federal procedures, guidelines, or regulations applicable to this topic or your facility’s protocol. The content in this guide is for educational purposes only and should not be considered to be medical advice. It is not intended to replace the advice of your healthcare team. Please consult your healthcare team with any questions about your tube feeding plan.


1. Boullata JI et al. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103.