Free Water Calculation

Enteral formulas are composed of carbohydrates, fats, proteins, micronutrients, and free water. The majority of the formulation (66-79%) is free water and can be easily calculated.

Example:

  • Formula A is 70% free water

  • Total volume of formula prescribed is 1300 mL

  • Estimated patient fluid needs = 1600 mL per day

  • 1300 mL x 0.70 = 910 mL free water available to meet patient fluid needs

  • 1600 mL – 910 mL = 690 mL additional free water needed to meet 100% estimated fluid needs