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ENTERAL RTU, isocal. adult, normoprot., w/o fibre 0.5l

https://unicat.msf.org/cat/product/41085
STD NFOSENIANPW05

Valid Article

Former Code(s): DORAZFR0554 NFOSZBE0009 NFOSENIN5EB NFOSENIASTW51 NFOSENIA5EB NFOSENIASTW50 NFOSENIA+++
15
Shelf life = length of time a product can remain active and effective. Short shelf life = shelf life = < 24 months
CT25
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.
OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)

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ENTERAL READY TO USE adult

The 1 litre presentations became non-standard in order to optimise the supply and simplify the NFOS list.

Definition

Enteral Nutrition is the administration of nutritionally complete food (containing‌ proteins, carbohydrates, fats, minerals and vitamins adapted to the patient's needs), directly into the stomach, duodenum or jejunum. It is administered through a nasogastric or nasoenteral tube, with or without a pump (by gravity).

Enteral nutrition products are intended for patients over 14 years of age who are unable to swallow (drinks - oral route - are intended for patients able to swallow). Ready-to-use enteral nutrition products should not be used for oral nutrition (drinks), as their taste is not suitable for oral nutrition (disgusting).

Remark: Ready-to-use products are in liquid form, "ready-to-hang". When possible, it is preferable to use powder (NFOSDEAAHPFV8) rather than ready-to-use products, as it is cheaper and versatile (can be used for oral and enteral nutrition, and can be reconstituted to different concentrations). The powder also has a longer shelf life.

Specifications

Ready-to-use‌ enteral nutrition products can be used as a complete diet or as a nutritional supplement for tube feeding only.

There are different types of ready-to-use‌ enteral products for adults:

  • Depending on the calorie intake:
    • ​isocaloric: 1 kcal/ml (NFOSENIA+++ codes), for patients without high energy requirements, who are not undernourished or at risk of undernutrition (in the initial phase of re-feeding), or with renal failure.
    • hypercaloric: 1.5kcal/ml (NFOSENHA+++ codes), for patients with high energy requirements
  • Depending on the proteins content and form:
    • ​Normo-protein: 15% of total energy (NP in the code)
    • High-protein: >20% total energy (HP in the code), for patients in a state of hypercatabolism and severe catabolism (burnt patients or in case of major surgery or trauma)
    • Semi-elemental: with hydrolysed or partially hydrolysed proteins (pre-digested), for patients with gastrointestinal pathology (NFOERIASE+++ codes)
  • Depending on the presence (F in the code) or absence (W in the code) of fibres

Technical specifications

Enteral nutrition products are generally lactose-free and gluten-free.

Nutritional propertiesISOCALORIC Adult (IA)HYPERCALORIC Adult (HA)
Energy100 kcal/100 ml150 kcal/100 ml
High-Protein (HP) = 20% energy

not applicable for isocal

7.5 g/100 ml (NFOSENHAHPW10)

ex: fresubin HP energy, sondalis HP energy, Nutrison proteins plus energy

Normo-Protein (NP) = 15% energy

3.75 g/100 ml (NFOSENIANPW10)

ex: Fresubin original, Sondalis standard, Nutrison

5.6 g/100 ml (NFOSENHANPW10)

ex: Fresubin HP energy, Sondalis energy

Lipids: 30-35% energy3-3.5 g/100 ml5-6 g/100 ml
Carbohydrates: 40-55% energy10-14 g/100 ml15-21 g/100 ml

    Remarks:

    • Standards articles in the MSF catalogue are without fibres.
    • Non-standard articles contain fibres (15 g fibre/L)
    • Only standard articles are listed. Contact your pharmacist or nutrition referent if you need the code for a non-standard article.

    Packaging & Labelling

    Primary and secondary packaging must protect the hygienic and nutritional qualities of the product during transport, handling, storage under MSF field conditions.

    • Primary packaging (unit packaging): 500 ml ready-to-use bag

    For more information on packaging labelling, refer to the CHECKLIST CONTROL UPON RECEIPT specialised food.

    Instructions for use

    • Always read the instructions on the product and tubes packaging.
    • Ready-to-use enteral nutrition products should be replaced every 24 hrs (and discarded after 24 hrs).
    • Enteral nutrition products can only be administered by enteral route (via tube), and under medical supervision. Do not administer by parenteral route.
    • Enteral nutrition products are ready-to-use. Do not dilute.
    • Do not add medicines or any other substances.

    Storage

    • Below 25ºC
    • Shelf life: 12 to 15 months‌ (choose the powder form for a longer shelf life).

    Caution! The main risk of deterioration is a loss of nutritional and organoleptic properties, due to bad storage conditions (> 30°C).

    Follow the procedure QA-NFOS-SOP3 Storage of specialised food (NFOS).

    For procedures related to Quality Control, refer to Preliminary remarks on specialised food.

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