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

https://unicat.msf.org/cat/product/41109
STD NFOSENICNPW05

Valid Article

Former Code(s): DORAZFR0582 NFOSENICSTW50
Article is intended to be used with children (<12 years) ONLY.
12
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 child

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

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 children:

  • Depending on the calories intake:
    • ​isocaloric: 1 kcal/ml (NFOSENIC+++ codes), for children without high energy requirements, who are not undernourished or at risk of undernutrition (in the initial phase of re-feeding), or for children without hypercatabolic or hypermetabolic state.
    • hypercaloric: 1.5 kcal/ml (NFOSERHC+++ codes), for children with high energy requirements, children who are malnourished, or children in a state of with hypercatabolic state, e.g. burn patients).
  • Depending on the proteins form:
    • In most enteral nutrition products for children, proteins represent 8-10% of total energy (normo-protein: NP in the code)
    • Semi-elemental: with hydrolysed or partially hydrolysed proteins (pre-digested) (NFOSERICSE+++ 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 Child (NFOSENICNPW05)HYPERCALORIC Child (NFOSERHCNPF05)
Energy100 kcal/100 ml150 kcal/100 ml
Proteins: 8-10% energy2-2.5 g/100 ml3-3.8 g/100 ml
Lipids: 40% energy45 g/100 ml67 g/100 ml
Carbohydrates: 48-50% energy12.5 g/100 ml18 g/100 ml
Fibresabsence10-15 g
Examplefrebini original, sondialis standard juniorfrebini energy fibre, nutrinimax energy multifibre

Remarks:

  • Semi-elemental products are higher in proteins (11-12% of total energy): 2.8-3 g/100 ml. The powder (NFOSDEICSEWV4) (peptamen junior) has a longer shelf life, is less expensive and versatile (can be used for oral and enteral nutrition). Check with your supply centre if it is available before placing any orders.
  • Only standard articles are listed. Contact your pharmacist or nutrition referent if you need the code of a non-standard article (e.g. isocal with fibres, hypercal without fibre...).

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 months

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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