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ENTERAL RTU, hypercal. adult, high prot.,w/o fibre 0.5l

https://unicat.msf.org/cat/product/56659
NST NFOSENHAHPW05

Valid Article

Former Code(s): NFOSZBE0010 NFOSENHH5EB NFOSENHAHPF50 NFOSENHAHPW50
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 RTU liquid, Adult

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FSMP - Food for Special Medical Purposes

Definition

This product is a ready-to-use enteral nutrition product for adults.

Enteral nutrition is the administration of nutritionally complete food directly into the stomach, duodenum or jejunum.

It is administered via nasogastric or nasoenteral tube, either by gravity or with a pump.

Enteral nutrition products contains nutrient adapted to patient's needs, including proteins, carbohydrates, fats, minerals, and vitamins.

Ready-to-use enteral nutrition products are intended for patients older than 14 years who cannot swallow.

They may be used as a complete diet or as a nutritional supplement via a tube.

Caution! These products are not intended for oral nutrition because their taste is unsuitable for oral intake. For patients who can swallow, an oral nutritional drink should be used instead.

Specifications

Ready-to-use‌ enteral products for adults are classified by:

  • Caloric intake:
    • ​isocaloric adult: 1 kcal/ml (NFOSENIA+ codes). Intended for patients without high energy requirements, not undernourished or at risk of undernutrition; initial phase of refeeding; renal failure.
    • hypercaloric adult: 1.5 kcal/ml (NFOSENHA+ codes). Intended for patients with high energy requirements
  • Protein content and form:
    • ​Normo-protein: 15% of total energy (NP in the code). Used for standard adult enteral nutrition.
    • High-protein: >20% total energy (HP in the code). Used for hypercatabolic state or severe catabolism (e.g. burns, major surgery, major trauma).
    • Semi-elemental: hydrolysed or partially hydrolysed (pre-digested) proteins (NFOERIASE+ codes). Used for gastrointestinal pathology.
  • Fibre content:
    • With fibre (F in the code) or without fibre (W in the code)

Remarks:

  • Standard articles in the MSF catalogue are without fibres.
  • Non-standard articles contain fibres (15 g fibre/L)
  • Only standard articles are listed. For a non-standard article code, contact your pharmacist or nutrition referent.

Technical specifications

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

Values are provided per 100 ml.

Nutritional propertiesISOCALORIC AdultHYPERCALORIC Adult
Energy100 kcal150 kcal

High-Protein

(20% energy)

not applicable for isocal

7.5 g

(NFOSENHAHPW05)

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

Normo-Protein

(15% energy)

3.75 g

(NFOSENIANPW05)

5.6 g (NFOSENHANPW05)

Lipids

(30-35% energy)

3-3.5 g5-6 g

Carbohydrates

(40-55% energy)

10-14 g15-21 g
ExampleFresubin original®, Sondalis standard®, Nutrison®Fresubin HP energy®, Sondalis energy®

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    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 and follow the instructions on the enteral nutrition product and the feeding tube packaging.
    • Administer via a tube only.
    • Administer under medical supervision.
    • The product is ready-to-use: do not dilute.
    • Replace ready-to-use enteral nutrition products every 24 hours
    • Discard remaining product after 24 hours.

    Precautions for use:

    • Ready-to-use enteral nutrition products should not be taken orally.
    • Do not administer by parenteral / IV route.
    • Do not add medicines
    • Do not add any other substances.
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    Storage

    • Below 25ºC
    • Shelf life: 12 to 15 months‌. The powder form is preferred when a longer shelf life is required.

    Caution! The main risk of deterioration is a loss of nutritional and organoleptic properties. The risk is associated with poor storage conditions, especially temperatures above 30°C.

    Follow the procedure Storage of specialised food

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

    MSF requirements

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

    Ready-to-use products are liquid formulations supplied as "ready-to-hang" enteral nutrition. Whenever possible, the powder form (NFOSDEAAHPFV8) is preferred because it is more cost-effective and more versatile. The powder can be used for both oral and enteral nutrition, can be reconstituted at different concentrations according to needs, and generally has a longer shelf life than ready-to-use products.

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