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

https://unicat.msf.org/cat/product/56659
STD 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)
https://unicat.msf.org/web/image/product.template/572172/image_1920?unique=9793220

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

Enteral nutrition products are intended for patients over 14 years of age who are unable to swallow. Oral drinks (oral route) are intended for patients who can swallow. Ready-to-use enteral nutrition products should not be consumed orally, 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 the powder form (NFOSDEAAHPFV8), as it is more cost-effective versatile. The powder can be used for both oral and enteral nutrition, can be reconstituted to different concentrations, and has a longer shelf life compared to ready-to-use products.

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:

  • Based on calories intake:
    • ​isocaloric: 1 kcal/ml (NFOSENIA+ codes), for patients without high energy requirements, who are not undernourished or at risk of undernutrition (e.g., in the initial phase of re-feeding), or with renal failure.
    • hypercaloric: 1.5 kcal/ml (NFOSENHA+ codes), for patients with high energy requirements
  • Based on 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 hypercatabolic state and severe catabolism (burn patients or in case of major surgery or trauma)
    • Semi-elemental forms contain hydrolysed or partially hydrolysed (pre-digested) proteins , for patients with gastrointestinal pathology (NFOERIASE+ codes)
  • Based on fibre content:
    • Products may contain fibre (F in the code) or no fibre (W in the code)

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 of 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 hours (and discarded after 24 hours).
    • Enteral nutrition products must be administered only 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 improper 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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