THERAPEUTIC MILK, F100, powder, 400g

Therapeutic milk intended for patients with severe acute malnutrition (SAM) in therapeutic feeding centres:

• F75 is only used in the initial phase of treatment (phase 1).
• F100 is used in the transition phase.

Preparation and Reconstitution of F75 or F100

• Preparation should take place in a clean environment on cleaned and disinfected work surfaces.
• Wash hands thoroughly with soap and warm water, and dry with a clean cloth or single-use towel.
• Water used to prepare therapeutic milks should be boiled for 2 minutes and then cooled to 70°C before adding the powder. Use a digital food grade thermometer to check the temperature of the water.
• Pour the exact quantity of water (at 70°C) required (see below) into a cleaned and sterilised recipient. Use a 100 ml graduated measuring jug or a 100 ml graduated glass beaker with spout.
• Add the required amount of F75 or F100 powder:
• 2 levelled measuring spoons for 50 ml of water
• 4 levelled measuring spoons for 100 ml of water
• 8 levelled measuring spoons for 200 ml of water
• 10 levelled measuring spoons for 250 ml of water
• entire tin: see the tin (depends on product F75/F100 and manufacturer)
• Remark on the measuring spoon:
• use the measuring spoon provided in the tin. Do NOT use a measuring spoon from another product or manufacturer.
• put it directly back into the tin, do not wash it.
• the measuring spoon should not get wet; if it does, dry it well before putting it back in the tin.
• Mix the preparation with a sterilised utensil until complete dilution.
• Label the recipient: "F75 or F100, day and time of preparation".
• Cool to feeding temperature (approx. 37°C).
• Use within 2 hours

Administration

• Therapeutic milk should be administrated either at room or body temperature. The temperature should be checked with a thermometer, preferably digital.
• It is best to prepare and serve therapeutic milk immediately after cooling to body temperature. Reducing the time between preparation and consumption reduces the risk to the infant.

Conservation after reconstitution

• If it is not possible to consume immediately, keep the preparation refrigerated at 4°C (do not exceed 4ºC) in a clean sterilised bottle or other container with lid, immediately after cooling to body temperature.
• Refrigerated preparation should be consumed within 24 hrs.
• Do not prepare therapeutic milk in advance if it can not be consumed within 2 hrs or if refrigeration is not available.
• Never keep therapeutic milk in a refrigerator if it has been prepared for more than 2 hrs.
• Discard any preparation that has not been consumed within 2 hrs.
• Discard any refrigerated preparation that has not been consumed within 24 hrs.