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, then dry with a clean cloth or single-use towel.
• Boil water for 2 minutes, then allow it to cool to 70°C before adding the powder. Use a digital food grade thermometer to check the water temperature.
• Pour the exact required amount of water (at 70°C) (see below) into a cleaned and sterilised recipient. Use a 100 ml graduated measuring jug or a 100 ml graduated glass beaker with a 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 (depending on the product F75/F100 and manufacturer)
• Mix the preparation with a sterilised utensil until completely diluted.
• Label the recipient: "F75 or F100, day and time of preparation".
• Cool the preparation to feeding temperature (approx. 37°C).
• Use within 2 hours
• Remark on the measuring spoon:
• Use the measuring spoon provided in the tin. Do NOT use a measuring spoon from another product or manufacturer.
• Do not wash the measuring spoon; return it to the tin after use.
• Ensure the measuring spoon remains dry; if it becomes wet, dry it thoroughly before placing back in the tin.

Administration

• Therapeutic milk should be administrated either at room or body temperature. Use a thermometer (preferably digital) to check the temperature.
• It is best to prepare and serve therapeutic milk immediately after cooling to body temperature. Reducing the time between preparation and consumption minimises the risk to the infant.

Conservation after reconstitution

• If not consumed immediately, refrigerate the preparation à 4ºC (do not exceed 4ºC) in a clean, sterilised bottle or container with a lid, immediately after cooling to body temperature.
• Refrigerated preparation should be consumed within 24 hours.
• Do not prepare therapeutic milk in advance if it cannot be consumed within 2 hours or if refrigeration is not available.
• Never store therapeutic milk in a refrigerator for more than 2 hours after preparation.
• Discard any preparation that has not been consumed within 2 hours.
• Discard any refrigerated preparation that has not been consumed within 24 hours.