DRINK/ENTER. POWDER adj.cal, ad., high prot., fib. van. 800g

STD NFOSDEAAHPFV8

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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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DRINK/ENTER. POWDER adj.cal, ad., high prot., fib. van. 800g

Definition

Powder designed to reconstitute a drink for special medical purposes, suitable for both oral and enteral (by tube) feeding in patients from 13 years of age.

Specifications

This powder can be reconstituted with two different dilution factors to obtain either a moderate-calorie drink (1.25 kcal/ml) or a high-calorie drink (1.5 kcal/ml).

Main Composition

Maltodextrins, whey‌ protein concentrate, vegetable fats, sucrose, fibres (inulin, cellulose), minerals‌ premix, emulsifier (soya lecithin), vitamins complex, flavour (vanillin), antioxidants, acidity regulator

Contains ingredients of animal origin and soya.

Flavour: Vanilla

Technical specifications

The powder is high-protein and available with fibre.

Nutritional properties

MODERATE Energy

(27.3 g of powder)

HIGH Energy

(32.8 g of powder)

Energy125 kcal/100 ml150 kcal/100 ml
Proteins (20.1% total energy)6.2 g7.5 g
Lipids (35% total energy)4.9 g5.8 g
Carbohydrates (42.8% total energy)13.4 g16.1 g
Fibres (2.1% total energy)1.3 g1.6 g
Osmolarity575 mOsm/l450 mOsm/l
Minerals

MODERATE Energy

(27.3 g of powder)

HIGH Energy

(32.8 g of powder)

Calcium (mg)104125
Chloride (mg)167200
Chromium (µg)3.74.5
Copper (µg)94113
Iron (mg)1.41.6
Fluoride (µg)1461.75
Iodine (µg)15.618.7
Potassium (mg)221265
Molybdenum (µg)1416
Manganese (µg)213256
Magnesium (mg)2530
Sodium (mg)109131
Phosphorus (mg)7387.5
Selenium (µg)5.97.1
Zinc (mg)1.21.4
Vitamins

MODERATE Energy

(27.3 g of powder)

HIGH Energy

(32.8 g of powder)

Retinol (Vit. A) (µg)100120
Thiamin (Vit. B1) (µg)150180
Riboflavin (Vit. B2) (µg)125150
Niacin (Vit. B3) (µg)1.61.9
Pantothenic (Vit. B5)0.50.6
Pyridoxine (Vit. B6) (µg)136163
Biotin (Vit. B7) (µg)3.13.8
Folic acid (Vit. B9) (µg)4250
Cyanocobalamin (Vit. B12) (µg)0.390.33
Ascorbic acid (Vit. C) (mg)122.314.8
Tocopherol (Vit. E) (mg)1.72
Phytonadione (Vit. K1) (µg)10.913.1
Choline (mg)5161

Packaging & Labelling

The primary and secondary packaging must protect the hygienic and nutritional qualities of the product during transport, handling, and storage under MSF field conditions.

  • Primary packaging (unit packaging): 800 g tin
  • Secondary packaging: 6 tins per carton (4.8 kg net; 6.1 kg gross, 17dm3)

For more information on packaging labelling, refer to the CHECKLIST CONTROL UPON RECEIPT specialised food.

Instructions for use

Preparation and Reconstitution of drink powder

  • 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 60-70°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 measuring jug or a 100 ml graduated glass beaker with a spout.
  • Add the required amount of powder as indicated in the table below.
No. of leveled measuring spoons*Volume of water (ml)Reconstituted formula (ml)Energy (kcal)Protein (g)
MODERATE Energy (ME) 125 kcal/ 100 ml of preparation
213015620210.1
320023930215.2
427032240220.2
534040450425.3
640047760530.4
747056070535.4
1 tin246029303664184
HIGH Energy (HE) 150 kcal/100 ml of preparation
211013720210.1
316020030215.2
422027440320.2
527033750425.3
632040160530.4
738047470535.4
1 tin195024403664184

* 1 measuring spoon = 22 g of powder

  • Mix the preparation with a sterilised utensil until completely diluted.
  • 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 it back in the tin.

Administration

  • Enteral use:
    • Pour the prescribed amount of reconstituted ME or HE formulation into the patient's pouch, label it accordingly, and administer via nasogastric tube.
    • Use within 6 hours at room temperature.
  • Oral use:
    • Cool the preparation to feeding temperature (approx. 37°C).
    • Use within 2 hours.

Conservation after reconstitution

  • The reconstituted drink (liquid) should preferably be consumed immediately and always within 2 hours (oral use) or 6 hours (enteral use by tube).
  • If not consumed immediately, refrigerate the preparation (do not exceed 5ºC). Stir before consumption.
  • Refrigerated preparations should be consumed within 24 hours.
  • Discard any refrigerated preparation that has not been consumed within 24 hours.
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Storage

  • Below 30ºC
  • Shelf life: 24 months
  • After opening, the product should be consumed within 4 weeks.
  • Tightly close the tin with the lid after each use.

Caution! The main risk of deterioration is the loss of nutritional and organoleptic properties, due to poor 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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