Prescribable liquid (sip feed) supplements Table A10.1.1 Note

Transcription

Table A10.1.1 Prescribable liquid (sip feed) supplements
Note: Many sip feed supplements are available in a variety of flavours to offset taste fatigue. Some, but not all, are nutritionally
complete; check compositional details before use. Some products can also be used for tube feeding.
Product type
Standard energy
(1 kcal/mL)
Juice type
(low fat)
(1.25–1.5 kcal/mL)
High energy
(1.5–2.4 kcal/mL)
High energy + fibre
(1.5–2.0 kcal/mL)
High protein
(1.0–1.5 kcal/mL)
Product name (manufacturer) Quantity
Ensure (Abbott)
250 mL
Fresubin Original (Fresenius Kabi)
200 mL
Ensure Plus Juce (Abbott)
220 mL
Fortijuce (Nutricia Clinical)
200 mL
Provide Xtra Juice Drink (Fresenius Kabi)
200 mL
Resource Fruit (Nestlé)
200 mL
Ensure Plus Milkshake style (Abbott)
220 mL
Ensure Plus Savoury (Abbott)
220 mL
Ensure Plus Yoghurt style (Abbott)
220 mL
Ensure Twocal (Abbott)
200 mL
Fortisip Bottle (Nutricia Clinical)
200 mL
Fortisip Compact (Nutricia Clinical)
125 mL
Fortisip Extra (Nutricia Clinical)
200 mL
Fortisip Yogurt Style (Nutricia Clinical)
200 mL
Fresubin 2 kcal Drink (Fresenius Kabi)
200 mL
Fresubin Energy (Fresenius Kabi)
200 mL
Renilon 7.5 (Nutricia Clinical)
125 mL
Ensure Plus Fibre (Abbott)
200 mL
Fresubin 2 kcal Fibre Drink (Fresenius Kabi)
200 mL
Fresubin Energy Fibre (Fresenius Kabi)
200 mL
Fortisip Compact Fibre (Nutricia Clinical)
125 mL
Fortisip Multi Fibre (Nutricia Clinical)
200 mL
Resource 2.0 Fibre (Nestlé)
200 mL
Fortimel Regular (Nutricia Clinical)
200 mL
Fresubin Protein Energy Drink (Fresenius Kabi)
200 mL
Resource Protein (Nestlé)
200 mL
Per bottle/can
kJ
kcal
Protein (g)
Fibre (g)
1058
251
10.0
0.0
840
200
7.6
0.0
1404
330
10.6
0.0
1280
300
8.0
0.0
1260
250
7.5
0.0
1040
250
8.0
0.0
1390
330
13.8
0.0
1390
330
14.0
0.0
1390
330
13.8
0.0
1675
400
16.8
2.0
1260
300
12.0
0.0
1250
300
12.0
0.0
1350
320
20.0
0.0
1260
300
12.0
0.4
1680
400
20.0
0.0
1260
300
11.2
0.0
1050
250
9.4
0.0
1284
300
13.0
5.0
1680
400
20
3.2
1260
300
11.2
4.0
1250
300
11.8
4.5
1260
300
12.0
4.6
1672
400
18.0
5.0
840
200
20.0
0.0
1260
300
20.0
0.0
1060
250
18.8
0.0
(Continued)
Manual of Dietetic Practice, Fifth Edition. Edited by Joan Gandy.
© 2014 The British Dietetic Association. Published 2014 by John Wiley & Sons, Ltd.
Companion Website: www.manualofdieteticpractice.com
Table A10.1.1 (Continued)
Product type
Thickened
(1.5–2.4 kcal/mL)
Powdered
Product name (manufacturer) Quantity
Per bottle/can
Fresubin Thickened (Fresenius Kabi)
200 mL
Syrup (stage 1) and custard (stage 2)
Nutilis Complete Stage 1 (Nutricia)
125 mL
Resource Thickened Drink (Nestlé)
114 mL
Syrup and custard consistencies
SLO Drinks (SLO Drinks)
Syrup, custard and pudding consistencies
Thick & Easy Thickened Juices (Fresubin Kabi)
118-mL pot or 1.42-L bottle
Custard consistency
Complan Shake
In 250 mL of water
(Complan Foods)
In 200 mL of whole milk
57-g sachet
Foodlink Complete (Foodlink)
3 heaped tablespoonfuls in 250 mL of water
Foodlink Complete with Fibre (Foodlink)
4 heaped tablespoonfuls in 250 mL of water
Oral Impact (Nestlé)
74 g in 250 mL of water
Vegenat-med Balanced Protein (Vegenat)
110-g sachet
Vegenat-med High Protein (Vegenat)
110-g sachet
kJ
kcal
Protein (g)
Fibre (g)
1260
300
20.0
*
1263
300
12.0
4.0
435
103
0.0
0.0
*
*
*
*
*
*
1057
1621
251
387
8.8
15.6
0.0
0.0
1048
249*
12.5*
0.0
1137
270
12.3
5.0
*
*
*
1924
458
18.0
5.8
1940
463
23.3
6.0
*Exact composition varies – see manufacturer’s data.
Table A10.1.2 Non-prescribable liquid supplements
These products can be purchased by patients from supermarkets and chemists, and are useful at times when dietary intake is poor.
None is nutritionally complete.
Product name (manufacturer)
Quantity
Per sachet + 200 mL of whole milk
kJ
kcal
Protein (g)
Fibre (g)
Build-Up Nutrition Shake (Nestlé)
38-g sachet in 200 mL of whole milk
Complan (Complan Foods)
57-g sachet in 200 mL of whole milk
1105
263
14.9
3.0
1596
380
14.9
0.2
Table A10.1.3 Prescribable solid/semi solid supplements
Dessert style – also useful for dysphagic patients.
Product type
Solid/semi solid desserts
Quantity
Per bottle/can
kJ
kcal
Protein (g)
Fibre (g)
Clinutren Dessert (Nestlé)
125 g
Ensure Plus Crème (Abbott)
125 g
Forticreme Complete (Nutricia Clinical)
125 g
Fortisip Fruit Dessert (Nutricia Clinical)
150 g
Fresubin Crème (Fresenius Kabi)
125 g
Resource Dessert Energy (Nestlé)
125 g
Resource Dessert Fruit (Nestlé)
125 g
650
156
11.9
0.0
718
171
7.1
0.0
844
200
11.9
0.0
840
200
10.5
3.9
945
225
12.5
2.5
839
200
6.0
0.0
848
200
6.3
1.8
Table A10.1.4 Single nutrient component supplements
Component
Notes, ACBS indications and nutritional values
Carbohydrate
Caloreen (Nestlé)
Powder
Maxijul Liquid (SHS)
Liquid
Maxijul Super Soluble (SHS)
Powder
Polycal (Nutricia Clinical)
Powder
Polycal Liquid (Nutricia Clinical)
Liquid
Resource Optifibre (Nestlé)
Powder
S.O.S. 10, 15, 20, 25 (Vitaflo)
Powder
Vitajoule (Vitaflo)
Powder
Calogen (Nutricia Clinical) Liquid (100%
LCTs fat emulsion)
Fresubin 5kcal Shot (Fresenius Kabi)
Liquid
Liquigen (SHS)
Liquid (97% MCTs)
Medium-Chain Triglyceride (MCT) Oil (SHS)
Liquid (100% MCTs)
1640 kJ (390 kcal)/100 g
Casilan 90 (Heinz)
Powder (90% protein)
Protifar (Nutricia Clinical) Powder (89%
protein)
Vitapro (Vitaflo)
Powder (75% protein)
1572 kJ (370 kcal)/100 g
Fat
Protein
850 kJ (200 kcal)/100 mL
1615 kJ (380 kcal)/100 g
Disease related malnutrition or
malabsorption states or other conditions
requiring fortification with a high or
readily available carbohydrate supplement
1630 kJ (384 kcal)/100 g
1050 kJ (247 kcal)/100 mL
323 kJ (76 kcal) and 78 g
of fibre/100 g
1590 kJ (380 kcal)/100 g
1610 kJ (380 kcal)/100 g
1850 kJ (450 kcal)/100 mL
2100 kJ (500 kcal)100 mL
1850 kJ (450 kcal)/100 mL
3515 kJ (855 kcal)/100 mL
1580 kJ (373 kcal)/100 g
1506 kJ (360 kcal)/100 g
LCTs, long chain triglycerides; MCTs, medium chain triglycerides.
requiring fortification with a high fat
supplement
Steatorrhoea associated with cystic fibrosis
(pancreas), intestinal lymphangiectasia,
intestinal surgery, chronic liver disease/
cirrhosis and other proven malabsorption
syndromes
requiring fortification with a high protein
supplement
Protein energy malnutrition or
malabsorption states, hypoproteinaemia
and as a protein source in modular feed
Table A10.1.5 Multiple nutrient component supplements
Components
Product name
(manufacturer)
Notes, ACBS indications and nutritional values
Fat/
carbohydrate
MCT Duocal (SHS)
Powder
Protein/
carbohydrate
Duocal (SHS)
Liquid
ProSource (Nutrinovo)
Liquid
Protein/fat/
carbohydrate
Calogen Extra (Nutricia
Clinical)
Liquid
Calshake (Fresenius Kabi)
Powder
Conditions requiring extra
calories, e.g. fat malabsorption
or where assimilation of LCTs
is impaired
Conditions requiring extra
calories
Protein energy malnutrition
and patients on a fluid
restricted diet
High energy fat emulsion with
protein, carbohydrate, vitamins
and minerals
For increased energy
requirements, e.g. patients
with cystic fibrosis, cancer or
HIV/AIDS
High energy, high protein
drink for patients with
involuntary weight loss
malabsorption states and
other conditions requiring
fortification with energy and
protein, e.g. burns
Enshake (Abbott)
Powder
Pro-Cal (Vitaflo)
Powder
Pro-Cal Shot (Vitaflo)
Liquid
QuickCal (Vitaflo) Powder
Scandishake Mix (Nutricia
Clinical) Powder
Vitasavoury 200 (Vitaflo)
Powder
Vitasavoury 300 (Vitaflo)
Powder
High energy supplement for
disease related malnutrition
based on skimmed milk
powder, carbohydrate and fat
Low volume, high energy
supplements for disease
related malnutrition or
malabsorption states or other
conditions requiring additional
energy and protein
50 g in 150 mL of water provides 1041 kJ
(249 kcal), 36 g of CHO and 11.6 g of fat
Per 100 mL: 695 kJ (166 kcal), 23.7 g of CHO and
7.9 g of fat (30% MCTs)
Per 30 mL: 420 kJ (100 kcal), 10 g of protein and
15 g of CHO
Per 100 mL: 1650 kJ (400 kcal), 5.0 g of protein,
4.5 g of CHO and 40.3 g of fat
87-g sachet + 240 mL of whole milk provides
approx. 2495 kJ (596 kcal), 11.6 g of protein,
96.5-g sachet + 240 mL of whole milk provides
approx. 2519 kJ (600 kcal), 16 g of protein,
15-g sachet provides 418 kJ (/100 kcal), 2 g of
protein, 4 g of CHO and 8.4 g of fat
Per 30 mL: 418 kJ (/100 kcal), 2 g of protein, 4 g
of CHO and 8.5 g of fat
13-g sachet provides 418 kJ (100 kcal), 0.6 g of
protein, 2.2 g of CHO and 10 g of fat
85-g sachet + 240 mL of whole milk provides
2457 kJ (588 kcal), 11.7 g of protein, 66.8 g of
CHO and 30.4 g of fat
33-g sachet provides 855 kJ (200 kcal), 4 g of
protein, 7.4 g of CHO and 17.2 g of fat
50-g sachet provides 1295 kJ (300 kcal), 6 g of
protein, 11.3 g of CHO and 26.0 g of fat
CHO, carbohydrate; MCTs, medium chain triglycerides; LCTs, long chain triglycerides.
Table A10.1.6 Food and fluid thickeners
For thickening of food and drinks of patients with dysphagia.
Type of product
Modified maize starch
powder*
Multi Thick (Abbott)
Nutilis (Nutricia Clinical)
Resource ThickenUp (Nestlé)
Thick and Easy (Fresenius Kabi)
Thixo-D (Sutherland)
Vitaquick (Vitaflo)
Resource ThickenUp Clear
(Nestlé)
Maltodextrin and
xanthan gum
*See individual manufacturer’s recommendations for the quantities required to achieve various textures.
Table A10.1.7 Enteral feeds – standard indications
Product type
Standard energy
(1 kcal/mL)
Nutritionally
complete
(1.0–1.2 kcal/mL)
Medium energy
(1.2–1.3 kcal/mL)
High energy
(1.5–2.0 kcal/mL)
Per 100 mL
Fresubin Original (Fresenius Kabi)
Fresubin Original Fibre (Fresenius Kabi)
Isosource Fibre (Nestlé)
Isosource Standard (Nestlé)
Jevity (Abbott)
Jevity Promote (Abbott)
Novasource GI Control (Nestlé)
40% MCTs
Nutrison (Nutricia Clinical)
Nutrison MCT (Nutricia Clinical)
61% MCTs
Nutrison Multi Fibre (Nutricia Clinical)
Osmolite (Abbott)
Fresubin 1000 Complete (Fresenius Kabi) Complete in 1000 mL
Nutrison 1000 Complete Multi Fibre (Nutricia Clinical)
Complete in 1000 mL
Nutrison 1200 Complete Multi Fibre (Nutricia Clinical)
Complete in 1000 mL
Jevity Plus (Abbott)
Jevity Plus HP (Abbott)
Nutrison Protein Plus (Nutricia Clinical)
Nutrison Protein Plus Multi Fibre (Nutricia Clinical)
Osmolite Plus (Abbott)
Ensure Twocal (Abbott)
Fresubin Energy (Fresenius Kabi)
Fresubin Energy Fibre (Fresenius Kabi)
Fresubin HP Energy (Fresenius Kabi)
Isosource Energy (Nestlé)
Isosource Energy Fibre (Nestlé)
Jevity 1.5 kcal (Abbott)
Novasource GI Forte (Nestlé)
Nutrison Energy (Nutricia Clinical)
Nutrison Energy Multi Fibre (Nutricia Clinical)
Osmolite 1.5 kcal (Abbott)
Resource Energy (Nestlé)
kJ
kcal
Protein (g)
Fibre (g)
420
420
422
420
441
427
444
100
100
100
100
106
101
106
3.8
3.8
3.8
4.0
4.0
5.6
4.1
0.0
2.0
1.4
0.0
1.8
1.7
2.2
420
420
100
100
4.0
5.0
0.0
0.0
420
424
420
500
500
630
420
100
100
100
120
120
150
100
4.0
4.0
5.5
6.0
6.0
5.6
5.5
1.5
0.0
2.0
2.0
2.0
2.0
2.0
505
120
5.5
2.0
504
547
525
525
508
838
630
630
630
670
630
640
631
630
630
632
630
120
130
125
125
121
200
150
150
150
160
150
152
150
150
150
150
150
5.5
8.1
6.3
6.3
5.6
8.4
5.6
5.6
7.5
5.7
4.9
6.4
6.0
6.0
6.0
6.3
5.6
2.2
1.5
0.0
1.5
0.0
1.0
0.0
2.0
0.0
0.0
1.5
2.2
2.2
0.0
1.5
0.0
<0.5
MCTs, medium chain triglycerides.
Table A10.1.8 Specialist indication enteral feeds and supplements
Product type
Amino acid liquid formula
Low sodium liquid formula
Peptide based liquid formula
Soya protein liquid formula
Elemental 028 Extra (SHS)
Sip feed
Nutrison Low Sodium (Nutricia Clinical)
Peptamen (Nestlé)
Peptamen HN (Nestlé)
Peptisorb (Nutricia Clinical)
Perative (Abbott)
Survimed OPD (Fresenius Kabi)
Fresubin Soya Fibre (Fresenius Kabi)
Nutrison Soya (Nutricia Clinical)
Nutrison Soya Multi Fibre (Nutricia Clinical)
Per 100 mL
kJ
kcal
Protein (g)
Fibre (g)
360
86
2.5
0.0
420
420
556
425
552
420
420
420
420
100
100
133
100
131
100
100
100
100
4.0
4.0
6.6
4.0
6.7
4.5
3.8
4.0
4.0
0.0
0.0
0.0
0.0
0.0
0.0
2.0
0.0
1.5
Table A10.1.9 Specialised formulae for specific clinical conditions
Condition
Product (manufacturer)
Notes and ACBS indications
Cancer
Forticare (Nutricia Clinical)
Liquid
Supportan (Fresenius Kabi)
Liquid
ProSure (Abbott)
Liquid
Alicalm (SHS)
Powder
Modulen IBD (Nestlé)
Powder
Can be flavoured with Flavour Mix (Nestlé)
Powder
KetoCal (SHS)
Powder
Pancreatic cancer
Lung cancer undergoing chemotherapy
Generaid (SHS)
Powder
Oxepa (Abbott)
Liquid
Pulmocare (Abbott)
Liquid
Respifor (Nutricia Clinical)
Liquid
Nepro (Abbott)
Liquid
Whey protein + BCAA
Chronic liver disease and/or portohepatic encephalopathy
Acute lung injury, ARDS and SIRS
Crohn’s disease
Epilepsy
Liver disease
Pulmonary
disease
Renal disease
Renal/liver
disease
Short bowel
syndrome
Synthetic diets
Renamil (KoRa)
Powder
Renapro (KoRa)
Powder
Duocal Super Soluble (SHS)
Powder
Suplena (Abbott)
Liquid
Elemental 028 Extra (SHS)
Powder
Metabolic Mineral Mixture (SHS)
Powder
Pancreatic cancer
Contains EPA
Crohn’s disease
Active Crohn’s disease/nutritional support during Crohn’s
remission
Part of ketogenic diet in management of drug therapy resistant
epilepsy
COPD, cystic fibrosis or respiratory failure
Disease related malnutrition in COPD + BMI <20 kg/m2
Chronic renal failure with haemodialysis or continuous
ambulatory peritoneal dialysis
Cirrhosis
Chronic renal failure
Biochemically proven hypoproteinaemia
Patients on dialysis
For use where a high energy, low fluid and low electrolyte diet
is required
Chronic/acute renal failure without dialysis
Chronic/acute liver disease with fluid restriction
Intractable malabsorption and proven irritable bowel disease
Mineral and trace element supplement for synthetic diets
ARDS, acute respiratory distress syndrome; BCAA, branched chain amino acids; COPD, chronic obstructive pulmonary disease; SIRS,
systemic inflammatory response syndrome; BMI, body mass index; EPA, eicosapentaenoic acid.
Table A10.1.10 Nutritional supplements for metabolic diseases
Condition
Glutaric aciduria
XLYS, TRY Glutaridon* (SHS)
Powder
Glycosade (Vitaflo)
Powder
HCU cooler (Vitaflo)
Liquid
HCU Express (Vitaflo)
Powder
HCU LV (SHS)
Powder
XMET Homidon* (SHS)
Powder
XMET Maxamum (SHS)
Powder
XLEU Faladon (SHS)
Powder
Isoleucine Amino Acid Supplement (Vitaflo)
Powder
Valine Amino Acid Supplement (Vitaflo)
Powder
MSUD Aid III (SHS)
Powder
MSUD cooler (Vitaflo)
Liquid
MSUD express (Vitaflo)
Powder
MSUD Maxamum (SHS)
Powder
XMTVI Asadon (SHS)
Powder
XMTVI Maxamum (SHS)
Powder
Cystine Amino Acid Supplement (Vitaflo)
Powder
Leucine Amino Acid Supplement (Vitaflo)
Powder
Phenylalanine Amino Acid Supplement (Vitaflo)
Powder
DocOmega (Vitaflo)
Powder
KeyOmega (Vitaflo)
Powder
Add-Ins (SHS)
Powder
Easiphen (SHS)
Liquid
Lophlex (SHS)
Powder
L-Tyrosine (SHS)
Powder
Milupa PKU 3-advanta (Milupa)
Powder
Phlexy-10 Exchange System (SHS)
Capsule/tablet/drink
PK Aid-4 (SHS)
Powder
Type 1 glutaric aciduria
Glycogen storage
diseases
Homocystinuria
Hypermethioninaemia
Hypermethioninaemia or
homocystinuria
Isovaleric acidaemia
Maple syrup urine
disease
Methylmalonic
acidaemia
Propionic acidaemia
Other errors of protein
metabolism
Other inborn errors of
metabolism
Phenylketonuria (PKU)
Plus other metabolic conditions where a constant
glucose supply is essential
Methionine free protein substitute
And vitamin B6 non-responsive homocystinuria
Essential and non-essential amino acids except
methionine
Essential and non-essential amino acids except leucine
Use in low protein diets by mixing with protein
substitute, adding to modular feeds, or incorporating
into other permitted food or drink
isoleucine, leucine and valine
methionine, threonine, valine and low isoleucine
Use in low protein diets by mixing with protein
substitute, adding to modular feeds, or incorporating
into other permitted food or drink
n-3 supplement containing DHA
n-3 and supplement containing AA and DHA
Phenylalanine free protein substitute
Ready to drink phenylalanine free liquid product
Phenylalanine free drink mix
For use in maternal PKU where there are low plasma
tyrosine concentrations
Phenylalanine free protein supplement
Each unit (1 sachet, 10 tablets or 20 capsules)
provides 10 g of amino acids except phenylalanine
Unflavoured blend of essential and non-essential
amino acids
(Continued)
Condition
Tyrosinaemia
Urea cycle disorders
Low protein milk
replacement drinks
Vitamin and mineral
component
Flavouring preparations
PKU cooler10 (Vitaflo)
Liquid
Provides 10 g of protein equivalent
Liquid
Liquid
PKU express (Vitaflo) powder
1 × 25 g sachet provides 15 g of protein
equivalent
PKU Lophlex LQ 10 (SHS)
Liquid
PKU Lophlex LQ 20 (SHS)
Liquid
Tyrosine Amino Acid Supplement (Vitaflo)
Powder
XP Maxamum (SHS)
Powder
TYR cooler (Vitaflo)
Liquid
TYR express (Vitaflo) powder
25-g sachet provides 15 g of protein equivalent
XPHEN TYR Tyrosidon (SHS)
Powder
XPTM Tyrosidon (SHS)
Powder
L-Arginine (SHS)
Powder
Dialamine (SHS)
Powder
EAA Supplement (Vitaflo)
Powder
Loprofin PKU Drink (SHS)
Liquid
Milupa lp-drink (Milupa)
Powder
ProZero (Vitaflo)
Liquid
Sno-Pro (SHS)
Liquid
Phlexy-Vits (SHS)
Powder/tablet
FlavourPac (Vitaflo)
Powder
Blackcurrant, lemon, orange, tropical, raspberry
Modjul Flavour System (SHS)
Powder
Blackcurrant, orange, pineapple
Ready to drink phenylalanine free protein substitutes,
including n-3 LCPs, DHA and EPA
Phenylalanine free protein substitute
Phenylalanine free liquid containing a balanced
mixture of essential and non-essential amino acids,
carbohydrates, vitamins, trace elements and some
minerals
For use in low protein diets
Phenylalanine free protein substitute drink mix
Ready to drink tyrosine and phenylalanine free protein
substitute
Unflavoured, powdered tyrosine and phenylalanine
free protein substitute
Normal plasma methionine concentrations
Above normal plasma methionine concentrations
Except arginase deficiency
Essential amino acid supplement
Low protein, low phenylalanine drink based on cow’s
milk
Suitable for dietary management of amino acid
metabolism disorders
Liquid blend of carbohydrate and fat
Low protein, low phenylalanine drink based on milk
extracts
For use with restricted diets for PKU and similar
amino acid abnormalities
For use with unflavoured protein substitutes
*A source of vitamins, minerals and trace elements is also required, e.g. Phlexy-Vits.
AA, arachidonic acid; DHA, docosahexaenoic acid; EPA, eicosapentanoic acid; LCPs, long chain polyunsaturated fatty acids.
Table A10.1.11 Manufacturers’ websites
Abbott, Abbott Laboratories Ltd
Complan Foods, Complan Foods Ltd
Foodlink, Foodlink (UK) Ltd
Fresenius Kabi, Fresenius Kabi Ltd
Heinz, H. J. Heinz Company Ltd
KoRa, KoRa Healthcare Ltd
Milupa, Milupa Aptamil
Nestlé, Nestlé Nutrition
Nutricia Clinical, Nutricia Clinical Care
Nutrinovo, Nutrinovo Ltd
SHS, SHS International Ltd
SLO Drinks, SLO Drinks Ltd
Sutherland, Sutherland Health Ltd
Vegenat, Vegenat
Vitaflo, Vitaflo International Ltd
www.abbott.co.uk
www.complanfoods.com
www.foodlinkltd.co.uk
www.fresenius-kabi.co.uk/
www.heinz.co.uk
www.kora-health.com/
www.milupa-metabolics.com
www.nestlenutrition.com
www.nutricia.co.uk
www.nutrinovo.com
www.shs-nutrition.com
www.slodrinks.com
www.sutherlandhealth.com
www.vegenat.es/e_default.asp
www.vitaflo.co.uk
Table A10.2.1 Paediatric sip feeds
Product type
Per 100 mL of ready to drink
product/standard dilution
kJ
Low energy
(<1 kcal/mL)
Standard
energy
(1 kcal/mL)
kcal
Protein (g)
Fibre (g)
Nutriprem 1 (Cow & Gate)
Liquid
201
48
1.5
0.5
Nutriprem 2 (Cow & Gate)
Liquid
SMA Gold Prem 2 (SMA Nutrition)
Powder
SMA High Energy (SMA Nutrition)
Liquid
310
75
2.0
0.6
305
73
1.9
0.0
382
91
2.0
0.0
Clinutren Junior (Nestlé)
Powder
Infatrini (Nutricia Clinical)
Liquid
420
100
3.0
0.0
415
100
2.6
0.8
Paediasure (Abbott)
Liquid
Paediasure Fibre (Abbott)
Liquid
Paediasure Peptide (Abbott)
Liquid
Similac High Energy (Abbott)
Liquid
422
100
2.8
0.0
420
100
2.8
0.8
420
100
3.0
0.0
419
100
2.6
0.4
Notes
60-mL bottle, formula for low birth
weight babies <1.8 kg only available in
hospital
Catch-up growth in preterm infants
(<35 weeks’ gestation at birth) and
small for gestational age infants up to
6 months corrected age
250-mL carton, disease related
malnutrition, malabsorption, growth
failure from birth to 18 months
Growth failure*†
100-mL bottle, failure to thrive, disease
related malnutrition and malabsorption,
from birth up to body weight of 8 kg
200-mL bottle*†
120-mL bottle, increased energy
requirements, faltering growth and/or
need for fluid restriction, body weight
up to 8 kg
(Continued)
Product type
High energy
(1.5 kcal/mL)
Fortini (Nutricia Clinical)
Liquid
Fortini Multifibre (Nutricia Clinical)
Liquid
Fortini Smoothie Multifibre (Nutricia
Clinical)
Liquid
Frebini Energy Drink (Fresenius Kabi)
Liquid
Frebini Energy Fibre Drink (Fresenius
Kabi)
Liquid
Paediasure Plus (Abbott)
Liquid
Paediasure Plus Fibre (Abbott)
Liquid
Paediasure Plus Juce (Abbott)
Liquid
Resource Junior (Nestlé)
Liquid
Per 100 mL of ready to drink
product/standard dilution
Notes
kJ
kcal
Protein (g)
Fibre (g)
630
150
3.4
0.0
630
150
3.4
1.5
625
150
3.4
1.4
630
150
3.8
0.0
630
150
3.8
1.1
Disease related malnutrition and
growth failure in children aged 1–10
years,* body weight 8–30 kg
632
151
4.2
0.0
*†
626
150
4.2
1.1
*†
638
150
4.2
0.0
Low fat*†
630
150
3.0
0.0
For children aged 1–10 years*
Disease related malnutrition and
growth failure in children aged 1–6
years,* body weight 8–20 kg
*Not suitable for use in children under 1 year of age.
†For children aged 1–10 years, body weight 8–30 kg.
Table A10.2.2 Feed thickener
Product name
(manufacturer)
Notes
Carobel Instant
(Cow & Gate)
Instant thickening agent, prepared
from carob seed flour, suitable from
birth. Prescribable for thickening feeds
in the treatment of habitual and
recurrent vomiting
Table A10.2.3 Paediatric enteral feeds – standard indications
Product type
Per 100 mL
kJ
kcal
Notes
Protein (g)
Fibre (g)
Low energy
(<1 kcal/mL)
Nutrini Low Energy Multi Fibre (Nutricia
Clinical) Liquid
315
75
2.1
0.8
Standard energy
(1 kcal/mL)
Clinutren Junior (Nestlé)
Powder
Frebini Original (Fresenius Kabi)
Liquid
Frebini Original Fibre (Fresenius Kabi)
Liquid
Infatrini (Nutricia Clinical)
Liquid
420
100
3.0
0.0
420
100
2.5
0.0
420
100
2.5
0.8
415
100
2.6
0.8
Nutrini (Nutricia Clinical)
Liquid
Nutrini Multi Fibre (Nutricia Clinical)
Liquid
Paediasure (Abbott)
Liquid
Paediasure Fibre (Abbott)
Liquid
Similac High Energy (Abbott)
Liquid
420
100
2.8
0.0
420
100
2.8
0.8
Failure to thrive, disease related
malnutrition and malabsorption,
from birth up to body weight
8 kg
For growth failure in children
aged 1–6 years, body weight
8–20 kg*
422
100
2.8
0.0
*†
420
100
2.8
0.8
419
100
2.6
0.4
Tentrini (Nutricia Clinical)
Liquid
Tentrini Multi Fibre (Nutricia Clinical)
Liquid
Isosource Junior (Nestlé)
Liquid
420
100
3.3
0.0
420
100
3.3
1.1
512
122
2.7
0.0
Frebini Energy (Fresenius Kabi)
Liquid
Frebini Energy Fibre (Fresenius Kabi)
Liquid
Nutrini Energy (Nutricia Clinical)
Liquid
630
150
3.8
0.0
630
150
3.8
1.1
630
150
4.1
0.0
Nutrini Energy Multi Fibre (Nutricia
Clinical) Liquid)
630
150
4.1
0.8
Paediasure Plus (Abbott)
Liquid
Paediasure Plus Fibre (Abbott)
Liquid
Tentrini Energy (Nutricia Clinical)
Liquid
632
151
4.2
0.0
626
150
4.2
1.1
630
150
4.9
0.0
Tentrini Energy Multi Fibre (Nutricia
Clinical)
Liquid
630
150
4.9
1.1
Medium energy
(1.2 kcal/mL)
High energy
(1.5 kcal/mL)
For children aged 1–6 years,
except bowel fistula, body
weight 8–20 kg
For growth failure*†
Increased energy requirements,
faltering growth and/or need for
fluid restriction, body weight up
to 8 kg
21–45 kg
8–20 kg*
8–30 kg*
8–20 kg*
body weight 8–20 kg* and total
gastrectomy, not with bowel
fistula
*†
21–45 kg
body weight 21–45 kg and
proven inflammatory bowel
disease
Table A10.2.4 Specialist paediatric formulae
Formula
type
Per 100 mL of ready to drink product
(standard dilution)
kJ
Amino acid
based
Fructose
based
Hydrolysate
Low
calcium
kcal
Protein (g)
Fibre (g)
Emsogen (SHS)
Powder
368
88
2.5
0.0
Neocate Active (SHS)
Powder
Neocate Advance (SHS)
Powder
Neocate LCP (SHS)
Powder
Nutramigen AA (Mead Johnson)
Powder
Galactomin 19 (SHS)
Powder
Aptamil Pepti 1 (Allergy) (Milupa)
Powder
418
100
2.8
0.0
420
100
2.5
0.0
293
70
1.9
0.0
286
68
4.9
0.0
288
69
1.9
0.0
280
67
1.6
0.6
Aptamil Pepti 2 (Allergy) (Milupa)
Powder
285
68
1.6
0.6
Cow & Gate Pepti-Junior (Cow &
Gate)
Powder
275
66
1.8
0.0
Nutramigen Lipil 1 (Mead Johnson)
Powder
280
68
1.9
0.0
Nutramigen Lipil 2 (Mead Johnson)
Powder
285
68
1.7
0.0
Nutrini Peptisorb (Nutricia Clinical)
Liquid
Pepdite (SHS)
Powder
Pepdite 1+ (SHS)
Powder
420
100
2.8
0.0
297
71
2.1
0.0
423
100
3.1
0.0
Peptamen Junior (Nestlé)
Liquid
420
100
3.0
0.0
Pregestimil Lipil (Mead Johnson)
Powder
280
68
1.9
0.0
Locasol (SHS)
Powder
278
66
1.9
0.0
Notes
Short bowel syndrome, intractable
malabsorption, proven inflammatory
bowel disease, bowel fistula. Not
suitable as sole source of nutrition
for children aged 1–5 years*
For children aged 1–12 years*
‡
Conditions of glucose plus galactose
intolerance
Established cow’s milk protein
intolerance with or without
secondary lactose intolerance‡
Established cow’s milk protein
allergy or intolerance. Not suitable
for children aged <6 months;
suitable for children aged 6
months–12 years
Disaccharide and/or whole protein
intolerance, or where amino acids
and peptides are indicated in
conjunction with MCTs‡
intolerance where additional MCTs
are not indicated‡
Established disaccharide and/or
whole protein intolerance where
additional MCTs are not indicated.
Not suitable for children aged <6
months; suitable for children aged 6
months–12 years
For growth failure in children aged
1–6 years,* body weight 8–20 kg
intolerance‡
intolerance, or where amino acids or
peptides are indicated in
conjunction with MCTs. For children
aged 1–12 years*
bowel disease, bowel fistula, in
children aged 1–10 years*
intolerance, or where amino acids or
peptides are indicated in
conjunction with MCTs and
hydrolysed casein‡
Conditions of calcium intolerance
requiring restriction of calcium and
vitamin D intake‡
Formula
type
Per 100 mL of ready to drink product
(standard dilution)
kJ
MCT
enhanced
Caprilon (SHS)
Powder
MCT Pepdite (SHS)
Powder
MCT Pepdite +1 (SHS)
Powder
Monogen (SHS)
Powder
kcal
Protein (g)
Fibre (g)
Notes
277
66
1.5
0.0
Fat 3.6 g (MCTs 75%)d‡
286
68
2.0
0.0
Fat 2.7 g, (MCTs 75%)d‡
381
91
2.8
0.0
313
74
2.0
0.0
Fat 3.6 g, (MCTs 75%)d for children
aged 1–12 years*
LCAD , CPTD, and primary and
secondary lipoprotein lipase
deficiency. Fat 2.1 g (MCTs 90%)‡
*†
Peptidebased
Paediasure Peptide (Abbott)
Liquid
Peptamen Junior (Nestlé)
Liquid
420
100
3.0
0.0
420
100
3.0
0.0
Prethickened
infant
feeds
Residual
lactose
Enfamil AR (Mead Johnson)
Powder
SMA Staydown (SMA Nutrition)
Powder
Enfamil O-Lac (Mead Johnson)
Powder
Galactomin 17 (SHS)
Powder
285
68
1.7
0.0
279
67
1.6
0.0
280
68
1.4
0.0
Proven lactose intolerance‡
295
70
1.7
0.0
SMA LF (SMA Nutrition)
Powder
InfaSoy (Cow & Gate)
Powder
SMA Wysoy (SMA Nutrition)
Powder
281
67
1.5
0.0
Proven lactose intolerance in
preschool children, galactosaemia
and galactokinase deficiency‡
Proven lactose intolerance‡
275
66
1.6
0.0
280
66
1.8
0.0
Soya based
bowel disease, bowel fistula*†
Significant gastro-oesophageal
reflux‡
Proven lactose and associated
sucrose intolerance in preschool
children, galactokinase deficiency,
galactosaemia and proven whole
cow’s milk sensitivity‡
‡Suitable from birth to 12 years of age.
d
Disorders in which a high intake of MCTs is beneficial (MCTs 75%).
MCT, medium chain triglycerides; LCAD, long chain acyl-CoA deficiency; CPTD, carnitine palmitoyl transferase deficiency.
Table A10.2.5 Nutritional supplements for metabolic diseases (products in italics are also listed in the adult Appendix A10.1)
Metabolic disease
Age range
Notes
Glutaric aciduria
(type 1)
GA1 Anamix Infant (SHS)
Powder
GA Gel (Vitaflo)
Gel
XLYS, Low TRY, Maxamaid (SHS)
Powder
Glycosade (Vitaflo)
Powder
Cystine Amino Acid
Supplement (Vitaflo) Powder
HCU cooler (Vitaflo)
Liquid
HCU Express (Vitaflo)
Liquid
HCU gel (Vitaflo)
Powder
XMET Homidon (SHS)
Powder
XMET Maxamaid (SHS)
Powder
XMET Maxamum (SHS)
Powder
HCU Anamix Infant (SHS)
Powder
Birth–3 years
Contains vitamins, minerals, trace elements,
essential and non-essential amino acids except
lysine and low tryptophan
HCU LV (SHS)
Powder
Energivit (SHS)
Powder
>8 years
HYPER LYS Anamix Infant (SHS)
Powder
XLYS Maxamaid (SHS)
Powder
IVA Anamix Infant (SHS)
Powder
XLEU Faladon (SHS)
Powder
Birth–3 years
XLEU Maxamaid (SHS)
Powder
Loprofin PKU Drink (SHS)
Liquid
Low protein drink (Milupa)
Powder
Milupa lp-drink (Milupa)
Powder
ProZero (Vitaflo)
Liquid
Sno-Pro (SHS)
Liquid
1–8 years
Glycogen storage
disease
Homocystinuria
Hypermethioninaemia
or homocystinuria
High energy
fat/carbohydrate
supplement
Hyperlysinaemia
Isovaleric acidaemia
Low protein milk
replacement drinks
1–10 years
1–8 years
>2 years
Also other metabolic conditions where a constant
glucose supply is essential
>1 year
>3 years
>8 years
Methionine free protein substitutes for use as
nutritional supplements
1–10 years
1–8 years
>8 years
Birth–3 years
1–8 years
Birth–3 years
>1 year
>1 year
>1 year
>6 months
Methionine free, unflavoured, powdered drink
mixes
Methionine free, unflavoured, powdered drink mix
with vitamins, minerals and trace elements
methionine for proven vitamin B6 non-responsive
homocystinuria or hypermethioninaemia
For hypermethioninaemia or vitamin B6 nonresponsive homocystinuria
For children requiring additional energy, vitamins,
minerals and trace elements following a protein
restricted diet
lysine
Isovaleric acidaemia and other proven disorders of
leucine metabolism
XLEU Faladon can be used as part of a modular
feed or added as an amino acid supplement to
XLEU Analog in the latter stages of weaning
Low protein, low phenylalanine drink based on
cow’s milk for use in PKU
For inborn errors of amino acid metabolism
For dietary management of amino acid
metabolism disorders
Liquid blend of carbohydrate and fat
Low protein, low phenylalanine drink based on
milk extracts for PKU, chronic renal failure and
other inborn errors of amino acid metabolism
Metabolic disease
Maple syrup urine
disease
MSUD Aid III (SHS)
Powder
MSUD Anamix Infant (SHS)
Powder
MSUD Anamix Junior (SHS)
Powder
MSUD Anamix Junior LQ (SHS)
Liquid
MSUD cooler (Vitaflo)
Liquid
MSUD express (Vitaflo)
Powder
MSUD Gel (Vitaflo)
Powder
MSUD Maxamaid (SHS)
Powder
MSUD Maxamum (SHS)
Powder
MMA/PA Anamix Infant (SHS)
Powder
XMTVI Asadon (SHS)
Powder
XMTVI Maxamaid (SHS)
Powder
XMTVI Maxamum (SHS)
Powder
Add-Ins (SHS)
Powder
Easiphen (SHS)
Liquid
Lophlex (SHS)
Powder
Milupa PKU 2-prima (Milupa)
Powder
Milupa PKU 2-secunda (Milupa)
Powder
Milupa PKU 3-advanta (Milupa)
Powder
Phlexy-10 Exchange System
(SHS)
Capsule/tablet/drink
Phlexy-Vits (SHS)
Powder/tablet
Methylmalonic
acidaemia and
propionic acidaemia
Phenylketonuria (PKU)
PKU
PKU Anamix First Spoon (SHS)
Powder
PKU Anamix Infant (SHS)
Powder
PKU Anamix Junior (SHS)
Powder
PKU Anamix Junior LQ (SHS)
Liquid
PKU cooler 10, 15, 20 (Vitaflo)
Liquid
Age range
Birth–3 years
Notes
Also related conditions where intake of branched
chain amino acids must be limited
1–10 years
1–10 years
>3 years
>8 years
1–10 years
1–8 years
>8 years
Birth–3 years
Infants and
children
1–8 years
methionine, threonine, and valine, low isoleucine
content
>8 years
>4 years
>8 years
phenylalanine
>8 years
1–8 years
9–15 years
>15 years
>8 years
Each unit (1 sachet, 10 tablets or 20 capsules)
provides 10 g of amino acids except phenylalanine
>11 years
6 months–5
years
Birth–3 years
Vitamin and mineral component of restricted
therapeutic diets in PKU and similar amino acid
abnormalities
Contains DHA, essential and non-essential amino
acids except phenylalanine
Contains prebiotic oligosaccharides, AA and DHA
1–10 years
Contains AA, DHA, vitamins and minerals
1–10 years
>3 years
Ready to drink phenylalanine free protein
substitute containing DHA and EPA, vitamins,
minerals and trace elements.
(Continued)
Metabolic disease
Phenylketonuria
Tyrosinaemia
Flavouring
preparations
Age range
Notes
PKU express (Vitaflo)
Powder
PKU gel (Vitaflo)
Powder
PKU Lophlex LQ 10, 20 (SHS)
Liquid
>3 years
Contains essential and non-essential amino acids
except phenylalanine, carbohydrate, vitamins,
minerals and trace elements
PKU Start (Vitaflo)
Liquid
<12 months
XP Maxamaid (SHS)
Powder
XP Maxamum (SHS)
Powder
Methionine-free TYR Anamix
Infant (SHS)
Powder
TYR Anamix Infant (SHS)
Powder
TYR Anamix Junior (SHS)
Powder
TYR Anamix Junior LQ (SHS)
Liquid
TYR cooler (Vitaflo)
Liquid
TYR express (Vitaflo)
Powder
TYR Gel (Vitaflo)
Gel
XPHEN TYR Maxamaid (SHS)
Powder
FlavourPac (Vitaflo)
Powder
Modjul Flavour System (SHS)
Powder
1–8 years
1–10 years
>4 years
>8 years
Ready to drink, phenylalanine free protein
substitute containing essential and non-essential
amino acids, carbohydrates, vitamins, trace
elements and some minerals
Ready to feed phenylalanine free infant formula
containing essential and non-essential amino
acids, carbohydrate, fat, vitamins, minerals, trace
elements, AA and DHA
Phenylalanine free drink mix containing essential
and non-essential amino acids, carbohydrate,
vitamins, minerals and trace elements
Birth–3 years
For proven tyrosinaemia type 1
Birth–3 years
Proven tyrosinaemia where plasma methionine
concentrations are normal
Proven tyrosinaemia
1–10 years
>1 year
>3 years
>8 years
Tyrosinaemia type 1 (when NTBC is used), type 2
and type 3
Contains carbohydrates, minerals, trace elements
and vitamins, essential and non-essential amino
acids except tyrosine and phenylalanine
1–10 years
1–8 years
Tyrosinaemia type 1 (when NTBC is used), type 2
and type 3
For use with unflavoured protein substitutes
AA, arachidonic acid; DHA, docosahexaenoic acid; EPA, eicosapentaenoic acid; NTBC, nitisone.
Table A10.2.6 Manufacturers’ websites
Abbott, Abbott Laboratories Ltd
Cow & Gate, Nutricia Ltd
Fresenius Kabi, Fresenius Kabi Ltd
Mead Johnson, Mead Johnson Nutrition
Milupa, Milupa Aptamil
Nestlé, Nestlé Nutrition
Nutricia Clinical, Nutricia Clinical Care
SHS, SHS International Ltd
SMA Nutrition, Pfizer Ltd
Vitaflo, Vitaflo International Ltd
www.abbott.co.uk
www.cowandgate.co.uk
www.fresenius-kabi.co.uk/
www.meadjohnson.com
www.milupa-metabolics.com
www.nestlenutrition.com
www.nutricia.co.uk
www.shs-nutrition.com
www.smanutrition.co.uk
www.vitaflo.co.uk

Prescribable liquid (sip feed) supplements Table A10.1.1 Note

Transcription

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