BNF for Children 2011-2012

Appendix 2: Borderline substancesA2.1.2.2 Enteral feeds: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL (product list continued)Not suitable for use in child under 1 year unless otherwise stated; not recommended for child 1–6 yearsProduct Formulation Energy Protein Carbohydrate Fat Fibre SpecialCharacteristicsNutrison c 1000Complete MultiFibre(Nutricia Clinical)Nutrison c 1200Complete MultiFibre(Nutricia Clinical)Osmolite c Plus(Abbott)Peptamen c HN(Nestlé)Perative c(Abbott)Liquid (tube feed)per 100 mLLiquid (tube feed)per 100 mLLiquid (tube feed)per 100 mLLiquid (tube feed)per 100 mLLiquid (sip ortube feed)per 100 mL420 kJ(100 kcal)505 kJ(120 kcal)508 kJ(121 kcal)556 kJ(133 kcal)552 kJ(131 kcal)5.5 gcows’ milk5.5 gcows’ milk5.55 gcaseinates6.6 gwhey proteinhydrolysates6.7 gcaseinatewhey proteinhydrolysates11.3 g(sugars700 mg)15 g(sugars 1.2 g)15.8 g(sugars730 mg)15.6 g(sugars 1.4 g)17.7 g(sugars660 mg)3.7 g 2 g Gluten-freeResidual lactose4.3 g 2 g Gluten-freeResidual lactose3.93 g Nil Gluten-freeResidual lactose4.9 g(MCT70%)3.7 g(MCT42%)NilNilGluten-freeResidual lactoseHydrolysed with pork trypsinGluten-freeResidual lactoseA2.1.2.3 Enteral feeds: More than 1.5 kcal/mL and 5 g (or more) protein/100 mLNot suitable for use in child under 1 year unless otherwise stated; not recommended for child 1–6 yearsProduct Formulation Energy Protein Carbohydrate Fat Fibre SpecialCharacteristicsEnsure c Twocal(Abbott)Isosource c Energy(Nestlé)Liquid (sip ortube feed)per 100 mLLiquid (tube feed)per 100 mL838 kJ(200 kcal)670 kJ(160 kcal)8.4 gcows’ milk5.7 gcows’ milk21 g(sugars 4.5 g)8.9 g 1 g Gluten-freeResidual lactose20 g 6.2 g Nil Gluten-freeResidual lactoseACBSIndicationsDisease related malnutrition inpatients with low energy and/or lowfluid requirementsStandard, p. 743 except bowel fistulaStandard, p. 743Not suitable for child under 10 yearsShort bowel syndrome, intractablemalabsorption, proven inflammatorybowel disease, bowel fistulaNot suitable for child under 3 yearsStandard, p. 743Not suitable for child under 5 yearsACBSIndicationsStandard, p. 743; also haemodialysisand CAPDStandard, p. 743Presentation& FlavourFlexible pack:1000 mL = £8.85Bottle: 500 mL = £4.80Flexible pack:1000 mL = £9.591500 mL = £14.41Flexible pack:500 mL = £4.181000 mL = £8.061500 mL = £12.07Flexible pack:500 mL = £6.32Flexible pack:500 mL = £5.821000 mL = £11.65Presentation& FlavourBottle:200 mL = £2.14Banana, neutral, strawberry,vanillaFlexible pack:500 mL = £3.771000 mL = £7.53750 A2.1 Enteral feeds (non-disease specific) BNFC 2011–2012