BNF for Children 2011-2012

Appendix 2: Borderline substancesA2.4.1.1 High-energy supplements: carbohydrate (product list continued)Flavoured carbohydrate supplements are not suitable for child under 1 year; liquid supplements should be diluted before use in child under 5 yearsACBS Indications: disease-related malnutrition, malabsorption states, or other conditions requiring fortification with a high or readily available carbohydrate supplementProduct Formulation Energy Protein Carbohydrate Fat Fibre SpecialCharacteristicsVitajoule c(Vitaflo)Powderper 100 g1610 kJ(380 kcal)Nil96 gDried glucosesyrupNil Nil Gluten-freeLactose-freeACBSIndicationsSee aboveA2.4.1.2 High-energy supplements: fatLiquid supplements should be diluted before use in child under 5 yearsACBS indications: disease-related malnutrition, malabsorption states, or other conditions requiring fortification with a high fat (or fat and carbohydrate) supplementProduct Formulation Energy Protein Carbohydrate Fat Fibre SpecialCharacteristicsCalogen c(Nutricia Clinical)Fresubin c 5 kcalShot(Fresenius Kabi)Liquigen c(SHS)Liquid (emulsion)per 100 mLLiquid (emulsion)per 100 mLLiquid (emulsion)per 100 mL1850 kJ Nil 100 mg 50 g(450 kcal) 1 (LCT100 %)2100 kJ(500 kcal)1850 kJ(450 kcal)1. Nutritional values vary with flavour—consult product literature2. Flavour not suitable for child under 3 yearsNil4.0 g(sucrose)Nil Nil 50 g(MCT97 %)FractionatedcoconutoilNilGluten-freeLactose-free53.8 g 400 mg Gluten-freeLactose-freeNilGluten-freeLactose-freeACBSIndicationsSee aboveSee aboveNot suitable for child under 3 yearsSteatorrhoea associated with cysticfibrosis of the pancreas, intestinallymphangiectasia, intestinal surgery,chronic liver disease, livercirrhosis, other proven malabsorptionsyndromes, ketogenic diet inepilepsy, and in type 1 lipoproteinaemiaNot suitable for child under 1 yearPresentation& FlavourCan:500 g = £3.662.5 kg = £17.8325 kg = £107.39(10-g measuring scoop provided)Presentation& FlavourBottle:200 mL = £4.00500 mL = £9.83Banana 2 , neutral, strawberry 2Bottle:120 mL = £2.55Lemon, neutralBottle:250 mL = £7.79772 A2.4 Feed supplements BNFC 2011–2012