BNF for Children 2011-2012

Appendix 2: Borderline substancesA2.4.1.3 High-energy supplements: protein (product list continued)ACBS indications: disease-related malnutrition, malabsorption states, or other conditions requiring fortification with a high fat or carbohydrate (with protein) supplementProduct Formulation Energy Protein Carbohydrate Fat Fibre SpecialCharacteristicsACBSIndicationsPresentation& FlavourProtifar c(Nutricia Clinical)Powderper 100 gPowder provides: protein 2.2 g per 2.5 gVitapro cPowder(Vitaflo)per 100 gProtein and carbohydrateDialamine c(SHS)Standard dilution(20%) of powderper 100 mL1580 kJ(373 kcal)1506 kJ(360 kcal)264 kJ(62 kcal)88.5 gcows’ milk75 gwhey proteinisolate4.3 gproteinequivalent(essentialand nonessentialamino acids)less than 1.5 g 1.6 g Nil Gluten-freeResidual lactoseElectrolytes/100 mL:Na + 1.3 mmolK + 1.28 mmolCa 2þ 33.75 mmolP + 22.58 mmolNutritional supplement for use inbiochemically proven hypoproteinaemia9 g 6 g Nil Contains lactose Biochemically proven hypoproteinaemia11.2 g(sugars 10.2 g)Powder provides: protein equivalent 25 g, carbohydrate 65 g, vitamin C 125 mg, energy 1530 kJ (360 kcal)/100 gProSource c(Nutrinovo)Liquidper 30 mL420 kJ(100 kcal)15 g(sugars 8 g)Protein, fat, and carbohydrateCalogen c Extra(Nutricia Clinical)Liquidper 100 mL1650 kJ(400 kcal)10 gcollagen proteinwhey proteinisolate5gcows’ milk4.5 g(sugars 3.5 g)Nil Nil Contains vitamin C Hypoproteinaemia, chronic renalfailure, wound fistula leakage withexcessive protein loss, conditionsrequiring a controlled nitrogenintake, and haemodialysisNot suitable for child under 6monthsNil Nil Gluten-freeLactose-freeMay contain porcine derivatives40.3 g Nil Residual lactoseContains vitamins, minerals,and trace elementsBiochemically proven hypoproteinaemiaNot recommended for child under 3yearsSee aboveNot suitable for child under 3 years;may require dilution for child 3–5yearsCan:225 g = £7.44Unflavoured(2.5-g measuring scoop provided)Tub:250 g = £7.472 kg = £58.69(5-g measuring scoop provided)Can: 400 g = £61.74OrangeSachet: 100 30 mL = £83.36Citrus-berry, neutral, orangecremeBottle: 200 mL = £4.56Neutral, strawberry774 A2.4 Feed supplements BNFC 2011–2012