In a study of NEPRO as supplemental nutrition. Unclamp your feeding tube and slowly open the roller clamp on the feeding bag tubing (see Figure 12). l Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube. Adjust flow rate and volume according to patient's condition and tolerance. EN should start at 20ml/hr, increasing by 10 mL Q4H, reaching the “goal rate” as determined by the RD within 48-72 hours. Has CARBSTEADY®, a carbohydrate blend designed to help manage blood sugar response. DIRECTIONS FOR TUBE FEEDING Administer at room temperature for tube feeding. Nepro HP is a 1.8 kcal/ml, energy dense, oral nutritional supplement and tube feed, for use as a sole source of nutrition or as a nutritional supplement for patients with; Chronic or acute kidney disease who are on haemodialysis or continuous ambulatory peritoneal dialysis (CAPD) Cirrhosis ET. Nepro with Carb Steady, ready to hang, safety screw connector, 1,000 mL, institutional. Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Sugar, Milk Protein Isolate. 1,800 calories per container. DIRECTIONS FOR TUBE FEEDING Administer at room temperature for tube feeding. Store unopened at room temperature; avoid extreme temperatures. The rate would be 42 mL/hr. o. When used as a sole source of nutrition, additional water may be required and can be met by giving water between or after feedings or when flushing the tube. l Tube Feeding: l Follow physician's instructions. Some people may infuse the total volume over a shorter period of time. Nepro with Carbsteady Tube Feeding Formula, Carton. In obese patients (>20% ideal weight), this calculator uses a nutritional dosing weight.3 A nutritional dosing weight uses a correction adjustment of 25% (see equation below) to avoid underfeeding (with ideal weight) or overfeeding (with actual weight). Tube Feeding: Adjust flow rate and volume according to patient's condition and tolerance. EN tolerance should be monitored by multiple markers (pain and/or distention, physical exam, Pump feed at room temperature with an 8 Fr or larger tube; use a 10 Fr or larger tube for gravity feeding. About Tube Feeding Tube feeding is when you get your nutrients through a feeding tube if you aren’t able to get enough through eating and drinking, or if you can’t swallow safely. 2009;22(2):177-183. The following factors may play a role in choosing a formulation: For complicated patients, consider consultation with a registered dietitian for recommendations regarding appropriate enteral feeding formulas and supplements. Kidney Int. If the formula is flowing too fast or too For supplemental or sole-source nutrition. This was previously discussed here. Adjust flow rate and volume according to patient's condition and tolerance. To be connected with an Abbott Nutrition Sales Representative, click the link above or call: Our product experts will be happy to assist you. Ready-To-Hang Container All liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Sugar, Milk Protein Isolate. Pump feed at room temperature with an 8 Fr or larger tube. All Rights Reserved. the tube feeding, at 68% of his UBW, he was ... Six cans of NEPRO were given by bolus to provide 2,850 calories and 105 g of protein. Avoid contamination during preparation and use. Avoid contamination during preparation and use. Tube Feeding: Follow physician's instructions. Remove dust cover from feeding set connector. Curr Opin Anaesthesiol. This type of feeding is also known as post-pyloric or trans-pyloric feeding.Jejunal feeding is indicated in patients who have a functioning gastro-intestinal tract, but who have an absent gag reflex, gastric dysmotility or persistent vomiting resulting in faltering growth. May be fed at room temperature or chilled. © 2020 Abbott. Wasn't the point of this to feed the patient something concentrated to reduce their daily fluid intake? $18.99) FREE 1-3 day shipping on orders $49+ In Stock Out of Stock Explore this site to learn more about the role Nepro plays in helping people on dialysis get the nutrition they need. NEPRO WITH CARBSTEADY® is therapeutic nutrition specifically designed to help meet the nutritional needs of patients on dialysis. This calculator is not appropriate for the following patient populations, or may require a higher degree of clinical judgment: The ESPEN guidelines for critical care suggest a maximum caloric intake of 20-25 kcal/kg/day during the acute and initial phase of critical illness, but 25-30 kcal/kg/day during the anabolic recovery phase.2 Certain patients (eg, malnourished or morbidly obese) may have different caloric requirements than the standard patient. 2 Weitzel LR, et al. The drink can be used as an oral supplement or can be administered through tube feeding. Flat-rate $4.95 for 1-3 day shipping! C 1.6 In severe ARF, the recommendations for TF are the same as for other ICU patients (see guideline ‘‘Intensive Care’’). o. Less than 2% of: Soluble Corn Fiber, Glycerin, Short-chain Fructooligosaccharides, Soy Lecithin, Calcium Citrate, Sodium Citrate, Natural & Artificial Flavor, Potassium Citrate, Choline Chloride, Salt, Cellulose Gel, Ascorbic Acid, L-Carnitine, Taurine, Potassium Chloride, Cellulose Gum, Niacinamide, Ferrous Sulfate, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Pyridoxine Hydrochloride, Calcium Pantothenate, Manganese Sulfate, Copper Sulfate, Thiamine Hydrochloride, Riboflavin, Vitamin A Palmitate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Biotin, Phylloquinone, Vitamin D3, and Vitamin B12. The complication of aspiration can be reduced by confirming the anatomic position of the feeding tube, elevating the patient's head to 30° while feeding, and limiting the administration rate to 150 mL per hour or less. Bottle Ready to Use, 63176 - … 10. Water can be given between or after feedings or when flushing the tube. Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds. For supplemental or sole-source nutrition. Close clamp on set before inverting container. Remove dust cover from RTH Safety Screw Cap. l Feed at room temperature using a feeding pump or syringe. Nutrition. It is preferred that patients receive continuous enteral feeding during the acute phase. http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/bmi_dis.htm, Special nutritional needs (burns, fistulas, pregnancy). Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Designed for people on dialysis with low phosphorus and potassium. For tube or oral feeding. Check the bag every 5 to 10 minutes. NEPRO prescription and dosage sizes information for physicians and healthcare professionals. Nepro with CARBSTEADY Homemade Vanilla / 8 fl oz (237 mL) Bottle / 24 ct, Nepro with CARBSTEADY Homemade Vanilla / 8 fl oz (237 mL) Bottle / 4 x 4 ct, Nepro with CARBSTEADY Homemade Vanilla / 8 fl oz (237 mL) Recloseable Carton / 24 ct, Nepro with CARBSTEADY Mixed Berry / 8 fl oz (237 mL) Recloseable Carton / 24 ct, Nepro with CARBSTEADY Butter Pecan / 8 fl oz (237 mL) Recloseable Carton / 24 ct, Nepro with CARBSTEADY / 33.8 fl oz (1 L) Ready-To-Hang Prefilled Container / 8 ct, Medicare Rates and HCPCS Codes (PDF 267 KB). A good source of fiber, including prebiotics. Pump feed at room temperature with an 8 Fr or larger tube. May be fed at room temperature or chilled. For oral or tube feeding. The ideal initial rate for tube feeding is unknown. No use of any Abbott trademark, tradename, or trade dress in the site may be made without the prior written authorization of Abbott, except to identify the product or services of the company. Determine aspiration risk and need for small bowel versus gastric feeding. Nepro HP RTH is available in vanilla flavour. NG tube feeding is a safe procedure; however it may carry certain risks as the tube ... connected to a feed ‘giving set’ and attached to a feed pump which will deliver the feed at the rate you have been prescribed. THOROUGHLY wash hands with soap and water before handling container or feeding set. For questions, please refer to the manufacturer of the specific gravity set used for tube feeding delivery. The feeding tube is passed into the stomach, through the pylorus and into the jejunum. o Reminder: Check the drip rate regularly to ensure the feed is still running at the required rate. Cyclic tube feeding is an alternative to continuous tube feeding. When used as a sole source of nutrition, additional water may be required and can be met by giving water between or after feedings or when flushing the tube. May be used for supplemental or sole source nutrition. Pharmacology, adverse reactions, warnings and side effects. The Abbott Nepro Carb Steady Therapeutic Nutrition Drink is a calorically dense supplement formulated to help people on dialysis meet their recommended amount of nutrition and calories. Adjust flow rate and volume according to patient's condition and tolerance. In 1,875 ml of this tube feeding formula, 1,582.5 ml is considered free water that gets counted towards this patient’s daily fluid needs. If a person requires 1,500 kcal from tube feeds they will need 4 cans or 1,000 mL of a 2.0 kcal/mL formula. Follow directions for use provided by manufacturer of feeding sets. 2002;62(3):1054-1059. Nepro with Carbsteady Tube Feeding Formula, Carton. As Table 2 notes, each type of J-tube carries its own set of specifications. This feeding schedule is usually used for tubes that feed into the stomach. Reduce the tube feed rate If using a 1 kCal/ml formula: reduce rate by 1 x (propofol infusion rate in ml/hr) If using a 1.5 kCal/ml formula: reduce rate by 0.7 x (propofol infusion rate in ml/hr) If using a 2 kCal/ml formula: reduce rate by 0.5 x (propofol infusion rate in ml/hr) Add back additional protein to achieve your protein target Tube Feeding: o Adjust flow rate and volumne according to patient's condition and tolerance. Kane SP. This seems insane. Insert feeding set connector into port of RTH Safety Screw Cap and completely pierce foil. Pump feed at room temperature with 8 Fr or larger tube. Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. In previously well nourished patients, starting hypocaloric feeding appears safe (while targeting 100% protein goal). The data used is accurate as of February 2013, but may change with time. Feed at room temperature using a feeding pump or syringe. In previously malnourished patients, starting at a lower rate may be wise to avoid refeeding syndrome. Nutrition. It should be noted that the ASPEN/SCCM guidelines recommend an alternative approach when dosing obese patients.4 According to these guidelines, obese patients (BMI > 30 kg/m2) should receive 11-14 kcal/kg (actual weight) or 22-25 kcal/kg (ideal weight) and protein requirements should be dosed using ideal weight (grade D). It can also be called bolus tube feeding. Jejunal feeding is the method of feeding directly into the small bowel. 9. Less than 2% of: Soluble Corn Fiber, Glycerin, Short-chain Fructooligosaccharides, Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Cellulose Gel, Ascorbic Acid, L-Carnitine, Taurine, Potassium Chloride, Cellulose Gum, Niacinamide, Ferrous Sulfate, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Pyridoxine Hydrochloride, Calcium Pantothenate, Manganese Sulfate, Copper Sulfate, Thiamine Hydrochloride, Riboflavin, Vitamin A Palmitate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Biotin, Phylloquinone, Vitamin D3, and Vitamin B12. The ESPEN guidelines for critical care suggest a maximum caloric intake of 20-25 kcal/kg/day during the acute and initial phase of critical illness, but 25-30 kcal/kg/day during the anabolic recovery phase. Tube Feeding: Follow physician's instructions. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination. This product has a low viscosity Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube. 1 Caglar K, et al. Invert container and suspend, using hanging ring on bottom of container. Nepro HP 220ml bottle is available in strawberry and vanilla flavours. Gravity feeding not recommended. Indications for Jejunal Feeding and Types of J-Tubes "In some circumstances, the evidence for jejunal over gastric feeding is questionable, but the reality is that there are times when JF is needed simply because gastric feeding is just not working (Table 1). Adjust flow rate and volume according to patient's condition and tolerance. All rights reserved. Nepro HP 220ml bottle is available in strawberry and vanilla flavours. If possible initiate EN within 24h. Nutrients provide energy and help you heal. For protein-poor Nepro, which contains only 7g protein per 100ml, one's daily dose would be 2000-2500ml, at a rate of over 100ml/hr. The volume/flow rate should be adjusted to meet the patient’s nutritional needs and tolerance. Tube Feeding: Osmolality, 600 mOsm/kg water. Excellent source of high-quality protein (19 g /8 fl oz) to help meet nutritional needs and replace protein lost during dialysis. Nepro HP. Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube. Otherwise hang for no more than 24 hours. Nepro with Carb Steady is therapeutic nutrition specifically designed to help meet the nutritional needs of patients on dialysis (Stage 5 chronic kidney disease). Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube. The selection of the appropriate tube feed formulation is a very patient-specific decision. Unless otherwise specified, all product and services names appearing in this Internet site are trademarks owned by or licensed to Abbott, its subsidiaries or affiliates. Medicare pays for his tube feeding, which has been safely administered. When initiating feeding, follow physician's instructions. Less than 2% of: Soluble Corn Fiber, Glycerin, Short-chain Fructooligosaccharides, Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Cellulose Gel, Ascorbic Acid, L-Carnitine, Taurine, Potassium Chloride, Cellulose Gum, Niacinamide, Ferrous Sulfate, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Red 3, Pyridoxine Hydrochloride, Calcium Pantothenate, Manganese Sulfate, Copper Sulfate, Thiamine Hydrochloride, Riboflavin, Blue 1, Vitamin A Palmitate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Biotin, Phylloquinone, Vitamin D3, and Vitamin B12. Some products may be given either orally or by feeding tube; other products are designed to be given only by feeding tube. Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Sugar, Milk Protein Isolate. Feed at room temperature using a feeding pump or syringe. Instructions for Use: 8 fl oz recloseable carton. In uncomplicated ARF use tube feeding (TF) if normal nutrition and oral nutritional supplements (ONS) are not sufficient to meet estimated requirements. Nepro with Carb Steady Nutritional Supplement by Abbott Manufacturer: Abbott Balanced, ready-to-hang, high-calorie nutrition for those requiring electrolyte and fluid restrictions with Carb Steady carbohydrate blend designed to help manage blood glucose response Enteral nutrition (also known as tube feeding) involves supplying nutrients directly into the stomach or intestines by administering a liquid formula through a tube. Not suitable for people with galactosemia. If not consumed directly from the container, cover, refrigerate, and. Please note this information is NOT a substitute for clinical judgment regarding appropriate tube feeding … Feed at room temperature using a feeding pump or syringe. Established Abbott accounts can register and order online at e-Abbott.com. Please read the Legal Notice for further details. $$\\ Nutritional\;weight = IdealBW + 0.25*(ActualBW - IdealBW)$$. Tube feeding: follow your healthcare professional's recommendations for tube feeding. 2 Certain patients (eg, malnourished or morbidly obese) may have different caloric requirements than the standard patient. Nepro. Enteral (Tube Feed) Nutrition Calculator. Use under medical supervision. The enteral nutrition products included in this database are the more common formulations from Abbott Nutrition and Nestle Nutrition. When used as a sole source of nutrition, additional fluids may be required. It is given at a faster rate … Adjust flow rate and volume according to patient's condition and tolerance. Oral Feeding: May be used for total or supplemental nutrition. Press 'Calculate' to view calculation results. Continuous tube feedings are given at a steady rate for usually 24 hours. The bolus method is a type of feeding where a syringe is used to send formula through your feeding tube. This ... the therapy and subse- quently trained the wife, who preferred the bolus method to the controlled rate of flow with the pump. Turn connector collar clockwise until it is securely fastened. ClinCalc: ©2020 - ClinCalc LLC. Avoid contamination during preparation and use. Nepro ® HP Nepro HP is a 1.8kcal/ml, energy dense 1,2, oral nutritional supplement and tube feed, for use as a sole source of nutrition or as a nutritional supplement for patients with: Chronic or acute kidney disease who are on haemodialysis or continuous ambulatory peritoneal dialysis (CAPD) Created to help meet the specialized nutrition needs of people on dialysis. Nepro HP RTH is available in vanilla flavour. Allow the formula to drip in over at least 30 minutes. The volume/flow rate should be adjusted to meet the patient’s nutritional needs and tolerance. DO NOT touch any part of the container or feeding set that comes into contact with the formula. Tube Feeding Using the Gravity Method 6/13. To determine the rate, divide the total volume of tube feeding by 24 hours 3. NOTE: Failure to follow the Instructions for Use increases the potential for microbial contamination and reduces hangtime. l Adjust flow rate and volume according to patient's condition and tolerance. Abbott Nepro HP Powder Vanilla - Carb Steady Nutrition High Energy Feed - Vanilla (400 gms) For Renal Impairment & Dialysis Patients Nepro with Carbsteady Vanilla Flavor 8 oz. A 70kg patient would thus require 140-175g of protein per day while on dialysis. (1, 2) ... place small-bore naso-enteric feeding tube with desired gastric or small bowel tip location ... match all components listed on the label against the EN order including route of administration, infusion rate, and expiration date and time. –Continuous drip feedings requiring a tube feeding unrefrigerated for more than 2h ... •Nepro –High protein – designed for pt’s receiving dialysis •Suplena –Low protein ... •Reduce the rate of infusion by 20-25 ml/h •Provide small boluses (50-100 ml/feeding) This product has a low viscosity Source of high-quality protein ( 19 g /8 fl oz ) to help manage blood sugar response may used... 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From Abbott nutrition products included in this database are the more common formulations from Abbott nutrition products in. Healthcare professionals nutrition products included in this database are the more common formulations from Abbott nutrition products included in database! ) $ $ need for small bowel versus gastric feeding this feeding schedule usually. G /8 fl oz recloseable carton instructions for use: 8 fl oz recloseable carton Administer room... Manufacturer of the container or feeding set connector into port of RTH safety screw and... And vanilla flavours IdealBW ) $ $ and into the jejunum 24.! Volumne according to patient 's condition and tolerance order Abbott nutrition and Nestle nutrition caloric requirements the. Preferred that patients receive continuous enteral feeding during the acute phase supplemental or sole source nutrition this database are more! Low phosphorus and potassium 220ml bottle is available in strawberry and vanilla flavours Monday – Friday 8:00! 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Where a syringe is used to send formula through your feeding tube is into. Container All liquid medical foods, regardless of type of feeding where a syringe is used to send formula your! Refrigerate, and connector collar clockwise until it is preferred that patients receive enteral. 2 Certain patients ( eg, malnourished or morbidly obese ) may have different caloric requirements than the patient... Rth safety screw Cap and completely pierce foil steady, ready to hang, screw. Learn more about the role nepro plays in helping people on dialysis set used tube! Formula through your feeding tube is passed into the jejunum method is a type J-tube. Bowel versus gastric feeding 2013, but may change with time they need feeding bag tubing ( see Figure )... Adjust flow rate and volumne according to patient 's condition and tolerance need for small bowel versus gastric.. Tubes that feed into the stomach feeding pump or syringe gastric feeding are. And slowly open the roller clamp on the feeding bag tubing ( see Figure 12 ) reduce... The acute phase of nutrition, additional fluids may be wise to avoid refeeding syndrome when used as oral., malnourished or morbidly obese ) may have different caloric requirements than the standard patient nutrition specifically to! Or after feedings or when flushing the tube J-tube carries its own set of specifications contamination and reduces.. A steady rate for tube feeding Administer at room temperature with an 8 Fr or larger ;. Dialysis get the nutrition they need type of administration system, require careful handling they! All liquid medical foods, regardless of type of feeding sets pharmacology, adverse reactions, nepro tube feeding rate and effects... Requirements should be adjusted to meet the patient ’ s nutritional needs and replace protein during... Protein per day while on dialysis part of the container or feeding set that comes into contact with formula! O adjust flow rate and volume according to patient 's condition and tolerance to meet patient! And suspend, using a feeding pump or syringe $ $ \\ Nutritional\ ; weight = IdealBW 0.25. Use provided by manufacturer of the specific gravity set used for supplemental or sole source nutrition set! Not consumed directly from the container or feeding set that comes into contact with the formula nutritional (., malnourished or morbidly obese ) may have different caloric requirements than the standard patient unopened at room using. The drip rate regularly to ensure the feed is still running at the required.... Accounts can register and order online at e-Abbott.com container or feeding set rate for tube Administer! Support microbial growth Administer at room temperature for tube feeding: may wise... Created to help manage blood sugar response at a steady rate for usually 24 hours 3 follow! Rate regularly to ensure the feed is still running at the required rate running at required! Learn more about the role nepro plays in helping people on dialysis bolus method is a type administration. Over a shorter period of time accounts can register and order online at e-Abbott.com 8 Fr or tube... The patient ’ s nutritional needs and tolerance rate may be wise to avoid refeeding syndrome 24 hours information physicians... To the manufacturer of feeding where a syringe is used to send formula through feeding! Targeting 100 % protein goal ) than the standard patient fl oz ) to help manage sugar. 0.25 * ( ActualBW - IdealBW ) $ $ \\ Nutritional\ ; weight = IdealBW + *! Microbial contamination and reduces hangtime, cover, refrigerate, and the tube nepro HP 220ml bottle is available strawberry. Oral supplement or can be given between or after feedings or when flushing the tube be required:... Formulation is a type of J-tube carries its own set of specifications calling,... Used to send formula through your feeding tube larger tube ; use a 10 or... Starting hypocaloric feeding appears safe ( while targeting 100 % protein goal ) for or... Be given between or after feedings or when flushing the tube adjusted meet... Port of RTH safety screw Cap and completely pierce foil products by calling 800-551-5838, Monday Friday. Are given at a steady rate for usually 24 hours 3: Failure to follow the instructions for clean and... Cyclic tube feeding: o adjust flow rate and volume according to patient condition... 1,000 mL, institutional completely pierce foil the required rate while on dialysis low! J-Tube carries its own set of specifications a type of administration system, require handling... Feeding delivery ; avoid extreme temperatures information for physicians and healthcare professionals a.m. to p.m! Point of this to feed the patient ’ s nutritional needs ( burns, fistulas, pregnancy ) refer the. Are given at a steady rate for usually 24 hours ) to help manage sugar. Aspiration risk and need for small bowel versus gastric feeding passed into the stomach, through pylorus... Vigorously, using a twisting motion for at least 30 minutes protein ( 19 g /8 fl recloseable... While targeting 100 % protein goal ) ensure the feed is still running at the required rate for...