Adult Nutrition

Key:

(D)

Prescription to be arranged in conjunction with the dietitian.

  *

Available from catering by arrangement with the dietitian only. Cannot be provided to patients on discharge, when a GP prescription should be arranged.

(D/S)

Prescription to be arranged in conjunction with the dietitian or speech therapist.

Adult

Key

Equivalent non-stock feeds

1. Enteral feeds (Standard)

   

Osmolite
(500ml - 1500ml RTH Bottle)

1kcal / ml, nutritionally complete isotonic feed suitable for general patients.

(D)

Nutrison Standard (Nutricia),

Fresubin Standard
(Fresenius)

Jevity
(500ml - 1500ml RTH Bottle)

1 kcal / ml nutritionally complete feed with added mixed fibre sources suitable for general patients, except those with bowel obstruction or malfunction.

(D)

Nutrison Multifibre (Nutricia)

Fresubin Isofibre (Fresenius)

Osmolite Plus
(500ml - 1500ml RTH Bottle)

1.2 kcal / ml nutritionally complete feed.

(D)

Nutrison Vitaplus
( Nutricia)

Jevity Plus
(500ml - 1500ml RTH Bottle)

1.2 kcal / ml nutritionally complete feed with added mixed sources of fibre.

(D)

Nutrison Vitaplus
Multifibre
(Nutricia)

 

Ensure Plus
(500ml - 1500ml RTH Bottle)

1.5 kcal / ml nutritionally complete feed for patients with increased requirements or fluid restriction.

(D)

Nutrison Energy
(Nutricia)

Fresubin Energy
(Fresenius)

 

Jevity 1.5 kcal
(500 ml RTH Bottle)

1.5 kcal / ml nutritionally complete feed with added mixed fibre sources suitable for patients with increased requirements or fluid restriction & normal bowel habits.

(D)

Nutrison Energy Multifibre
(Nutricia)

Fresubin Energy Fibre
(Fresenius)

 

Fresubin 1000 Complete (Fresenius) (1000ml Pack)

1 kcal / ml nutritionally complete feed in 1000mls

(D)

 

 

2. Enteral feeds (Special use)
Nutritionally complete formulae adapted for use in specific orders:

Nepro
( 500 ml RTH Bottles)

2kcal / ml, low electrolyte, moderate protein, low volume feed for use with renal patients on haemodialysis & peritoneal dialysis also used with Cystic Fibrosis Patients

(D)

Nutrison Concentrated (Nutricia)

Fresubin Energy HP (Fresenius)
(500ml Pack)

High energy and protein feed containing MCT fats for patients with increased metabolic requirements. Mainly used on the Burns Unit & ICU. Not suitable as a sole source of nutrition

(D)

 

Suplena
(237 ml cans)

2kcal / ml, low electrolyte, low protein and low volume feed for use with chronic renal and liver patients.

(D)

 

Two Cal HN
(237 ml cans)

2kcal / ml high protein and energy feed for catabolic patients, namely surgical patients. Occasionally used with Cystic Fibrosis and transplant patients.

(D)

 

Pulmocare
(237 ml cans, awaiting 500 ml RTH Bottles)

1.5 kcal / ml complete balanced high fat, low carbohydrate feed used mainly on ICU when weaning patients from ventilator or in patients who have compromised respiratory function.

(D)

 

Nutrison Low Sodium (Nutricia)
(1000ml Pack)

1 kcal / ml feed for the dietary management of patients requiring a sodium restricted intake (1.1 mmol Na+ per 100 ml of product).

(D)

 

Nutrison Soya (Nutricia)
(1000ml Pack)

1 kcal / ml feed for patients who are intolerant of cows milk protein.

(D)

 

Nutrison Peptisorb (Nutricia)
(500ml & 1000ml Packs)

1 kcal / ml low fat, elemental feed based on short chain peptides for the dietary management of malabsorption / maldigestion and chyle leaks.

(D)

Survimed OPD (Fresenius)

Nutrison MCT (Nutricia)
(1000ml Pack)

1 kcal / ml rich MCT feed for the dietary management of patients with fat malabsorption.

(D)

 

Peractive

1.3kcl/ml energy dense semi-elemental tube feed, suitable for patients with malabsorption

 

(D)

 

Elemental 028 Extra liquid (SHS)
(250ml cartons) or 100gr Powder sachets

Restricted for use in patients with allergies, IBD, short bowel syndrome and malabsorption.

(D)

 

 

Oxepa
(500ml)

1.5kcl/ml complete balanced highfat, low carbohydrate feed with EPA & GLA and increased Antioxidants (no equivalent)

(D)

 

3. Intravenous feeds (Special use)

   

Vamin - 9 Glucose (Kabi Pharmacia)
(500ml bottle).

Supplementary nutrition support for haemodialysis patients.

(D)

 

Intralipid 10% & 20% (Kabi Pharmacia)

Supplementary nutritional support of haemodialysis patients.

(D)

 

4. Sip feeds
For supplementary nutritional support

   

Ensure Plus (Abbott Nutrition - AN)
(220ml tetrapack)

1.5 kcal / ml, nutritionally complete milk based supplement, used in most clinical areas, including paediatrics over 1 year

(D)

Fortisip (Nutricia)

Entera (Fresenius)

Clinutren 1.5 (Nestle)

Enrich Plus (AN)
(200ml tetrapack)

1.5 kcal / ml, nutritionally complete milk based supplement with a mixture of fibre sources. To be used as 1st choice prescribable nutritional supplement. Not suitable for patients with bowel obstruction / malfunction.

(D)

Fortisip Multifibre (Nutricia)

Entera Fibre Plus (Fresenius)

 

Ensure Plus Yoghurt Style (AN)
(220ml tetrapack)

1.5kcal / ml, nutritionally complete yoghurt based supplement.

(D)

Fortifresh (Nutricia)

Enlive (AN)
(240ml tetrapack)

1.25 kcal/ml, non-milk based supplement. Not nutritionally complete and not suitable for vegetarians.

(D)

Fortijuce
 (Nutricia)

Provide Xtra
(Fresenius)

Clinutren Fruit
 (Nestle)

Calshake (Fresenius)
(7 x sachets/ box)

2 kcal / ml, low volume supplement prescribed on a named patient basis. Not nutritionally complete

(D)

Scandishake (SHS) - frequently used by CF Patients

Fortisip Protein (Nutricia)
(200ml tetrapack)

High protein, milk based supplement prescribed on a named patient basis. Not suitable as a sole source of nutrition.

(D)

 

Peptamen (Nestle)
(200ml cups)

Peptide based drinks suitable for patients with malabsorption / maldigestion.

(D)

 

Modulen IBD (Nestle)
(400g tin)

Whole protein powder feed and supplement specific for Crohn's patients. To be used as a sole source of nutrition during the acute phase of the disease.

(D)

 

Peptamen flavour sachets (Nestle)

5 various flavour sachets to be used to enhance the flavour of Peptamen drinks (Vanilla flavour) or Modulen IBD.

(D)

 

Forticreme (Nutricia)
(125g pot)

Semi-solid pudding commonly used with dysphagic patients

(D)

Formance

Clinutren pudding

 

5. Calorie supplementation (non complete)

Maxijul Super soluble Powder
(200g tin)

For use in drinks and food to enhance the calorie content. Popular with patients with renal/hepatic dysfunction

(D)

Polycal

Polycose

Vitajoule

Procal (Vitaflo)
(25x15g sachet per box)

Fat and protein containing food enricher.

(D)

 

Polycal (Nutricia)
(171 ml bottles)

For renal and liver patients requiring high calories in conjunction with a low fluid and electrolyte diet

(D)

 

Duocal Liquid (SHS)
(250 ml bottles)

Suitable as a separate calorie addition to enteral feeds or consumed orally.

(D)

 

Calogen (SHS)
(250 ml bottles)

High calorie supplement based on fat. Taken orally or syringe down a feeding tube. Available in neutral, strawberry or butterscotch flavour.

(D)

 

Liquigen (SHS)
(250 ml bottle)

High MCT fat emulsion for patients with fat malabsorption

(D)

 

Calogen (250ml bottle)
(SHS)
High calorie supplement based on fat. Suitable for all patients requiring energy supplementation. Can be added to enteral feeds or taken orally.

(D)

 

6. Special Dietary products

Gluten free products available from catering dept. in consultation with Dietetic staff

*

 

Benefibre (Novartis)
(250g)

Mixed fibre powder that can be added to food and drink. Good source for patients prone to constipation.

(D)

 

7. Thickening agents

Thick & Easy (Fresenius)
(225g can)

Starch based thickening agent for use in dysphagic patients.

(D)

Resource thicken-up (Novartis)

Nutulis (Nutricia)