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Elemental 028 Extra Powder Unflavoured

Elemental 028 Extra Powder is a Food for Special Medical Purposes for use under medical supervision. Elemental 028 Extra Powder is a nutritionally complete amino acid-based powder, designed to provide complete nutritional support or a dietary supplementation for the dietary management of conditions where there is severe impairment of the GI tract. Suitable for children from 1 year of age through to adulthood. Suitable for use as a sole source of nutrition from 5 years of age. Suitable as a supplement for children over 1 year of age. Available in 100g sachets in three flavours: unflavoured, banana and orange.

Features

• 0.85kcal/ml (20% w/v concentration)
• 35% MCT’s
• Arginine & Glutamine
• Milk protein-free
•2.5g protein equivalent per 100ml (20% w/v)
• Contains essential and non-essential amino acids, carbohydrate, fat, vitamins, minerals and trace elements
• Individual 100g serve sachets
• Available in Banana, unflavoured, Orange flavour

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  • Ingredients
  • Indications
  • Contraindications
  • Precautions
  • Directions For Use
  • Storage
  • Shelf Life
Ingredients (Unflavoured*)

Dried glucose syrup, refined vegetable oils (medium-chain triglycerides palm kernel and/or coconut oil), canola oil, hybrid safflower oil), L-lysine L-aspartate, L-glutamine, L-leucine, L-phenylalanine, L-arginine, trisodium citrate, L-proline, calcium phosphate dibasic, L-valine, glycine, L-isoleucine, L-threonine, N-acetyl L-methionine, L-histidine, emulsifiers (E471, E472(e)), L-serine, tripotassium citrate, L-alanine, magnesium acetate, potassium chloride, L-tryptophan, choline bitartrate, dipotassium hydrogen phosphate, L-tyrosine, sodium chloride, calcium chloride, L-cystine, taurine, L-ascorbic acid, stabiliser (E405), L-carnitine, ferrous sulphate, zinc sulphate, DL-a-tocopheryl acetate, M-inositol, nicotinamide, calcium D-pantothenate, manganese sulphate, copper sulphate, pyridoxine hydrochloride, thiamin hydrochloride, riboflavin, vitamin A acetate, folic acid, sodium molybdate, chromium chloride, potassium iodide, sodium selenite, vitamin K1, D-biotin, vitamin D3, cyanocobalamin.

*Unflavoured. For all other flavours please see individual packaging.

ELEMENTAL 028 EXTRA POWDER UNFLAVOURED IS MILK PROTEIN, GLUTEN AND LACTOSE-FREE.

Indications

For enteral use only. ACBS approved, prescribable on form FP10 (GP10 in Scotland) for the following indications: short bowel syndrome; intractable malabsorption; patients with proven inflammatory bowel disease; bowel fistulae.

Contraindications

Not suitable for infants under 1 year of age

Precautions

Use with caution for young children up to five years of age. Must only be used under strict medical supervision.

Directions for use

The recommended intake should be determined by a clinician or a dietitian only and is dependent on the age, body weight and medical condition of the patient. The standard recommended feed concentration is 20% w/v (100g powder made up with water to a final volume of 500ml, 0.89kcal/ml). For osmotically sensitive patients, an initial dilution of 13.3% w/v (67g powder made up with water to a final volume of 500ml, 0.59kcal/ ml) is recommended. These dilutions are guidelines only. Elemental 028 Extra Powder can be taken as a more concentrated drink but additional water or diluted drinks must be taken immediately after. To achieve a 1kcal/ml drink, a 22.6% w/v concentration is required (100g powder made up with water to a final volume of 443ml).

Preparation
  1. Wash hands, use clean equipment to prepare
  2. Weigh out the prescribed amount of Elemental 028 Extra
  3. Add a small amount of the prescribed Stir with a fork until a smooth paste is obtained. Continue stirring whilst adding the rest of the prescribed amount of water.
  4. Once reconstituted, store in a refrigerator and use within 24 Shake or stir immediately before use.

If given orally, Elemental 028 Extra Powder is best given as a chilled drink. The unflavoured version may be flavoured with Nutricia Flavour Sachets, Modjul flavours or other appropriate flavourings.

Storage

Store in a cool, dry place (5-25°C). Once opened, a sachet should be stored in an airtight container and used within two to three days.

Shelf Life

24 months. Best before date: see side of box.

AVERAGE CONTENTS*UNITper 100g powderper 100ml†
Energy:kcal44389
kJ1871374
Protein:g12.52.5
amino acidsg153
% of total energy%1111
Carbohydrate:g5912
sugarsg5.31.1
% of total energy%5353
Fat:g17.53.5
saturatesg6.71.3
monounsaturatesg7.41.5
polyunsaturatesg2.40.5
% LCT%6565
% MCT%3535
% of total energy%3636
Dietary fibre:gnil addednil added
Minerals:
sodiummg (mmol)305 (13.3)61 (2.7)
potassiummg (mmol)466 (11.9)93 (2.4)
chloridemg (mmol)333 (9.4)67 (1.9)
calciummg (mmol)245 (6.1)49 (1.2)
phosphorusmg (mmol)200 (6.5)40 (1.3)
magnesiummg (mmol)82 (3.4)16 (0.7)
ironmg4.20.84
zincmg4.20.84
coppermg0.40.08
manganesemg0.60.12
molybdenumμg336.7
seleniumμg153.0
chromiumμg153.0
iodineμg336.7
Vitamins:
vitamin Aμg33066
vitamin Dμg2.50.5
vitamin Emg (-TE)6.11.2
vitamin Kμg255
thiaminmg0.60.12
riboflavinmg0.60.12
niacinmg (mg NE)4.2 (9.0)0.84 (1.8)
pantothenic acidmg2.00.4
vitamin B6mg0.80.16
folic acidμg8317
vitamin B12μg1.70.34
biotinμg183.6
vitamin Cmg285.7
Others:
cholinemg9218
inositolmg9.21.8
taurinemg306
L-carnitinemg204
osmolality†mOsmol/kgH2O502502
† At the concentration of 20% w/v