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How Does Nutrison Work? Understanding the Mechanism of Enteral Tube Feeding

3 min read

For over 50 years, the Nutrison range has supported patients with disease-related malnutrition, a complex medical condition. But how does Nutrison work to deliver complete and balanced nutrition directly into the gastrointestinal system for patients who cannot meet their nutritional needs orally?

Quick Summary

Nutrison delivers a complete, balanced formula of macronutrients, vitamins, and minerals directly into the gastrointestinal system via a feeding tube, providing total nutritional support. It is used under medical supervision to manage disease-related malnutrition.

Key Points

  • Enteral Delivery: Nutrison provides complete liquid nutrition directly to the GI tract via a tube, bypassing the oral intake process.

  • Advanced Protein Blend: Many formulas feature a P4 protein blend (whey, casein, soy, pea) for excellent tolerance and muscle support.

  • Specialized Ingredients: Formulations include tailored combinations of carbohydrates, fats (including DHA/EPA), vitamins, and minerals to meet specific needs.

  • Variety of Formulas: Nutrison offers different versions (Standard, Energy, Multi Fibre, Concentrated) to address varying energy, fibre, and fluid requirements.

  • Medical Supervision: All Nutrison products are for special medical purposes and must be used under the guidance of a healthcare professional.

  • Proper Handling: The formula must be shaken well and administered at room temperature. It should never be diluted or mixed with medications.

In This Article

The Core Mechanism of Enteral Nutrition

Unlike standard food and drink consumed orally, Nutrison is a form of enteral nutrition, which involves the delivery of a liquid formula directly into the stomach or small intestine via a feeding tube. This process is used for patients who have a functional or partially functional GI tract but are unable to ingest food by mouth due to illness, surgery, or other medical conditions. The Nutrison formula, once delivered, is absorbed and processed by the body's digestive system much like normal food, but with a highly controlled and specific composition designed for maximum efficacy and tolerability.

The Power of the P4 Protein Blend

A key feature of many Nutrison products is the P4 protein blend, a mixture of four high-quality protein sources: whey, casein, soy, and pea protein. This blend provides a complete amino acid profile, which is essential for building and repairing muscle tissue, supporting a healthy immune system, and maintaining overall body function.

  • Whey Protein: A fast-digesting protein, it supports rapid protein synthesis.
  • Casein Protein: A slow-digesting protein, it provides a sustained release of amino acids.
  • Soy Protein: A high-quality plant-based protein source.
  • Pea Protein: Another plant-based protein, adding to the diversity of the blend.

This blend is optimized for excellent gastrointestinal (GI) tolerance, a critical factor for patients who are already unwell.

Comprehensive Nutritional Components

Beyond its protein blend, Nutrison is a nutritionally complete formula, meaning it contains all the essential macro- and micronutrients a body needs.

  • Carbohydrates: Maltodextrin is the primary carbohydrate source, providing a readily available source of energy.
  • Fats: Nutrison contains vegetable oils (rapeseed, sunflower) and many formulations are enriched with fish oils providing docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA). These Omega-3 fatty acids have anti-inflammatory properties and support immune function.
  • Vitamins and Minerals: A full spectrum of essential vitamins and minerals is included to support metabolic processes and prevent deficiencies.
  • Carotenoids: Enriched with carotenoids, these antioxidants provide additional support for immune function.
  • Fibre: Some variants, like Nutrison Multi Fibre, include a patented blend of soluble and insoluble fibres to maintain normal bowel function.

How Nutrison Addresses Specific Medical Needs

Nutrison's wide range of formulations allows healthcare professionals to tailor nutritional support to specific patient requirements. This includes managing conditions like disease-related malnutrition and providing dietary support for those with increased protein or energy needs.

Nutrison Product Energy (kcal/ml) Protein (g/1000ml) Fibre Key Features Primary Indication
Standard 1.0 40 Fibre-free P4 protein blend, DHA/EPA, carotenoids Disease-related malnutrition, standard needs
Energy 1.5 60 Fibre-free Higher energy density for increased needs High energy needs
Multi Fibre Varies Varies Enriched (MF6) Aids bowel function, contains DHA/EPA Maintaining normal bowel function
Concentrated 2.0 75 Fibre-free Low volume for fluid-restricted patients Fluid restriction
Diason Varies High Enriched Formulated for blood glucose management Patients with diabetes/hyperglycaemia

Important Usage and Safety Instructions

Proper administration is critical for the safety and effectiveness of Nutrison. Always follow the specific instructions from a healthcare professional.

  1. Preparation: Shake the bottle or pack well before opening to ensure all components are evenly mixed.
  2. Temperature: Administer the formula at room temperature.
  3. Hanging Time: Adhere to the maximum hanging times to maintain sterility. For a closed system (direct attachment), this is typically up to 24 hours. For an open system, it's often reduced to 8 hours.
  4. Sterility: Handle aseptically to prevent contamination of the formula.
  5. Important Precautions: Do not dilute the formula and do not add medications directly to the container.

Conclusion: A Tailored Approach to Nutritional Support

Nutrison works by leveraging a scientific understanding of nutritional requirements and combining it with a reliable delivery method for patients unable to consume food orally. Through its diverse range of products, featuring specialized protein blends, tailored energy densities, and targeted nutrient enrichments like DHA/EPA, Nutrison effectively manages disease-related malnutrition. Its success is rooted in the provision of high-quality, easily absorbed nutrition that can be adapted to specific patient needs, always under the strict guidance of a medical professional, as the formula and administration method must be carefully selected to ensure both efficacy and safety. For more detailed information, specific product fact sheets are available from Nutricia.

Frequently Asked Questions

Nutrison is intended for the dietary management of patients with disease-related malnutrition who are unable to meet their nutritional needs through oral intake.

No, you must not dilute the Nutrison formula or add medications directly to the feed. Medications should be administered separately from the enteral feed, as instructed by your doctor.

Nutrison is not suitable for infants under 3 years of age. For children aged 3 to 6 years, it should be used with caution and careful monitoring by a healthcare professional.

Store Nutrison in a cool, dry place away from direct sunlight. Once opened, it should be stored in the refrigerator and used within 24 hours. Always shake well before use and administer at room temperature.

The P4 protein blend is a high-quality mix of whey, casein, soy, and pea proteins designed to provide a comprehensive amino acid profile and support improved gastrointestinal tolerance.

The primary difference is energy density. Standard Nutrison is typically 1 kcal/ml, while Nutrison Energy is 1.5 kcal/ml, designed for patients with higher energy needs.

Most Nutrison formulations are gluten-free and lactose-free, but it is important to check the specific product label or fact sheet as some may contain trace amounts.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.