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What is Nutrison for? A Complete Guide to Its Use in Medical Nutrition

4 min read

An estimated one in 25 adults in the US experiences dysphagia, or difficulty swallowing, annually, often requiring alternative nutritional strategies. Nutrison is a line of specialized medical foods designed for enteral nutrition, providing comprehensive nourishment to patients who are unable to meet their dietary needs through oral intake.

Quick Summary

Nutrison is a brand of nutritionally complete enteral tube feeds used under medical supervision for patients unable to eat normally, addressing disease-related malnutrition, fluid restrictions, and critical illness.

Key Points

  • Purpose: Nutrison is a line of specialized medical tube feeds for patients unable to meet their nutritional needs through oral intake due to various medical conditions.

  • Indications: It is used for disease-related malnutrition, dysphagia, critical illness, inflammatory bowel disease, and post-operative recovery, among other conditions.

  • Variety: The Nutrison range includes many formulas, such as Standard, High-Protein (Protein Plus), High-Energy (Energy), and High-Density (Concentrated), each tailored to specific nutritional requirements.

  • Administration: Nutrison is administered via an enteral feeding tube under medical supervision; it should not be diluted or mixed with medications.

  • Medical Use Only: The product is a food for special medical purposes and must be used as directed by a doctor or dietitian.

  • Formula Customization: Various Nutrison formulas are available with and without added fiber, high protein content, or other specific nutrient modifications to match individual patient needs.

In This Article

What is Nutrison?

Nutrison is a family of products from Nutricia, a leading provider of medical nutrition solutions. These products are classified as food for special medical purposes and are intended for use under medical supervision. The Nutrison range provides a complete, balanced source of nutrition, delivering essential macronutrients (protein, carbohydrates, fats) and micronutrients (vitamins, minerals) directly into the gastrointestinal tract via a feeding tube. It is not for casual use but is a vital part of a treatment plan for many patients. The specific formula prescribed depends on a patient’s individual medical needs, which is why a doctor or dietitian must determine the right product.

Key Indications for Nutrison

Nutrison is prescribed for a range of conditions where a patient is unable to consume enough calories and nutrients orally. The primary indications for its use include:

  • Disease-related malnutrition: This is a key reason for using Nutrison, as many diseases can cause poor appetite or increased nutritional requirements. Nutrison provides a reliable way to manage and reverse malnutrition.
  • Dysphagia (difficulty swallowing): Patients who have trouble swallowing due to neurological conditions (like stroke), head and neck cancer, or other issues can receive safe, complete nutrition via a tube feed.
  • Critical illness: Patients in intensive care units (ICU) often have very high protein and energy needs due to metabolic stress. Specialized Nutrison formulas, like Protein Intense, are formulated to meet these demands.
  • Inflammatory bowel disease (IBD): For patients with Crohn’s disease or ulcerative colitis, enteral nutrition can help manage symptoms and aid recovery.
  • Short bowel syndrome: This condition, often a result of surgery, can impair the body's ability to absorb nutrients, making tube feeding a necessary alternative.
  • Pre-operative and post-operative support: Undernourished patients may receive Nutrison before surgery to improve their condition, and after surgery to aid recovery.
  • Fluid restriction: Certain conditions, such as kidney or heart failure, require patients to restrict their fluid intake. Nutrison Concentrated offers high energy and protein in a low-volume formula.

Different Types of Nutrison Formulas

Nutricia offers a diverse range of Nutrison formulas, each designed for specific patient needs. Some common types include:

  • Nutrison Standard: A baseline, nutritionally complete formula (typically 1 kcal/ml) for managing disease-related malnutrition.
  • Nutrison Multi Fibre: Includes a blend of soluble and insoluble fibres to promote normal bowel function.
  • Nutrison Protein Plus: A high-protein formula for patients with increased protein requirements due to metabolic stress from conditions like infection, trauma, or cancer.
  • Nutrison Protein Intense: Specifically formulated with a high protein level for critically ill patients.
  • Nutrison Concentrated: A high-calorie, low-volume option for patients with fluid restrictions, such as those with heart, liver, or kidney failure.
  • Nutrison Peptisorb: A peptide-based formula designed for patients with malabsorption or maldigestion issues, as the proteins are already broken down for easier absorption.

Nutrison Formula Comparison Table

Feature Nutrison Standard Nutrison Protein Plus Nutrison Concentrated
Energy Density 1.0 kcal/ml 1.25 kcal/ml 2.0 kcal/ml
Protein Content Standard (40g/1000ml) High (63g/1000ml) Normal in low volume (75g/1000ml)
Fibre Fibre-free Fibre-free Fibre-free
Best For General disease-related malnutrition Patients with high protein needs due to metabolic stress Patients with fluid restrictions
DHA/EPA Enriched Yes Yes No

How is Nutrison Administered?

Nutrison is administered via a feeding tube, a process known as enteral feeding. This tube can be placed through the nose into the stomach (nasogastric) for short-term use, or directly into the stomach or small intestine for longer-term feeding. The administration process involves specific steps to ensure safety and effectiveness:

  1. Preparation: Always check the bottle for any abnormalities and shake well before use. The formula should be administered at room temperature.
  2. Connection: The Nutrison bottle or pack can be connected directly to a feeding tube set, maintaining a sterile, closed system.
  3. Hanging Time: A closed system can typically hang for up to 24 hours. Once opened, it should be used within 8 hours or stored in the refrigerator for up to 24 hours.
  4. No Dilution: It is crucial not to dilute the formula or add medications to it, as this can affect its nutritional balance and potentially cause complications.
  5. Monitoring: Usage should always be determined and monitored by a healthcare professional, such as a doctor or dietitian, to ensure it meets the patient's specific nutritional needs.

Conclusion

Nutrison is a critical tool in clinical nutritional support, providing a wide range of specialized enteral formulas for patients who cannot receive adequate oral nutrition. From managing disease-related malnutrition and addressing dysphagia to supporting critically ill patients and those with specific metabolic needs, the diverse Nutrison range ensures targeted and complete nutrition. Its use is strictly under medical supervision to ensure the right formula is chosen for the right medical condition, maximizing its benefits and minimizing risks. Proper administration is key to its effectiveness, delivering life-saving nourishment directly to those who need it most. For specific advice, always consult with a qualified healthcare professional, as they are best equipped to determine the most suitable Nutrison product for an individual's unique situation.

The Need for Enteral Nutrition

For individuals with severe gastrointestinal dysfunction, such as those with malabsorption, specific formulas are needed. These semi-elemental formulas, like Nutrison Peptisorb, have broken-down proteins that are easier for the body to digest and absorb, which is crucial for patients with compromised digestive function. In addition, enteral nutrition is sometimes used in conjunction with other nutritional therapies to improve outcomes in high-risk patients.

Frequently Asked Questions

Nutrison is for patients who cannot meet their nutritional needs orally, including those with disease-related malnutrition, difficulty swallowing (dysphagia), certain gastrointestinal disorders, and individuals in critical care.

While Nutrison is primarily for tube feeding, some formulations might be used for oral supplementation, but it's essential to consult a healthcare professional. It is usually intended for enteral (tube) use only.

No, you must not add medications directly to the Nutrison formula. This is to avoid interactions that could affect the formula's integrity or the medication's effectiveness.

Once a bottle is connected to a feeding set in a sterile, closed system, it can hang for up to 24 hours. For opened bottles used as an open system, the maximum hanging time is 8 hours.

The Nutrison range includes formulas with and without fiber. Formulas like Nutrison Multi Fibre contain a blend of fiber, while others like Nutrison Standard are fibre-free.

No, Nutrison is not suitable for infants under one year of age and should be used with caution in children aged one to six years under medical supervision.

Nutrison Concentrated is a high-energy, low-volume tube feed for patients with disease-related malnutrition who also require fluid restriction, such as those with heart, liver, or kidney problems.

Nutrison offers a broad range of specialized formulas catering to specific conditions, from basic nutritional support (Standard) to high-protein options for critically ill patients (Protein Intense) or peptide-based feeds for malabsorption (Peptisorb).

References

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Medical Disclaimer

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