Protein Hydrolysate Formula
Pediatric Elemental Diet
Indications And Clinical Uses: For feeding of infants and children with malabsorption problems which may include: disaccharidase deficiency (relative or absolute), idiopathic defects in digestion or absorption, steatorrhea, cystic fibrosis, food allergies and intestinal resection.
Precautions: Patients with lengthy episodes of diarrhea and/or receiving antibiotics may require supplemental vitamin K. In a few instances, premature infants and infants with long-standing malabsorption problems have been reported to have a metabolic acidosis when receiving a casein hydrolysate formula for an extended period of time. The etiology of this acidosis is obscure. The overall incidence is rare and can be satisfactorily controlled by giving the patient 2 to 3 mEq/kg/day of sodium bicarbonate, which may be conveniently added to the formula.
Dosage: Mix with water: normal dilution – 1 packed level measuring scoop (9 g) of powder/60 mL of water. Provides a solution supplying 84 kJ (20 kcal)/30 mL. Initial feedings should be diluted to 10 kcal/30 mL or less and gradually increased to 84 kJ (20 kcal)/30 mL over a period of 3 to 5 days.
Availability And Storage: A hypoallergenic, powdered formula containing: corn syrup solids, hydrolyzed casein, modified cornstarch, medium chain triglycerides, corn oil, high oleic safflower oil, soy oil and essential vitamins and minerals. Cans of 454 g with accompanying measuring scoop. Also available for hospitals: presterilized disposable Nursette bottles of 100 mL, energy: 84 kJ (20 kcal)/30 mL.
ENFALAC PREGESTIMIL® Mead Johnson Protein Hydrolysate Formula Pediatric Elemental Diet