Indications And Clinical Uses: A high nitrogen, complete liquid tube feeding (nasogastric, nasoduodenal or jejunal) for patients with normal gastrointestinal function, when low-residue feeding is required.
Because it is slightly flavored, Isosource HN may be appropriate for oral administration in patients experiencing altered or heightened taste perceptions (e.g., individuals undergoing radiation and chemotherapy treatment).
Precautions: Not for parenteral administration.
Dosage And Administration: 1 500 mL or 7 520 kJ (6 cans) (1 800 kcal) provides at least 100% of the Canadian RNI (adult males, 25 to 49) for protein and essential vitamins and minerals. Isosource HN is ready to use and does not require dilution with water. It may be fed at room temperature or chilled.
Follow a physician’s or dietitian’s instructions for tube feedings. When initiating feeding, the flow rate, volume and dilution are dependent on patient condition and tolerance. Care should be taken to avoid contamination of this product during preparation and administration. Additional fluid requirements should be met by giving water orally with or after feedings, or when flushing the feeding tube.
Oral: For oral feeding, it may be used as a sole source of nutrition or as a supplement with and between meals for added nutritional support.
Availability And Storage: Each 250 mL ready-to-use can or 1 000 mL closed system bottle contains: ¹-D water, maltodextrin, sodium and calcium caseinates, corn syrup solids, modified coconut oil (medium chain triglycerides), canola oil, soy protein isolate, potassium citrate, calcium phosphate tribasic, soy lecithin, magnesium chloride, sodium ascorbate, sodium citrate, choline chloride, potassium chloride, molybdenum yeast, selenium yeast, carrageenan, artificial flavor, chromium yeast, niacinamide, zinc sulfate, alpha tocopheryl acetate, ferrous sulfate, D-calcium pantothenate, copper gluconate, manganese sulfate, thiamine hydrochloride, pyridoxine hydrochloride, riboflavin, vitamin A palmitate, biotin, folic acid, potassium iodide, vitamin K1, maltol, cyanocobalamin and vitamin D3.
Energy Distribution: protein 18%, fat 30%, carbohydrate 52%; 500 kJ (120 kcal)/100 mL.
Isosource HN is a high nutrient density, low-residue, essentially isotonic (330 mOsm/kg water) feeding. It provides a calorie-to-nitrogen ratio of 141:1, which is suggested as reasonable for effective protein utilization; it contains essential fatty acids and medium-chain triglycerides to facilitate rapid, effective fat absorption; it will not contribute to lactose-associated diarrhea as it is lactose-free.
Cans of 250 mL, cases of 24. Closed system bottles of 1 000 mL, cases of 6. Store unopened at room temperature. Once opened, store covered in refrigerator and use within 24 hours.
ISOSOURCE® HN Novartis Nutrition Therapeutic Nutrient