Endonutrition

Martnez Montes de Oca Jessica.

Reyes del Angel Naime
14138

Disease: Renal (dialysis)

Physiopathology:

Nutritional Supplement: NEPRO Nepro:

Description: Special formula full hypercaloric with low electrolyte content Indications: - Diets for patients on peritoneal dialysis /
Nutritional profile Proteins: 14% Carbohydrates: 43% Fats: 43% Characteristics hemodialysis.
Caloric density: 2 kcal / ml. Non-protein kcal ratio / g of Nitrogen: 157/1 Osmolarity:
446 mOsm / l. Prebiotics (FOS) 15.6 g / l. Kidney load solutes: 491 mOsm / l. 100%
RDA for vitamins and minerals in 1900 kcal Free of lactose and gluten. (Not
suitable for galactosemic) Enriched in calcium, Ac. Folic and Pyridoxine Low
contribution of Phosphorus, Potassium and Magnesium
 Endonutrition
Martnez Montes de Oca Jessica.
Reyes del Angel Naime
14138

Disease: Renal (conservative predialisis)

Physiopathology:

Nutritional Supplement: SUPLENA Suplena:

Description Complete special formula hypercaloric and hypoproteic Nutritional Indications: - Diets for patients with renal
profile Proteins: 6% Carbohydrates: 51% Fats: 43% Characteristics Caloric insufficiency in predialysis.
density: 2 kcal / ml. Kcal ratio of protein / g of Nitrogen: 400/1 Osmolarity: 427
mOsm / l. Kidney load solutes: 260 mOsm / l. 100% RDA for vitamins and
minerals in 1900 kcal Free of lactose and gluten. (Not suitable for
galactosemic) Enriched in calcium, Ac. Folic and Pyridoxine Low contribution
of Phosphorus, Potassium and Magnesium
 Endonutrition
Martnez Montes de Oca Jessica.
Reyes del Angel Naime
14138

Disease: Chronic liver disease

Physiopathology:
1.-Reduction of protein calorie intake secondary to anorexia.
2.-disorders in the digestion and absorption of nutrients of multifactorial cause.
3.- defects in the metabolism of amino acids and carbohydrates.
4.- Gastritis due to alcoholic intake.
5.- Decrease in the hepatic total pool of bile acids
6.- Pancreatic insufficiency secondary to chronic pancreatitis.

Nutritional Supplement: Enterex HP

Enterex HP
Supplement of amino acids and calories recommended for the nutritional
management of patients with chronic liver disease. INDICATIONS:
In steato alcoholic hepatitis or fatty liver. In liver cirrhosis. In
CHARACTERISTICS transplant and surgery, pre and post-operative. Use formulas
Enterex HPT is a well-tolerated source of high-input AACR proteins, low in AAA that are enriched with AACR in patients with hepatic
and methionine (ratio AACR * vs AAA ** = 33: 1), allowing an adequate Nitrogen encephalopathy during enteral nutrition.
(NB) balance without exacerbating the patient's clinical condition. It provides Route of Administration: Oral or by tube. Not for parenteral use.
arginine, helping to reduce plasma levels of ammonium. Excellent fat source
(MCT / LCT) for better absorption and convenience in case of malabsorption.
Carbohydrates 100% maltodextrin, WITHOUT SUGAR, nor simple
carbohydrates, facilitating glycemic control. Sweetened with sucralose, It does
not contain aspartame (free of phenylalanine) allowing lower AAA ** and better
tolerance. Free of electrolytes, facilitating the handling of restrictions and
individual adjustments. Balanced caloric intake, suitable for each one of the
nutrients, according to the patient's tolerance.
* AACR = Branched Chain Amino Acids. ** AAA = Aromatic Amino Acids
 Endonutrition
Martnez Montes de Oca Jessica.
Reyes del Angel Naime
14138

Disease: Cancer

Physiopathology:
Nausea and vomiting can be caused by chemotherapy or from radiation therapy to the stomach, abdomen, or brain. Being nauseated or vomiting because of cancer
treatment can make it difficult for a person to eat and drink.
Anorexia contributes greatly to physical and psychological exhaustion. To know the physiopathological process of tumor anorexia, it is necessary to remember the
functioning of the process of
food intake and the feeling of hunger that is related to hypothalamic hormones

Nutritional Supplement: Prosure

Description Prosure
Special high-calorie complete formula with high content Indications: - Anorexia - Pre-post surgical - Cachexia -
in fat Nutritional profile Recommended oral dose: 240 ml / 2 times a day / 2
Proteins: 16.5% months
Carbohydrates: 28%
Fat: 55.5%
characteristics
Caloric density: 1.51 kcal / ml.
Non-protein kcal ratio / g of Nitrogen: 129/1
Osmolarity: 383 mOsm / l.
100% RDA for vitamins and minerals in 1512 kcal
Free of lactose and gluten. (Not suitable for galactosemic)
Ratio w-6 / w-3: 3.7
Enriched with antioxidants
 Endonutrition
Martnez Montes de Oca Jessica.
Reyes del Angel Naime
14138

Disease: Pancreatitis
Physiopathology:
Chronic pancreatitis leads to a fibrosis of the gland with progressive destruction of endocrine and exocrine tissue. It develops with persistent abdominal pain that can
cause anorexia, weight loss and later digestive intolerance due to enzymatic deficits and malabsorption with deficiency of vitamins and trace elements. The
abandonment of the ethyl habit and the control of pain are a fundamental part of the treatment. The use of oral pancreatic enzymes, adequate dietary / nutritional
support and supplementation of micronutrient deficits can change the course of the disease and improve the clinical prognosis

Nutrition: Nutritional Supplement:

In severely ill patients, neither hypercaloric nor isocaloric
nutritional support can prevent protein catabolism.
In contrast, both enhance the metabolic burden as
measured by energy expenditure, thermogenesis, urea
production rate, glucose and lactate levels (36, 74). A
hypocaloric energy supply of B1520 kcal/kg/day is
therefore more suitable during the early catabolic stage
of non-surgical patients with MOF (74). The goal of
1.21.5 g/kg/day of protein intake is optimal for most
patients with acute pancreatitis.
Vital 1.5kcal
Vital 1.5kcal is suitable for people with disease-related malnutrition and malabsorption
or for those who experience symptoms of poor feed tolerance. Vital 1.5kcal is a
peptide-based* feed that is available both as a 200ml oral nutritional supplement, and
as a 1000ml Ready to Hang tube feed, both of which attach directly to Abbott giving
sets.
Perative
is a 1.3kcal/ml, peptide-based* tube feed for the dietary management of people with
malabsorption or who experience symptoms of poor feed tolerance. Perative is
available in 500ml and 1000ml Ready to Hang bottles, which attach directly to
Abbott giving sets.
*Peptides are partially broken down proteins, which makes them easier to digest
and absorb in the gut than whole proteins.

Disease: Burned
Physiopathology:
Nutritional support should be made in cases that are possible through the digestive tract. This is not possible in all cases, since ileus, predominantly gastric and colic is
usually present, at least during the first 24-72 hours after thermal aggression, so that the use of the digestive tract may be delayed until after the normality of the
digestive transit has recovered
Nutrition:
Nutritional support is an essential therapeutic tool in the management of patients
with severe burns. As previously mentioned, hypermetabolism and
hypercatabolism preside over the metabolic changes characteristic of severe
burns. In these patients, the establishment of early nutritional support is
beneficial, attenuating catabolism (optimal nutritional management can reduce
protein losses by up to 50%) and improving immune function and survival.
During the precocious phase the objective of the nutritional support is to
minimize the net protein losses; During the period of convalescence maximize
protein synthesis.
Endonutrition
Martnez Montes de Oca Jessica.
Reyes del Angel Naime
14138
Nutritional Supplement: PROMOD LIQUID PROTEIN
is a great-tasting medical food that provides a concentrated source of protein for
people with increased protein needs. Indications include
wounds, protein-energy malnutrition (PEM), involuntary
weight loss (IWL), pre- and post-surgery, anorexia, stress,
trauma, cancer and burns. Use orally or with tube feeding.
Collagen protein hydrolysate has been clinically shown to
help improve pressure ulcer healing.1 PROMOD LIQUID
PROTEIN can be given to people with diabetes: One 1-oz
serving = 1 starch + 1 very-lean meat exchange. Use under
medical supervision.