Nepro® with CarbSteady ---- A Therapeutic Nutrition for People on Dialysis
Nepro is therapeutic nutrition specifically designed to help
meet the nutritional needs of patients on dialysis (stage 5 chronic kidney
disease). Vitamin and mineral profile designed for people on dialysis.
Nepro is clinically shown to improve the nutritional status
of dialysis patients.
Nepro is high in protein and low in potassium, phosphorus,and sodium. Excellent source of high-quality protein (19.1 g /8 fl oz) to help
meet nutritional needs and replace protein lost during dialysis. High in
calories—1.8 Cal/mL.
Nepro also has Carb Steady, a unique carbohydrate blend that
helps manage blood glucose response. A good source of fiber, including
prebiotics.
Nepro can be used as supplemental or sole-source nutrition.
Halal (certain flavors).
Kosher.
Nepro is suitable for lactose intolerance.
Feeding sets are for single-patient use only. Use clean technique to
avoid set and/or product contamination.
Nepro Precautions:
Not for people with galactosemia.
Not for IV use.
Nepro Preparation
Instructions for Nepro Use: Ready-To-Hang ContainerAll liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination.
NOTE: Failure to follow the Instructions for
Use increases the potential for microbial contamination and reduces
hangtime.
§
Pump feeding is
recommended; use an 8 Fr or larger tube. Gravity feeding not recommended.
§
Administer product at
room temperature.
§
THOROUGHLY wash hands
with soap and water before handling container or feeding set.
§
Turn container upside
down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds.
§
DO NOT touch any part of
the container or feeding set that comes into contact with the formula.
§
When initiating feeding,
follow physician's instructions. Adjust flow rate and volume according to
patient's condition and tolerance.
§
Additional fluid
requirements should be met by giving water between or after feedings or when
flushing the tube.
§
Follow Directions for
Use provided with feeding set.
Nepro Use with Enteral Feeding Pumps:
§
Remove dust cover from
RTH Safety Screw Cap.
§
Remove dust cover from
feeding set connector.
§
Insert feeding set
connector into port of RTH Safety Screw Cap and completely pierce foil.
§
Turn connector collar
clockwise until it is securely fastened.
§
Close clamp on set
before inverting container.
§
Invert container and
suspend, using hanging ring on bottom of container.
§
Follow directions for
use provided by manufacturer of feeding sets.
§
Unless a shorter hang
time is specified by the set manufacturer, hang product for up to 48 hours
after initial connection when clean technique and only one new set are used.
Otherwise hang for no more than 24 hours.
Nepro Instructions for Use: 8-fl-oz bottle or can
§
Store unopened at room
temperature; avoid extreme temperatures.
§
Shake well.
§
Clean top of can
thoroughly before opening.
§
Once opened, cover,
refrigerate and use within 48 hours.
§
May by used for total or
supplemental nutrition.
§
May be fed at room
temperature or chilled.
§
Follow your healthcare
professional's recommendations for tube feeding.
§
Pump feed at room temperature
with an 8 Fr or larger tube; gravity feeding not recommended.
§
When used as a sole
source of nutrition, additional water may be required and can be met by giving
water between or after feedings or when flushing the tube.
§
Avoid contamination
during preparation and use.
Nepro Nutrition
Nepro with Carb SteadyMixed Berry / 8-fl-oz (237-mL) can / 24 ct
|
Serving Size: 8 fl oz (237 mL)
|
||
|
Amount Per Serving
|
% DV
|
% RDI*
|
|
Characteristics
|
||
|
Nutrient
Density, Cal/mL: 1.8
|
|
|
|
Calories
per fl oz: 53.1
|
|
|
|
Protein,
% Cal: 18
|
|
|
|
Carbohydrate,
% Cal: 34
|
|
|
|
Fat,
% Cal: 48
|
|
|
|
Cal
to Meet 100% RDIs: 1700
|
|
|
|
mL
to Meet 100% RDIs: 944
|
|
|
|
Total
Cal:g Nitrogen: 139:1
|
|
|
|
Nonprotein
Cal:g Nitrogen: 121:1
|
|
|
|
Osmolality,
mOsm/kg H2O: 745
|
|
|
|
Viscosity: Nectar-Like
(Room Temperature and Chilled)
|
|
|
|
Minimum
Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
|
|
|
|
Nutrient Data
|
||
|
Protein, g: 19.1
|
|
|
|
Fat, g: 22.7
|
|
|
|
Saturated
Fat, g: 2.0
|
|
|
|
Trans
Fat, g: 0.0
|
|
|
|
Polyunsaturated
Fat, g: 4.1
|
|
|
|
Monounsaturated
Fat, g: 16
|
|
|
|
Cholesterol,
mg: 6.5
|
|
|
|
Carbohydrate, g: 37.9
|
|
|
|
Dietary
Fiber, g: 3.0
|
|
|
|
Sugars,
g: 8.4
|
|
|
|
Glycerine,
g: 2.6
|
|
|
|
L-Carnitine, mg: 63
|
|
|
|
Taurine, mg: 38
|
|
|
|
Water, g: 172
|
|
|
|
Calories: 425
|
|
|
|
Vitamins
|
||
|
Vitamin A, IU: 750
|
|
15
|
|
Vitamin D, IU: 20
|
|
5
|
|
Vitamin E, IU: 23
|
|
77
|
|
Vitamin K, mcg: 20
|
|
25
|
|
Vitamin C, mg: 25
|
|
42
|
|
Folic Acid, mcg: 250
|
|
63
|
|
Thiamin (Vitamin B1),
mg: 0.56
|
|
37
|
|
Riboflavin (Vitamin
B2), mg: 0.64
|
|
38
|
|
Vitamin B6, mg: 2.0
|
|
100
|
|
Vitamin B12, mcg: 2.3
|
|
38
|
|
Niacin, mg: 7.5
|
|
38
|
|
Choline, mg: 150
|
|
Not established
|
|
Biotin, mcg: 120
|
|
38
|
|
Pantothenic Acid, mg: 3.8
|
|
38
|
|
Minerals
|
||
|
Sodium, mg: 250
|
|
Not established
|
|
Potassium, mg: 250
|
|
Not established
|
|
Chloride, mg: 200
|
|
6
|
|
Calcium, mg: 250
|
|
25
|
|
Phosphorus, mg: 170
|
|
17
|
|
Magnesium, mg: 50
|
|
13
|
|
Iodine, mcg: 38
|
|
25
|
|
Manganese, mg: 0.50
|
|
25
|
|
Copper, mg: 0.50
|
|
25
|
|
Zinc, mg: 6.4
|
|
43
|
|
Iron, mg: 4.5
|
|
25
|
|
Selenium, mcg: 18
|
|
26
|
|
Chromium, mcg: 30
|
|
25
|
|
Molybdenum, mcg: 19
|
|
25
|
|
* RDI percentages for adults and children
4 or more years of age.
|
||
Nepro with Carb SteadyButter Pecan / 8-fl-oz (237-mL) can / 24 ct
|
Serving Size: 8 fl oz (237 mL)
|
||
|
Amount Per Serving
|
% DV
|
% RDI*
|
|
Characteristics
|
||
|
Nutrient
Density, Cal/mL: 1.8
|
|
|
|
Calories
per fl oz: 53.1
|
|
|
|
Protein,
% Cal: 18
|
|
|
|
Carbohydrate,
% Cal: 34
|
|
|
|
Fat,
% Cal: 48
|
|
|
|
Cal
to Meet 100% RDIs: 1700
|
|
|
|
mL
to Meet 100% RDIs: 944
|
|
|
|
Total
Cal:g Nitrogen: 139:1
|
|
|
|
Nonprotein
Cal:g Nitrogen: 121:1
|
|
|
|
Osmolality,
mOsm/kg H2O: 745
|
|
|
|
Viscosity: Nectar-Like
(Room Temperature and Chilled)
|
|
|
|
Minimum
Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
|
|
|
|
Nutrient Data
|
||
|
Protein, g: 19.1
|
|
|
|
Fat, g: 22.7
|
|
|
|
Saturated
Fat, g: 2.0
|
|
|
|
Trans
Fat, g: 0.0
|
|
|
|
Polyunsaturated
Fat, g: 4.1
|
|
|
|
Monounsaturated
Fat, g: 16
|
|
|
|
Cholesterol,
mg: 6.5
|
|
|
|
Carbohydrate, g: 37.9
|
|
|
|
Dietary
Fiber, g: 3.0
|
|
|
|
Sugars,
g: 8.4
|
|
|
|
Glycerine,
g: 2.6
|
|
|
|
L-Carnitine, mg: 63
|
|
|
|
Taurine, mg: 38
|
|
|
|
Water, g: 172
|
|
|
|
Calories: 425
|
|
|
|
Vitamins
|
||
|
Vitamin A, IU: 750
|
|
15
|
|
Vitamin D, IU: 20
|
|
5
|
|
Vitamin E, IU: 23
|
|
77
|
|
Vitamin K, mcg: 20
|
|
25
|
|
Vitamin C, mg: 25
|
|
42
|
|
Folic Acid, mcg: 250
|
|
63
|
|
Thiamin (Vitamin B1),
mg: 0.56
|
|
37
|
|
Riboflavin (Vitamin
B2), mg: 0.64
|
|
38
|
|
Vitamin B6, mg: 2.0
|
|
100
|
|
Vitamin B12, mcg: 2.3
|
|
38
|
|
Niacin, mg: 7.5
|
|
38
|
|
Choline, mg: 150
|
|
Not established
|
|
Biotin, mcg: 120
|
|
38
|
|
Pantothenic Acid, mg: 3.8
|
|
38
|
|
Minerals
|
||
|
Sodium, mg: 250
|
|
Not established
|
|
Potassium, mg: 250
|
|
Not established
|
|
Chloride, mg: 200
|
|
6
|
|
Calcium, mg: 250
|
|
25
|
|
Phosphorus, mg: 170
|
|
17
|
|
Magnesium, mg: 50
|
|
13
|
|
Iodine, mcg: 38
|
|
25
|
|
Manganese, mg: 0.50
|
|
25
|
|
Copper, mg: 0.50
|
|
25
|
|
Zinc, mg: 6.4
|
|
43
|
|
Iron, mg: 4.5
|
|
25
|
|
Selenium, mcg: 18
|
|
26
|
|
Chromium, mcg: 30
|
|
25
|
|
Molybdenum, mcg: 19
|
|
25
|
|
* RDI percentages for adults and children
4 or more years of age.
|
||
Nepro Homemade Vanilla
|
Serving Size: 8 fl oz (237 mL)
|
||
|
Amount Per Serving
|
% DV
|
% RDI*
|
|
Characteristics
|
||
|
Nutrient
Density, Cal/mL: 1.8
|
|
|
|
Calories
per fl oz: 53.1
|
|
|
|
Protein,
% Cal: 18
|
|
|
|
Carbohydrate,
% Cal: 34
|
|
|
|
Fat,
% Cal: 48
|
|
|
|
Cal
to Meet 100% RDIs: 1700
|
|
|
|
mL
to Meet 100% RDIs: 944
|
|
|
|
Total
Cal:g Nitrogen: 139:1
|
|
|
|
Nonprotein
Cal:g Nitrogen: 121:1
|
|
|
|
Osmolality,
mOsm/kg H2O: 745
|
|
|
|
Viscosity: Nectar-Like
(Room Temperature and Chilled)
|
|
|
|
Minimum
Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
|
|
|
|
Nutrient Data
|
||
|
Protein, g: 19.1
|
|
|
|
Fat, g: 22.7
|
|
|
|
Saturated
Fat, g: 2.0
|
|
|
|
Trans
Fat, g: 0.0
|
|
|
|
Polyunsaturated
Fat, g: 4.1
|
|
|
|
Monounsaturated
Fat, g: 16
|
|
|
|
Cholesterol,
mg: 6.5
|
|
|
|
Carbohydrate, g: 37.9
|
|
|
|
Dietary
Fiber, g: 3.0
|
|
|
|
Sugars,
g: 8.4
|
|
|
|
Glycerine,
g: 2.6
|
|
|
|
L-Carnitine, mg: 63
|
|
|
|
Taurine, mg: 38
|
|
|
|
Water, g: 172
|
|
|
|
Calories: 425
|
|
|
|
Vitamins
|
||
|
Vitamin A, IU: 750
|
|
15
|
|
Vitamin D, IU: 20
|
|
5
|
|
Vitamin E, IU: 23
|
|
77
|
|
Vitamin K, mcg: 20
|
|
25
|
|
Vitamin C, mg: 25
|
|
42
|
|
Folic Acid, mcg: 250
|
|
63
|
|
Thiamin (Vitamin B1),
mg: 0.56
|
|
37
|
|
Riboflavin (Vitamin
B2), mg: 0.64
|
|
38
|
|
Vitamin B6, mg: 2.0
|
|
100
|
|
Vitamin B12, mcg: 2.3
|
|
38
|
|
Niacin, mg: 7.5
|
|
38
|
|
Choline, mg: 150
|
|
Not established
|
|
Biotin, mcg: 120
|
|
38
|
|
Pantothenic Acid, mg: 3.8
|
|
38
|
|
Minerals
|
||
|
Sodium, mg: 250
|
|
Not established
|
|
Potassium, mg: 250
|
|
Not established
|
|
Chloride, mg: 200
|
|
6
|
|
Calcium, mg: 250
|
|
25
|
|
Phosphorus, mg: 170
|
|
17
|
|
Magnesium, mg: 50
|
|
13
|
|
Iodine, mcg: 38
|
|
25
|
|
Manganese, mg: 0.50
|
|
25
|
|
Copper, mg: 0.50
|
|
25
|
|
Zinc, mg: 6.4
|
|
43
|
|
Iron, mg: 4.5
|
|
25
|
|
Selenium, mcg: 18
|
|
26
|
|
Chromium, mcg: 30
|
|
25
|
|
Molybdenum, mcg: 19
|
|
25
|
|
* RDI percentages for adults and children
4 or more years of age.
|
||
|
Serving Size: 1.1 QT (1 L)
|
||
|
Amount Per Serving
|
% DV
|
% RDI*
|
|
Characteristics
|
||
|
Nutrient
Density, Cal/mL: 1.8
|
|
|
|
Calories
per fl oz: 53.1
|
|
|
|
Protein,
% Cal: 18
|
|
|
|
Carbohydrate,
% Cal: 34
|
|
|
|
Fat,
% Cal: 48
|
|
|
|
Cal
to Meet 100% RDIs: 1700
|
|
|
|
mL
to Meet 100% RDIs: 944
|
|
|
|
Total
Cal:g Nitrogen: 139:1
|
|
|
|
Nonprotein
Cal:g Nitrogen: 121:1
|
|
|
|
Osmolality,
mOsm/kg H2O: 745
|
|
|
|
Viscosity: Nectar-Like
(Room Temperature and Chilled)
|
|
|
|
Minimum
Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
|
|
|
|
Nutrient Data
|
||
|
Protein, g: 81.0
|
|
|
|
Fat, g: 96.0
|
|
|
|
Saturated
Fat, g: 8.4
|
|
|
|
Trans
Fat, g: 0
|
|
|
|
Polyunsaturated
Fat, g: 17.3
|
|
|
|
Monounsaturated
Fat, g: 67.5
|
|
|
|
Cholesterol,
mg: 27.4
|
|
|
|
Carbohydrate, g: 161
|
|
|
|
Dietary
Fiber, g: 12.6
|
|
|
|
Sugars,
g: 36
|
|
|
|
Glycerine,
g: 11
|
|
|
|
L-Carnitine, mg: 265
|
|
|
|
Taurine, mg: 160
|
|
|
|
Water, g: 727
|
|
|
|
Calories: 1800
|
|
|
|
Vitamins
|
||
|
Vitamin A, IU: 3180
|
|
64
|
|
Vitamin D, IU: 85
|
|
21
|
|
Vitamin E, IU: 95
|
|
315
|
|
Vitamin K, mcg: 85
|
|
105
|
|
Vitamin C, mg: 105
|
|
175
|
|
Folic Acid, mcg: 1060
|
|
265
|
|
Thiamin (Vitamin B1),
mg: 2.4
|
|
160
|
|
Riboflavin (Vitamin
B2), mg: 2.7
|
|
160
|
|
Vitamin B6, mg: 8.5
|
|
425
|
|
Vitamin B12, mcg: 9.5
|
|
160
|
|
Niacin, mg: 32
|
|
160
|
|
Choline, mg: 635
|
|
Not established
|
|
Biotin, mcg: 506
|
|
170
|
|
Pantothenic Acid, mg: 16
|
|
160
|
|
Minerals
|
||
|
Sodium, mg: 1060
|
|
Not established
|
|
Potassium, mg: 1060
|
|
Not established
|
|
Chloride, mg: 845
|
|
25
|
|
Calcium, mg: 1060
|
|
105
|
|
Phosphorus, mg: 720
|
|
72
|
|
Magnesium, mg: 210
|
|
53
|
|
Iodine, mcg: 160
|
|
105
|
|
Manganese, mg: 2.1
|
|
105
|
|
Copper, mg: 2.1
|
|
105
|
|
Zinc, mg: 27
|
|
180
|
|
Iron, mg: 19
|
|
105
|
|
Selenium, mcg: 74
|
|
105
|
|
Chromium, mcg: 125
|
|
105
|
|
Molybdenum, mcg: 79
|
|
105
|
|
* RDI percentages for adults and children
4 or more years of age.
|
||
Nepro Ingredients
Nepro Mixed Berry Ready to Drink
Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar, Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of: Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, FD&C Red #3, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, FD&C Blue #1, Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients.
Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar, Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of: Soy Lecithin, Calcium Citrate, Sodium Citrate, Potassium Citrate, Natural & Artificial Flavor, Choline Chloride, Salt, Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients.
·
Nepro with Carb Steady
Ready-to-Hang Vanilla / 1000-mL (1.1-QT) prefilled container / 8 ct
·
Nepro with Carb Steady
Homemade Vanilla / 8-fl-oz (237-mL) bottle / 24 ct
·
Nepro with Carb Steady
Homemade Vanilla / 8-fl-oz (237-mL) can / 24 ct
·
Nepro with Carb Steady
Homemade Vanilla / 8-fl-oz (237-mL) bottle / 4 x 4 ct
Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar, Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of: Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients.
|
List Number
|
Item
|
|
62092
|
Nepro with Carb Steady Mixed Berry / 8-fl-oz (237-mL) can / 24 ct
|
|
62090
|
Nepro with Carb Steady Butter Pecan / 8-fl-oz (237-mL) can / 24 ct
|
|
62669
|
Nepro with Carb Steady Ready-to-Hang Vanilla / 1000-mL (1.1-QT) prefilled container / 8 ct
|
|
62585
|
Nepro with Carb Steady Homemade Vanilla / 8-fl-oz (237-mL) bottle / 24 ct
|
|
62094
|
Nepro with Carb Steady Homemade Vanilla / 8-fl-oz (237-mL) can / 24 ct
|
|
63176
|
Nepro with Carb Steady Homemade Vanilla / 8-fl-oz (237-mL) bottle / 4 x 4 ct
|
You can buy Nepro at Primo Medical Supplies a MedicalEquipment Store located at 7515 Grissom Rd Suite 107 San Antonio Texas 78251.
You can also visit our website at www.sanantoniomedicalequipment.com.
For more information you can call the customer service at 210-519-5311.
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