Enfamil® Enfalyte® 2 and 6 fl oz Nursette® Bottles

Fruit-flavored, oral electrolyte maintenance solution.

Last Updated: Sunday, January 7, 2018 - 19:00

Description/Indication:

Enfamil Enfalyte is an oral electrolyte solution designed for infants and children to quickly replace electrolytes and water that may be lost during vomiting and diarrhea to help restore hydration.

Product Features:

  • Formulated with an optimal balance of carbohydrates, from corn syrup solids, to promote fluid and electrolyte absorption one might lose from vomiting and diarrhea
  • Ready to use; no mixing or dilution required
  • Available in unflavored and cherry flavor that is made with natural fruit flavor
  • Balanced levels of electrolytes not found in soft drinks and juices
  • Low osmolality (160 mOsm/kg water)
  • Suitable for someone with lactose intolerance
  • Kosher (Pareve ingredients; manufactured on dairy equipment)
  • Produc Forms

      Enfamil Enfalyte is available in ready-to-use 2 fl oz and 6 fl oz Nursette® bottles.

      When using this information, please note the following:

      Coding systems and reimbursement allowable rates vary by payer:

      • Medicare Part B uses HCPCS (Healthcare Common Procedure Coding System) to group products
      • Medicaid systems vary by state; some use HCPCS while others use NDC format code or systems of their own—contact your state provider for more information
      • Private health insurance and managed care companies may use HCPCS, NDC format code or their own system—contact your provider for more information

    • Product: Enfamil® Enfalyte®—Unflavored
      Item #: 167101
      Description: RTU
      Unit Size: 2 fl oz bottle
      Calories/Unit: 7.4
      Product Yield/Unit (fl oz): 2
      Case: 48 bottles per case
      HCPCS Code: N/A
      NDC Format Code: 00087-5115-03
    • Product: Enfamil Enfalyte—Cherry Flavor
      Item #: 167503
      Description: RTU
      Unit Size: 6 fl oz bottle
      Calories/Unit: 22
      Product Yield/Unit (fl oz): 6
      Case: 24 bottles per case
      HCPCS Code: N/A
      NDC Format Code: 00087-5121-58
  • Composition
    • Ingredients: Ready To Use Unflavored (2 fl oz Nursette): Water, corn syrup solids, salt (sodium chloride), potassium citrate, sodium citrate, citric acid.

      Ingredients: Ready To Use Cherry Flavor (6 fl oz Nursette): Water, corn syrup solids, salt (sodium chloride), potassium citrate, natural flavor, sodium citrate, citric acid.

      COMPOSITION
      mEq Per 100 mLmmole Per 100 mL
      Sodium55
      Chloride4.54.5
      Citrate3.31.1
      Potassium2.52.5
      Corn Syrup Solids3 g3 g
      Calories12.6 Calories per 100 mL/3.7 Calories per fl oz12.6 Calories per 100 mL/3.7 Calories per fl oz

      NOTE: Enfamil Enfalyte Oral Electrolyte Solution has an osmolality of approximately 160 mOsm/kg of water.

  • Administration
    • Young children or those with other underlying conditions, febrile children, children with dysentery (blood or mucus in stools), significant diarrhea or persistent vomiting, and a caregiver’s report of signs and symptoms of dehydration or a change in mental status should have a medical evaluation to check for other serious conditions presenting with diarrhea, and to rule out conditions where oral rehydration would be contraindicated.

      For Infants and Young Children: In 2004, the American Academy of Pediatrics (AAP) endorsed1 the Centers for Disease Control and Prevention’s report2 that children and nursing infants who have diarrhea and who are not dehydrated should continue to be fed age-appropriate diets. The dietary management of dehydration in children weighing less than 10 kg (22 pounds) with minimal dehydration includes replacement of ongoing losses with 2–4 fl oz of oral rehydration fluids for each watery stool or for each episode of vomiting; larger children should be given twice as much. The dietary management of children with mild or moderate dehydration should include replacement of their estimated fluid deficit within 2–4 hours using 50–100 mL per kilogram of weight, in addition to replacement for ongoing losses. Physicians should guide parents on appropriate intakes based on the weight, rate of fluid loss and clinical status of the infant.

      Nursing infants should continue nursing on demand. Formula-fed infants who require rehydration should be fed age-appropriate diets as soon as they have been rehydrated. Lactose-free diets are rarely necessary following diarrhea.

      For Older Children and Adults: Enfamil® Enfalyte® is recommended for all ages of children and adults. Older children and adults should continue their normal diet during episodes of diarrhea.

      Intake should be adjusted on the basis of clinical indications, amount of fluid loss, patients’ usual water intake and other relevant factors.

      Enfamil Enfalyte in Conjunction with Other Fluids: When severe fluid losses or accumulated deficits require parenteral fluid therapy, Enfamil Enfalyte may be given orally while the infant, child or adult is also receiving parenteral therapy to supply part of the estimated fluid needs. Careful attention must be paid to the amount of Enfamil Enfalyte consumed as it contributes to the total fluid intake. After emergency needs have been met, Enfamil Enfalyte alone (orally) may be used. Once the patient can tolerate regular foods, they may be introduced and the amount of Enfamil Enfalyte correspondingly decreased.

      WARNING: Do not mix with infant formula, milk, fruit juices or other electrolyte-containing liquids. Not for parenteral (I.V.) use.

      CAUTION: This product should be used only as directed by the baby’s doctor. If vomiting or fever is present, or diarrhea continues beyond 24 hours, consult the baby’s doctor.

  • Preparation of Feedings
    • Nursette<sup>®</sup> Bottles

      The baby’s health depends on carefully following the instructions below. Use only as directed by a medical professional. Proper hygiene, preparation, dilution, use and storage are important when preparing infant formula. Discuss with parents which formula is appropriate for the baby.

      2 & 6 fl oz Nursette® Bottles – Unflavored and Cherry Flavor

      1. Inspect each bottle for signs of damage.
      2. Wash hands thoroughly with soap and water before preparing bottle for feeding.
      3. Remove cap.
      4. Attach nipple unit (not included).

      WARNING: Do not use a microwave oven to warm solution. Serious burns may result.

      Upon opening, either feed immediately or replace cap and store in refrigerator at 35–40°F (2–4°C) for no longer than 24 hours. Do not freeze. After feeding begins, use within 1 hour or discard.

      WARNING: Do not mix with infant formula, milk, fruit juices or other electrolyte containing liquids.

      Not for parenteral (I.V.) use.

      This product should be used only as directed by your baby’s doctor. If vomiting or fever is present, or diarrhea continues beyond 24 hours, consult your baby’s doctor.

  • References
      1. American Academy of Pediatrics. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. Pediatrics. 2004;114:507.
      2. King CK, Glass R, Bresee JS, et al. for the Centers for Disease Control and Prevention. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003;52(RR-16):1-16.
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