Nepro® with Carb Steady®

Nepro® with Carb Steady®


Therapeutic Nutrition for People on Dialysis
  • NEPRO WITH CARBSTEADY® is therapeutic nutrition specifically designed to help meet the nutritional needs of patients on dialysis (Stage 5 chronic kidney disease).
  • For tube or oral feeding.
  • For supplemental or sole-source nutrition.
  • Use under medical supervision.

Features
  • In a study of NEPRO as supplemental nutrition1, patients on dialysis had increased serum albumin, increased serum prealbumin and improved nutritional status (as signified by SGA).
  • Has Carb Steady® carbohydrate blend designed to help manage blood glucose response.
  • Excellent source of high-quality protein (19.1 g /8 fl oz) to help meet nutritional needs and replace protein lost during dialysis.
  • Vitamin and mineral profile designed for people on dialysis.
  • High in calories—1.8 Cal/mL.
  • Low in phosphorus, potassium, and sodium.
  • A good source of fiber, including prebiotics.
  • Halal (certain flavors).
  • Kosher.
  • Gluten-free.
  • Suitable for lactose intolerance.
Feeding sets are for single-patient use only. Use clean technique to avoid set and/or product contamination

Precautions

  • Not for IV use.
  • Not for people with galactosemia.
1 Caglar K, et al. Kidney Int 2002;62(3):1054-1059.
back to top

Availability
List Number Item
62092 Nepro with Carb Steady Ready-to-Drink Mixed Berry / 8-fl-oz (237-mL) Can / 24 ct
62090 Nepro with Carb Steady Ready-to-Drink Butter Pecan / 8-fl-oz (237-mL) Can / 24 ct
53633 Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Bottle / 6 x 4 ct
62094 Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Can / 24 ct
62669 Nepro with Carb Steady Ready-to-Hang Vanilla / 1000-mL (1.1-QT) Bottle / 8 ct
63176 Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Bottle / 4 x 4 ct

Nutrition

Mixed Berry Ready to Drink


  • Nepro with Carb Steady Ready-to-Drink Mixed 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: 18.0    
Carbohydrate, % Cal: 34.0    
Fat, % Cal: 48.0    
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  
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  
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.


Butter Pecan Ready to Drink


  • Nepro with Carb Steady Ready-to-Drink Butter 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: 18.0    
Carbohydrate, % Cal: 34.0    
Fat, % Cal: 48.0    
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  
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  
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.


Homemade Vanilla 


  • Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Bottle / 6 x 4 ct
  • Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Can / 24 ct
  • Nepro with Carb Steady Ready-to-Hang Vanilla / 1000-mL (1.1-QT) Bottle / 8 ct
  • Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Bottle / 4 x 4 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: 18.0    
Carbohydrate, % Cal: 34.0    
Fat, % Cal: 48.0    
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  
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  
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 L

Amount Per Serving % DV % RDI
Characteristics
Nutrient Density, Cal/mL: 1.8    
Calories per fl oz: 53.1    
Protein, % Cal: 18.0    
Carbohydrate, % Cal: 34.0    
Fat, % Cal: 48.0    
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 


back to top

Ingredients

Mixed Berry Ready to Drink


  • Nepro with Carb Steady Ready-to-Drink Mixed Berry / 8-fl-oz (237-mL) Can / 24 ct

Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar (Sucrose), Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of the Following: Soy Lecithin, Natural & Artificial Flavors, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt (Sodium Chloride), 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.

Butter Pecan Ready to Drink


  • Nepro with Carb Steady Ready-to-Drink Butter Pecan / 8-fl-oz (237-mL) Can / 24 ct

Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar (Sucrose), Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of the Following: Soy Lecithin, Calcium Citrate, Sodium Citrate, Potassium Citrate, Artificial Flavors, Choline Chloride, Salt (Sodium Chloride), 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.

Homemade Vanilla 


  • Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Bottle / 6 x 4 ct
  • Nepro with Carb Steady Ready-to-Drink Homemade Vanilla / 8-fl-oz (237-mL) Can / 24 ct
  • Nepro with Carb Steady Ready-to-Hang Vanilla / 1000-mL (1.1-QT) Bottle / 8 ct
  • Nepro with Carb Steady Ready-to-Drink 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 (Sucrose), Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of the Following: Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt (Sodium Chloride), 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.
back to top

Preparation

  • Instructions for Use: Ready-To-Hang Container

    All 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.

    For 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.

  • 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.

    Oral Feeding:
    • May by used for total or supplemental nutrition.
    • May be fed at room temperature or chilled.

    Tube Feeding:
    • 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.



back to top
 

Nutrition Product Guides

Download product information pages
 

EAS Toolkit

Health Professional Material
Locate a Sales Rep
Patient Education Materials
 


Related Products