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Post-Surgical Nutritional Management in Dogs and Cats
Post-Surgical Nutritional Management in Dogs and Cats
Post-Surgical Nutritional Management in Dogs and Cats
, 9th sem
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Care of the surgical patient does not end when the procedure is finished. Postoperative care of surgical patients often determines the ultimate outcome; with critical patients it may determine whether they survive.
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Patients Outcome
Preoperative Manageme nt
Surgical procedure
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Postsurgical Management
yNormalization of Homeostasis yControl of Pain yPrevention of Secondary Infection yEarly Recognition of Complications yNutritional Management
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Nutritional Management
Patient Requirement
Feeding Route
Calorie Requirements
y Basal Energy Requirement (BER)
y Animal less than 2 kg body wt.
(MER)
Associated Clinical Problems Cage Rest Postsurgical Stress Trauma or Cancer Sepsis Major Burns
Factor
1.00 1.25 1.25 1.35 1.35 1.5 1.50 1.70 1.70 2.00
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Protein Requirements
Species
Maintenance
Canine
Feline
Enteral Nutrition
Parenteral
Normal Voluntary
Hyperalimentation
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Parenteral Nutrition
y Provision of the readily utilized nutrients in their simplest form
lipids (fat) and 50% dextrose ( carbohydrate) are generally used. B-complex are added at 1-2 ml per ltr.
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and absorbed, contain essential nutrients, be readily available, inexpensive, have a long shelf life and easy to use.
y diets should be isotonic (approx. 300 mOsm/L) y Caloric density of approx. 1.0 kcal/ml y Include fiber at 1.0 to 1.5 g/100 kcal and y provide approx 16% of total calories as protein and approx
Indicated in patients with Gastrointestinal disorders crystalline amino acids for protein glucose and oligosaccharides as carbohydrate safflower oil as essential fatty acids source indicated for patients with intact digestive and absorptive function contain large molecular weight proteins, carbohydrates and fats.
B. Polymeric
y y
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y Monomeric Diets
y Vinonex HN
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A homemade diet
For dog and cat
y 1 jar baby food y 1 cooked egg y 15 ml corn oil y 15 ml corn syrup y 100 ml water
Nutrient : 1 kcal/ml
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Enteral Hyperalimentaion
y Designate supplying of the nutrients by methods like
y Nasoesophageal y Pharyngostomy y Esophagostomy y Gastrotomy y Enterostomy
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Nasoesophageal intubation
y Small bore soft polyvinyl and silastic feeding tubes y Well tolerated y Can be left for several days y Can drink and swallow around the tubes avoiding
repeated intubation.
y Liquid diet administered y Cats and Dogs < 15 kg wt. : 5 French X 91 cm
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Pharyngostomy
y Contraindicated for patients with esophageal disorders
i.e.
esophagitis,
esophageal
stricture,
recent
24 French.
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Esophagostomy
y Large bore tubes 20
24 French
placement
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Gastrotomy
y Ease of patience, patients tolerance y Large bore size y Oral feeding can commence normally y Disadvantage:
y Need for specialized instrument y General anesthesia y Waiting for 12
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Enterostomy
y Celiotomy is required for placement of these tubes y A 5French , 36 inch infant needle used y Highly digestible food materials are supplied
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y Gastrointestinal
y Vomiting y Cramping y abdominal distension y diarrhoea
y Metabolic complications
y Hyperglycaemia (major) y Hypophosphatemia y hyperkalemia
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References
y Bojrab, M. J. 1998. Current Techniques in Small Animal Surgery, 4 th
Thank You
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