Canis ISSN: 2398-2942

Therapeutics: nutrition

Contributor(s): Alison Jones, Lauren Trepanier

Parenteral nutrition

*Indicates product not licensed for this use in this species.
  • Nutritionally adequate substitute Dietetic diet: for convalescence where oral intake not possible, insufficient or contra-indicated over long period.
  • Enteral nutrition (eg via naso-esophageal, esophagotomy, or gastrotomy tube) always preferable whenever possible. Enteral nutrition reduces the risk of gut mucosal trophy and bacterial translocation.
  • Based on high concentrations of glucose or lipid emulsions for calories, soya or casein protein hydrolysates or amino acids for protein source.
  • Provide daily energy requirements as 60% carbohydrate, 40% lipids; increase calorie requirement by 50% in ill or trauma pateints.
  • Give only IV via central veins.
  • Daily calorie requirements:
    • Basal energy requirement (kcal/day) = 30 x bodyweight (kg) + 70.
  • Partial parenteral nutrition (only meeting past of total daily caloric needs) can be provided with IV amino acids or IV lipid emulsions; peripheral vein can be used.

Minerals

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Vitamins

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Clinical Diets

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Further Reading

Publications

Refereed papers


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