Importance of Nutrition in ECC Patient

Question 1

What is the goal of nutrition

Answer 1

Provide adequate caloric and nutrient intake via GIT to prevent adverse consequences of malnutrition

Question 2

Possible causes of decreased voluntary intake in hospitalised patients (4)

Answer 2

Nausea
Pain
Anxiety
Endocrine changes may result in catabolic state

Question 3

Effects of protein catabolism (4)

Answer 3

Reduced tissue synthesis
Negative effect on immunocompetence
May lead to issue maintaining GI integrity
Drugs may not be metabolised properly

Question 4

What is the risk of a lack of GI motility

Answer 4

Bacteria from Gi tract could leak into circulation leading to sepsis

Question 5

Important factor of nutritional assessment

Answer 5

Think of each animal as individual- risk and what is normal

Question 6

Which patients are high risk on nutritional assessment (3)

Answer 6

Not consumed RER for 3-5 days
Weight loss of 10% in adults (5% in neonates)
Obese animals have low muscles (lean body) mass and will still break down protein before fat

Question 7

What is a requirement of the patient before giving any nutrition

Answer 7

Must be haemodynamically stable with minimal acid-bas and electrolyte derangements or it will not absorb the nutrition

Question 8

What is RER

Answer 8

Resting Energy Requirement
Amount of energy needed to maintain homeostasis in a thermoneutral environment
RER=70BW^0.75
RER = 30 x (body weight (kg) + 70

Question 9

3 conditions which require more than RER

Answer 9

Sepsis
Head trauma
Burns

Question 10

How much to feed if patients have prolonged anorexia, GI compromise, metabolic derangements

Answer 10

Caloric goal should be gradually increased over 3-5 days
Start at 30-50% RER goal