Clinical Nutrition Flashcards
Why is this an emerging problem?
Aging pets
Can diet fix problems?
No just aid
Can food worsen disease?
Yes
Are indications necessarily proven to be efficacious from company claims?
No just recommendation to widen sales market!
Can food companies make medical claims? “cures this disease etc.”
No so don’t use these
What are the 3 aims of dietary management
- differentiate between actual effects and company claims
- don’t make other diseases worse
- prioritise
Are home made diets recommended?
No - difficult to balance and effort to make - poor compliance
- do not trust recipes on Internet
Problems with raw food meat diet
- high phosphorus, no calcium
Systematic approach in nutrition ?
- Ddx
- Which are amenable to dietary Tx
- Prioritise
- List nutrients of interest
- List other nutritional considerations
- Conflicts?
- Priorities?
- Find commercial diet
General values for reduced fat, reduced protein, reduced phosphorus, sodium, calories, fibre. What are these diets useful for?
- sodium 2g/100kcal (esp for large bowel colitis, constipation )
- calories
What do you look for to identify strain on the heart?
Left atrium
Priorities with CHF, CRF, hyperthyroidism
- CHF (Na restriction, can Tx with drugs that will make CRF worse)
- CRF (restrict PHOSPHORUS, protein if very azotaemic)
- hyperthyroid (already managed)
> Tx with Na and Ph restriction diet
Prioritise
- calcium oxalate with Hx of urethral obstruction (will reblock)
- now has IBD
- IBD (not necessarily an allergy, may/may not benefit from diet)
- stones (^water intake, v USG, manipulate pH though less important for oxalate)
Why are urate diets PDF obesity?
- very very low protein diet
- makes up calories with fat
Prioritise chronic colitis, DJD, obesity and potential liver disease
- colitis
- obesity and DJD
- ?liver disease (ONLY need protein restriction if neurological, ^enzymes alone does not need dietary management)
