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Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Chapter 12Chapter 12
Small Animal NutritionSmall Animal Nutrition
Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 2
Learning ObjectivesLearning Objectives
List the energy-producing and non-energy-List the energy-producing and non-energy-producing components of foodproducing components of food
List the classes of carbohydrates and List the classes of carbohydrates and describe the catabolism of carbohydratesdescribe the catabolism of carbohydrates
Differentiate between lipids and fats and Differentiate between lipids and fats and describe the general structure of triglyceridesdescribe the general structure of triglycerides
Describe the structure and functions of Describe the structure and functions of proteinsproteins
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Learning ObjectivesLearning Objectives
Differentiate between essential and Differentiate between essential and nonessential amino acidsnonessential amino acids
Explain the importance of water in metabolic Explain the importance of water in metabolic reactionsreactions
Differentiate between microminerals and Differentiate between microminerals and macrominerals and give examples of eachmacrominerals and give examples of each
List the fat- and water-soluble vitamins and List the fat- and water-soluble vitamins and explain the importance of vitamins in explain the importance of vitamins in metabolismmetabolism
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Learning ObjectivesLearning Objectives
Define the following terms: nutrient, Define the following terms: nutrient, ingredient, formula, nutrient profile, calorie, ingredient, formula, nutrient profile, calorie, and kilocalorieand kilocalorie
Differentiate between dry, semimoist, and Differentiate between dry, semimoist, and moist food and describe the characteristics of moist food and describe the characteristics of eacheach
Describe considerations in evaluating home-Describe considerations in evaluating home-prepared dietsprepared diets
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Learning ObjectivesLearning Objectives
List the legal requirements of pet food labels and List the legal requirements of pet food labels and considerations in evaluating pet food label considerations in evaluating pet food label informationinformation
Describe the components of a nutritional Describe the components of a nutritional assessment for dogs and catsassessment for dogs and cats
List special considerations in feeding adult, List special considerations in feeding adult, pediatric, geriatric, pregnant, lactating, injured, and pediatric, geriatric, pregnant, lactating, injured, and ill dogs and catsill dogs and cats
List and describe routes and procedures for List and describe routes and procedures for providing nutritional support to hospitalized providing nutritional support to hospitalized patientspatients
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Nutrient Terms Nutrient Terms
NutrientNutrient Energy and metabolic substrate classified as Energy and metabolic substrate classified as
essential or nonessentialessential or nonessential IngredientIngredient
Raw material used in food compoundingRaw material used in food compounding FormulaFormula
Ingredient portions for a particular diet typeIngredient portions for a particular diet type Nutrient profileNutrient profile
Quantitative distribution of individual nutrients Quantitative distribution of individual nutrients within finished formulawithin finished formula
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Nutrient TermsNutrient Terms
Nutritional valueNutritional value Cannot be identified solely on an ingredient statementCannot be identified solely on an ingredient statement
Analysis of a particular foodAnalysis of a particular food Can only give an indication of nutrient content and Can only give an indication of nutrient content and
availability of a particular nutrientavailability of a particular nutrient Nutritional valueNutritional value
Based on the Based on the absorptiveabsorptive capability of a nutrient capability of a nutrient Based on availabilityBased on availability
Digestibility of a foodDigestibility of a food A measure of biological availabilityA measure of biological availability
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Balanced Diet Balanced Diet
Supplies all key nutrientsSupplies all key nutrients Supplies energy needed to meet daily Supplies energy needed to meet daily
requirements of the animal at its particular requirements of the animal at its particular stage of lifestage of life
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Food DigestibilityFood Digestibility
DigestibilityDigestibility Determined by a mathematical equationDetermined by a mathematical equation Compares amount of a nutrient in the food and Compares amount of a nutrient in the food and
amount of the same nutrient in the fecesamount of the same nutrient in the feces
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Above-Average DigestibilityAbove-Average Digestibility
Foods higher in fiber will be lower in Foods higher in fiber will be lower in digestibilitydigestibility
ProteinProtein greater or equal to 85% greater or equal to 85% FatFat greater or equal to 90% greater or equal to 90% CarbohydrateCarbohydrate greater or equal to 90% greater or equal to 90% EnergyEnergy greater or equal to 85% greater or equal to 85%
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PalatabilityPalatability
Involves sensory factors such as:Involves sensory factors such as: TasteTaste SmellSmell ColorColor
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Palatability Factors of FoodPalatability Factors of Food
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Additives Additives
Non-energy substancesNon-energy substances Non-nutrient substances Non-nutrient substances Purposely added to foods to enhance:Purposely added to foods to enhance:
ColorColor FlavorFlavor TextureTexture StabilityStability
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Protection Against MicrobesProtection Against Microbes
Physical and chemical meansPhysical and chemical means Dehydration (dry food)Dehydration (dry food) Heat (moist and dry food)Heat (moist and dry food)
Chemical treatmentsChemical treatments Preservatives (semi-moist and some dry food)Preservatives (semi-moist and some dry food)
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HumectantsHumectants
Preservative additivesPreservative additives Bind to waterBind to water Inhibit mold and fungal growthInhibit mold and fungal growth
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AntioxidantsAntioxidants
Chemical agentsChemical agents Protect fatty acids and fat-soluble vitamins Protect fatty acids and fat-soluble vitamins
from becoming rancidfrom becoming rancid By inhibiting oxidationBy inhibiting oxidation
Vitamins C and EVitamins C and E
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Energy-Producing NutrientsEnergy-Producing Nutrients
CarbohydratesCarbohydrates Broken down into simple sugarsBroken down into simple sugars
FatsFats Broken down into triglyceridesBroken down into triglycerides
ProteinsProteins Broken down into amino acidsBroken down into amino acids
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Energy Gained From FoodEnergy Gained From Food
Used to maintain and repair cell structuresUsed to maintain and repair cell structures Higher degree of cellular activity = higher Higher degree of cellular activity = higher
energy (nutritional) demandsenergy (nutritional) demands GrowthGrowth ReproductionReproduction ExercisingExercising Healing from injuryHealing from injury Combating a diseaseCombating a disease
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Cellular Activity Requires Cellular Activity Requires EnergyEnergy
Oxygen synthesisOxygen synthesis Oxygen transportOxygen transport Heat productionHeat production Muscle contractionMuscle contraction New tissue synthesisNew tissue synthesis
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CarbohydratesCarbohydrates
Provide body with energyProvide body with energy Excess stored as glycogen or converted to fatExcess stored as glycogen or converted to fat Include:Include:
SugarsSugars StarchesStarches FibersFibers
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SugarsSugars
Monosaccharides (simple sugars)Monosaccharides (simple sugars)
Disaccharides (complicated sugars)Disaccharides (complicated sugars)
Multiple sugarsMultiple sugars
Broken down to provide energy stored in form Broken down to provide energy stored in form of ATPof ATP
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StarchesStarches Formed after complex digestion processFormed after complex digestion process
Involves complex microbes and enzymesInvolves complex microbes and enzymes Salivary glands cannot always initiate digestionSalivary glands cannot always initiate digestion Food mixed with hydrochloric acids and enzymes Food mixed with hydrochloric acids and enzymes
in stomach in stomach Primarily digestion and absorption in small Primarily digestion and absorption in small
intestineintestine Example is glycogen Example is glycogen
Animal-specific starchAnimal-specific starch Provides rapid supply of glucoseProvides rapid supply of glucose Stored in liver and skeletal muscle tissue Stored in liver and skeletal muscle tissue
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Insoluble FibersInsoluble Fibers
Referred to as complex carbohydratesReferred to as complex carbohydrates ExamplesExamples
Cellulose, ligninCellulose, lignin SourcesSources
Corn, wheat, rice, barley, oats, potatoesCorn, wheat, rice, barley, oats, potatoes
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FiberFiber
Major energy source for grazing animalsMajor energy source for grazing animals Digested by bacteria and protozoan microbes in Digested by bacteria and protozoan microbes in
large intestine of rumen, cecum, and large large intestine of rumen, cecum, and large intestineintestine
Results of fiber digestionResults of fiber digestion Short-chain fatty acidsShort-chain fatty acids Acids then transformed into glucoseAcids then transformed into glucose
Role of fiber in dietRole of fiber in diet Depends of physiology of animal’s digestive tractDepends of physiology of animal’s digestive tract
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Role of Fiber in Companion Role of Fiber in Companion AnimalsAnimals
Increases bulk and water content of intestineIncreases bulk and water content of intestine Reduces caloric density for weight-control Reduces caloric density for weight-control
food while maintaining satietyfood while maintaining satiety Stabilizes blood sugar levels by extending Stabilizes blood sugar levels by extending
time the nutrients are absorbed (time the nutrients are absorbed (diabetes diabetes mellitusmellitus))
Assists in regulating bowel functionAssists in regulating bowel function
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Breakdown Products from Breakdown Products from FiberFiber
Maintain normal colonic functionMaintain normal colonic function Decrease pathogenic intestinal bacteriaDecrease pathogenic intestinal bacteria Help in preventing intestinal cancerHelp in preventing intestinal cancer
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FatsFats
Serve as primary sources of energyServe as primary sources of energy Supply essential fatty acidsSupply essential fatty acids Facilitate digestionFacilitate digestion Act as carriers for fat-soluble vitamins (A, D, Act as carriers for fat-soluble vitamins (A, D,
E, K)E, K) Provide palatability and texture to foodProvide palatability and texture to food
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What Is a Lipid?What Is a Lipid?
FatFat——if solid at room temperatureif solid at room temperature OilOil——if liquid at room temperatureif liquid at room temperature Dietary fatDietary fat
Composed of units called triglyceridesComposed of units called triglycerides• One to three fatty acidsOne to three fatty acids
• Held together by one molecule of glycerolHeld together by one molecule of glycerol
Highly digestibleHighly digestible Twice the caloric density of similar quantity of Twice the caloric density of similar quantity of
protein or carbohydrateprotein or carbohydrate
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What Is a Fatty Acid?What Is a Fatty Acid?
SaturatedSaturated No double bonds in primary hydrocarbon chain No double bonds in primary hydrocarbon chain
MonounsaturatedMonounsaturated Fatty acid with one double bondFatty acid with one double bond
PolyunsaturatedPolyunsaturated Fatty acid with more than one double bondFatty acid with more than one double bond
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Essential Fatty AcidsEssential Fatty Acids
Polyunsaturated and long-chainPolyunsaturated and long-chain Necessary for body functionNecessary for body function Cannot be synthesized by mammalsCannot be synthesized by mammals Must be obtained from foodMust be obtained from food Known essential fatty acidsKnown essential fatty acids
Linoleic, Linoleic, αα-linoleic, and arachidonic-linoleic, and arachidonic (cats) (cats) Linoleic, Linoleic, αα-linoleic (dogs)-linoleic (dogs)
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Functions of Essential Fatty Functions of Essential Fatty AcidsAcids
Integral part of kidney and reproductive Integral part of kidney and reproductive functionfunction
Key component to cell membrane formationKey component to cell membrane formation Key component of prostaglandin productionKey component of prostaglandin production
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Deficiencies of Essential Fatty Deficiencies of Essential Fatty AcidsAcids
AlopeciaAlopecia Dull hair coatDull hair coat AnemiaAnemia Hepatic lipidosisHepatic lipidosis Essential fatty acid deficiency in the critical Essential fatty acid deficiency in the critical
patientpatient Increases susceptibility to infectionIncreases susceptibility to infection Weakens cutaneous capillariesWeakens cutaneous capillaries Promotes poor wound healingPromotes poor wound healing
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Amino AcidsAmino Acids
Defined as any organic compound containing Defined as any organic compound containing amino and carboxyl groupamino and carboxyl group
Occur naturally in plant and animal tissueOccur naturally in plant and animal tissue Chief constituents of proteinChief constituents of protein
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Protein StructureProtein Structure
Long chains of amino acids held together by Long chains of amino acids held together by peptide bondspeptide bonds
Roughly 22 known amino acid groupsRoughly 22 known amino acid groups Arranged in countless number of ways, each Arranged in countless number of ways, each
having unique properties and characteristicshaving unique properties and characteristics Considered building blocks for plant and Considered building blocks for plant and
animal proteinanimal protein
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ProteinsProteins
Principal structural component of all body Principal structural component of all body organs and tissuesorgans and tissues
Serve as enzymes, hormones, and antibodiesServe as enzymes, hormones, and antibodies Essential to all living cellsEssential to all living cells FunctionsFunctions
Regulation of metabolismRegulation of metabolism Construction of cell membranesConstruction of cell membranes Formation of muscle fiberFormation of muscle fiber Growth and repair of tissueGrowth and repair of tissue
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Amino AcidsAmino Acids
NonessentialNonessential Can be synthesized from other sourcesCan be synthesized from other sources
EssentialEssential Cannot be synthesized in the body in adequate Cannot be synthesized in the body in adequate
quantitiesquantities Must be supplemented in dietMust be supplemented in diet
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Essential Amino AcidsEssential Amino Acids
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TaurineTaurine Essential amino acid in catsEssential amino acid in cats Deficiency resultsDeficiency results
Retinal degenerationRetinal degeneration Reproduction insufficiencyReproduction insufficiency Impaired immune systemImpaired immune system Dilated cardiomyopathyDilated cardiomyopathy
Deficiency signsDeficiency signs Occur after prolonged periods of depletionOccur after prolonged periods of depletion Owners typically report visual changes or poor Owners typically report visual changes or poor
depth perception (“miscalculating” jumps)depth perception (“miscalculating” jumps)
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Biological Value of ProteinBiological Value of Protein
All proteins are not of equal worthAll proteins are not of equal worth Proportion utilized for growth and Proportion utilized for growth and
maintenance of normal body systems is maintenance of normal body systems is measure of its biological valuemeasure of its biological value
Animal proteins vs. plant-based proteinsAnimal proteins vs. plant-based proteins
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Dietary ProteinDietary Protein
Protein is added to most commercial pet Protein is added to most commercial pet foodsfoods
Correct balance of amino acid composition Correct balance of amino acid composition necessary to classify protein high in biological necessary to classify protein high in biological valuevalue
Greater the protein quality, the less is neededGreater the protein quality, the less is needed Digestibility is an important factorDigestibility is an important factor
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Commercial Pet FoodCommercial Pet Food
Often a mix of animal and plant substancesOften a mix of animal and plant substances Provides multiple protein sourcesProvides multiple protein sources Improves overall quality of food by providing wide Improves overall quality of food by providing wide
amino acid profileamino acid profile High-quality protein needed for periods ofHigh-quality protein needed for periods of
GrowthGrowth Physical exertionPhysical exertion Pregnancy and lactationPregnancy and lactation Repair of damaged tissuesRepair of damaged tissues
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Protein DeficiencyProtein Deficiency
Amino acids not stored in bodyAmino acids not stored in body What happens if amino acids aren’t What happens if amino acids aren’t
consumed?consumed? Breakdown of protein in visceraBreakdown of protein in viscera Breakdown of protein in skeletal muscleBreakdown of protein in skeletal muscle
GluconeogenesisGluconeogenesis
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GluconeogenesisGluconeogenesis
Initiated by liver and kidneys using glycerol, Initiated by liver and kidneys using glycerol, lactate, and glucogenic amino acidslactate, and glucogenic amino acids
Prolonged starvation in normal animalsProlonged starvation in normal animals Signs of protein deficiencySigns of protein deficiency
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CatsCats
Specifically adapted to high-protein, low-Specifically adapted to high-protein, low-carbohydrate dietscarbohydrate diets
Rely on gluconeogenic amino acids as a Rely on gluconeogenic amino acids as a major source of energymajor source of energy
Continuous protein catabolismContinuous protein catabolism
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CatabolismCatabolism
Chronic anorexia, or starvationChronic anorexia, or starvation Can be reversedCan be reversed ““Refeeding syndrome”Refeeding syndrome”
Metabolic complications if food is consumed or Metabolic complications if food is consumed or administered too rapidlyadministered too rapidly
Clinical signsClinical signs• Cardiac arrhythmiasCardiac arrhythmias
• Muscle weaknessMuscle weakness
• Hemolytic anemiaHemolytic anemia
• Respiratory failureRespiratory failure
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Excess Dietary ProteinsExcess Dietary Proteins
Converted to fat and stored as adipose tissueConverted to fat and stored as adipose tissue
Although cats must consume twice the Although cats must consume twice the protein as dogs, feeding a food with proper protein as dogs, feeding a food with proper levels of protein is essentiallevels of protein is essential
Metabolism of excess amino acids increases Metabolism of excess amino acids increases liver and kidney workloadliver and kidney workload
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Protein RequirementsProtein Requirements
Consumed every day to replace amino acids Consumed every day to replace amino acids lost to catabolismlost to catabolism
Quality of protein is limiting factorQuality of protein is limiting factor Amino acids for protein synthesisAmino acids for protein synthesis
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The Nutrient WaterThe Nutrient Water
Does not produce energy Does not produce energy Most important nutrientMost important nutrient Functions:Functions:
Essential for almost every chemical reactionEssential for almost every chemical reaction Transports solutes and gasesTransports solutes and gases Regulates temperatureRegulates temperature Lubricates joints and eyesLubricates joints and eyes Balances electrolytesBalances electrolytes
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MineralsMinerals
Inorganic chemicalsInorganic chemicals
Important part of a balanced dietImportant part of a balanced diet
More than 18 mineral elements are essential More than 18 mineral elements are essential for mammalsfor mammals
MacromineralsMacrominerals
MicromineralsMicrominerals
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MacromineralsMacrominerals
Concentrations are of fundamental Concentrations are of fundamental importanceimportance
Include calcium, phosphorous, magnesium, Include calcium, phosphorous, magnesium, sodium, potassium, chlorine, and sulfursodium, potassium, chlorine, and sulfur
Minerals circulate as electrolytesMinerals circulate as electrolytes
Electrolyte functionsElectrolyte functions
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Measurement of MineralsMeasurement of Minerals
Considerations for evaluating feedsConsiderations for evaluating feeds Animal vs. plant-derived food substancesAnimal vs. plant-derived food substances Amount of mineral contentAmount of mineral content Amount of mineral utilized by animalAmount of mineral utilized by animal
MacromineralsMacrominerals Measured in diet as a percentage (%)Measured in diet as a percentage (%)
MicromineralsMicrominerals Expressed in parts per millionExpressed in parts per million
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Mineral DeficienciesMineral Deficiencies
CalciumCalcium Results in nutritional secondary Results in nutritional secondary
hyperparathyroidismhyperparathyroidism Deficiency frequently develops when inappropriate Deficiency frequently develops when inappropriate
homemade foods are prepared for dogs, cats, and homemade foods are prepared for dogs, cats, and reptilesreptiles
PhosphorusPhosphorus Impairs growthImpairs growth Impairs normal physiological processesImpairs normal physiological processes
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MicromineralsMicrominerals
Nutrients that are required in relatively small Nutrients that are required in relatively small amountsamounts
Essential for normal health in companion Essential for normal health in companion animalsanimals
ExamplesExamples Iron, manganese, copper, iodine, and seleniumIron, manganese, copper, iodine, and selenium
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IronIron
MicromineralMicromineral Central component of hemoglobinCentral component of hemoglobin Central component of myoglobin moleculesCentral component of myoglobin molecules Carries oxygen in blood and muscleCarries oxygen in blood and muscle Important in enzymatic processes of cellular Important in enzymatic processes of cellular
respirationrespiration Body has limited capacity to excrete ironBody has limited capacity to excrete iron Homeostasis is obtained by iron absorptionHomeostasis is obtained by iron absorption
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IronIron
Stored predominantly in the liver, bone Stored predominantly in the liver, bone marrow, and spleenmarrow, and spleen
Most commercial pet foods have high Most commercial pet foods have high concentrations of iron because of meat concentrations of iron because of meat contentcontent
Deficiency seen in chronic blood lossDeficiency seen in chronic blood loss
Nursing pediatric patients susceptible to Nursing pediatric patients susceptible to anemiaanemia
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Other Micromineral Other Micromineral ConstituentsConstituents
Chromium, fluoride, nickel, molybdenum, Chromium, fluoride, nickel, molybdenum, silicon, vanadium, arsenicsilicon, vanadium, arsenic
Amounts required in the diet are lowAmounts required in the diet are low
Deficiencies rarely seen in animals fed a Deficiencies rarely seen in animals fed a balanced dietbalanced diet
Dietary excesses can be toxicDietary excesses can be toxic
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Microminerals and Microminerals and MacromineralsMacrominerals
Can interact with one anotherCan interact with one another Antagonistic interactionsAntagonistic interactions
One mineral reducing transport or efficacy of the One mineral reducing transport or efficacy of the otherother
Most interactions are antagonisticMost interactions are antagonistic Synergistic interactionsSynergistic interactions
Two minerals acting in complementary fashionTwo minerals acting in complementary fashion• Enhancing biological functionEnhancing biological function
• Or, sparing the other mineralOr, sparing the other mineral
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VitaminsVitamins
Organic compounds necessary for normal Organic compounds necessary for normal physiological functionphysiological function Most cannot be synthesized in the bodyMost cannot be synthesized in the body Therefore must be present in the dietTherefore must be present in the diet
Classified in two categoriesClassified in two categories Fat-soluble: A, D, E, KFat-soluble: A, D, E, K Water-soluble: B-complex and CWater-soluble: B-complex and C
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Fat-Soluble VitaminsFat-Soluble Vitamins
Require bile salts and fat clusters for passive Require bile salts and fat clusters for passive absorptionabsorption
Absorption occurs through wall of duodenum Absorption occurs through wall of duodenum and ileumand ileum
Stored in lipid deposits in all tissuesStored in lipid deposits in all tissues
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Water-Soluble VitaminsWater-Soluble Vitamins
Absorbed via active transportAbsorbed via active transport
Poorly stored in the bodyPoorly stored in the body
Excesses lost via the urinary tractExcesses lost via the urinary tract
Deficiencies and toxicities vary due to Deficiencies and toxicities vary due to absorption differencesabsorption differences
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VitaminsVitamins
Not energy nutrientsNot energy nutrients
Not all types are essential for every speciesNot all types are essential for every species
Intake in excess of requirements does not Intake in excess of requirements does not improve performanceimprove performance
Water-soluble vitamin toxicityWater-soluble vitamin toxicity
Commercial pet foodsCommercial pet foods
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Vitamin KVitamin K
Plays a critical role in coagulation of bloodPlays a critical role in coagulation of blood Deficiencies result in clotting abnormalities Deficiencies result in clotting abnormalities
and hemorrhageand hemorrhage Hemorrhage can cause death, without Hemorrhage can cause death, without
emergency supplementationemergency supplementation
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AntioxidantsAntioxidants
Help free body of damaging effects of free Help free body of damaging effects of free radicalsradicals
Certain vitamins (C and E) are antioxidantsCertain vitamins (C and E) are antioxidants
Supplementation above the normal daily Supplementation above the normal daily requirements can be beneficialrequirements can be beneficial
Other antioxidant functionsOther antioxidant functions
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Antioxidant Additives in Pet Antioxidant Additives in Pet FoodsFoods
Natural alternative to synthetic preservativesNatural alternative to synthetic preservatives Improve palatabilityImprove palatability Protect immune functionProtect immune function Improve cognitive dysfunction in senior dogsImprove cognitive dysfunction in senior dogs
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NutraceuticalsNutraceuticals
Endogenous substances that may provide Endogenous substances that may provide medical or health benefitsmedical or health benefits
Emerging area of food and food technologyEmerging area of food and food technology
Examples: chondroitin sulfates, glucosaminesExamples: chondroitin sulfates, glucosamines
May inhibit inflammatory mediators and May inhibit inflammatory mediators and promote joint stabilitypromote joint stability
Contain omega-3 fatty acidsContain omega-3 fatty acids
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Common Client Questions Common Client Questions About Pet FoodAbout Pet Food
What is the best food to feed my pet?What is the best food to feed my pet? What are the differences between commercial What are the differences between commercial
brand foods?brand foods? Is home cooking suitable?Is home cooking suitable? Can I supplement an existing diet with table Can I supplement an existing diet with table
food?food?
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Proper AnswersProper Answers
Most commercial pet foods are superior in Most commercial pet foods are superior in nutrient content, convenience, cost, and nutrient content, convenience, cost, and overall qualityoverall quality
Published homemade pet food recipes are Published homemade pet food recipes are generally imbalancedgenerally imbalanced
Energy and nutrient requirements are not Energy and nutrient requirements are not linear; long-term use of homemade pet food linear; long-term use of homemade pet food will result in nutrient deficiencies or excesseswill result in nutrient deficiencies or excesses
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Commercial Pet Food TermsCommercial Pet Food Terms
Complete dietComplete diet Balanced dietBalanced diet Combining the two types of dietsCombining the two types of diets——animals animals
fulfill both nutrient and energy requirementsfulfill both nutrient and energy requirements
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Complementary DietComplementary Diet
Combines two or more food sources to Combines two or more food sources to improve outcomeimprove outcome
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All-Purpose DietAll-Purpose Diet
Marketed under premise that one particular Marketed under premise that one particular diet type meets nutritional demands at every diet type meets nutritional demands at every life stagelife stage
Typically provides nutrients in excess of what Typically provides nutrients in excess of what is required by adult or geriatric animalis required by adult or geriatric animal
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All-Purpose DietAll-Purpose Diet
Typically found in grocery storesTypically found in grocery stores
Targets uninformed consumersTargets uninformed consumers
Generally sold as off-brand or generic foodsGenerally sold as off-brand or generic foods
Formulated for growth and lactation periods Formulated for growth and lactation periods of companion animalsof companion animals
Not appropriate for the other stages of life!Not appropriate for the other stages of life!
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Special-Purpose FoodSpecial-Purpose Food
Provides specialized nutrition for individual Provides specialized nutrition for individual needsneeds
Designed for animals with specific nutritional Designed for animals with specific nutritional needsneeds
Often sold in veterinary hospitalsOften sold in veterinary hospitals
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Forms of Commercial Pet Forms of Commercial Pet FoodsFoods
Dry foodsDry foods 3%-11% water3%-11% water
Semi-moist foodsSemi-moist foods 25%-35% water25%-35% water
Moist foodsMoist foods 70%-83% water70%-83% water
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Dry FoodsDry Foods
Characteristically have lower protein, fat, and Characteristically have lower protein, fat, and minerals on a dry matter basis than moist minerals on a dry matter basis than moist foodsfoods
Produced with higher caloric densityProduced with higher caloric density Typically cost less than most moist foodsTypically cost less than most moist foods Provide a dental hygiene benefitProvide a dental hygiene benefit
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Production of Dry FoodProduction of Dry Food
Raw ingredients are mixed and moistened Raw ingredients are mixed and moistened into doughinto dough
Dough is kneaded, cooked, and processed Dough is kneaded, cooked, and processed via extrusionvia extrusion
High temperature cooks and shapes kibblesHigh temperature cooks and shapes kibbles
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Pros of Dry Pet FoodsPros of Dry Pet Foods
Less palatable than moist forms results in less Less palatable than moist forms results in less chance of overeatingchance of overeating
Cost of feeding a pet per day, or cost per yearCost of feeding a pet per day, or cost per year
Which has a lower Which has a lower true costtrue cost ? ?
Cost effectiveCost effective
ConvenientConvenient
Easy to use; allow owner to leave food out for Easy to use; allow owner to leave food out for extended periodsextended periods
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Cons of Dry Pet FoodsCons of Dry Pet Foods
Pets may eat on an ad-lib basisPets may eat on an ad-lib basis Access to unlimited dry food may contribute Access to unlimited dry food may contribute
to obesityto obesity Annual health examinations should include Annual health examinations should include
body condition scoring and pet food body condition scoring and pet food consultation as animal agesconsultation as animal ages
Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 79
Dry FoodsDry Foods
Water may be added to create “gravy” to Water may be added to create “gravy” to increase palatabilityincrease palatability
Palatability may also be improved by mixing Palatability may also be improved by mixing dry food with canned fooddry food with canned food
If food is moistened with water and left If food is moistened with water and left outside in high temperatures, bacterial outside in high temperatures, bacterial proliferation is possibleproliferation is possible
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Food-Borne IllnessesFood-Borne Illnesses
Warn pet owners not to add water to dry pet Warn pet owners not to add water to dry pet foods and leave them exposed for prolonged foods and leave them exposed for prolonged periods at high ambient temperatures periods at high ambient temperatures
Bacteria from water-saturated dry or canned Bacteria from water-saturated dry or canned food can produce a potent toxin that causes food can produce a potent toxin that causes vomiting and diarrheavomiting and diarrhea
Can be avoided by ensuring consumption of Can be avoided by ensuring consumption of moist food within a few hoursmoist food within a few hours
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Semi-Moist and Soft-Dry Semi-Moist and Soft-Dry FoodsFoods
Moisture content ranges from 25%-40%Moisture content ranges from 25%-40%
Composed of a meat and cereal mixture Composed of a meat and cereal mixture extruded into small, attractive shapesextruded into small, attractive shapes
Contain artificial flavorsContain artificial flavors
Humectant preservatives and cellophane Humectant preservatives and cellophane wrappingwrapping
Antimicrobial additivesAntimicrobial additives
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Semi-Moist FoodsSemi-Moist Foods
Contain soluble sugars Contain soluble sugars
Contain simple carbohydrate sourcesContain simple carbohydrate sources
Not recommended in obese or diabetic Not recommended in obese or diabetic animalanimal
May also contain high sodiumMay also contain high sodium
Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 83
Canned or Moist FoodsCanned or Moist Foods
Typically 70%-83% waterTypically 70%-83% water
Most sold as complete diets, with all nutrients Most sold as complete diets, with all nutrients presentpresent
Three forms: ration loaf, all-meat appearance, Three forms: ration loaf, all-meat appearance, and processed meats/flours bound into jellied and processed meats/flours bound into jellied matrixmatrix
High palatabilityHigh palatability
Requires portion-controlled feeding to avoid Requires portion-controlled feeding to avoid overconsumptionoverconsumption
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Canned or Moist FoodsCanned or Moist Foods
Preserved with heat sterilization and vacuum Preserved with heat sterilization and vacuum techniques to ensure anaerobic environmenttechniques to ensure anaerobic environment
Enamel liners insulate the product and Enamel liners insulate the product and provide excellent nutrient stabilityprovide excellent nutrient stability
Shelf life ranges from 12-18 monthsShelf life ranges from 12-18 months
Storage at normal temperaturesStorage at normal temperatures
Palatability may decrease toward end of shelf Palatability may decrease toward end of shelf lifelife
Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 85
Moist FoodsMoist Foods
Low caloric densityLow caloric density
Expensive on a per-calorie basisExpensive on a per-calorie basis
Meat by-product ingredients more costly than Meat by-product ingredients more costly than equivalent meals and floursequivalent meals and flours
Higher packing costsHigher packing costs
Mixing dry with moist foodsMixing dry with moist foods
Increase palatability Increase palatability
Control costControl cost
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TreatsTreats
Small food rewardsSmall food rewards
Training aide, or to reinforce love Training aide, or to reinforce love
Commercially prepared treats should not be Commercially prepared treats should not be given in excessgiven in excess
Chocolate not recommendedChocolate not recommended——toxic in high toxic in high concentrationsconcentrations
Commercial treats are not subject to testing, Commercial treats are not subject to testing, as are pet foodsas are pet foods
Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 87
SupplementsSupplements
Should not be confused with treatsShould not be confused with treats
Generally given to correct a nutritional Generally given to correct a nutritional deficiencydeficiency
Routine use is not necessary if pet is Routine use is not necessary if pet is provided with a balanced commercial pet provided with a balanced commercial pet food food
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Home-Prepared DietsHome-Prepared Diets
Many owners prefer to prepare homemade Many owners prefer to prepare homemade foods despite the ease, less-expense, and foods despite the ease, less-expense, and better overall nutritional balance of better overall nutritional balance of commercial foodscommercial foods
Homemade recipes may not be appropriate Homemade recipes may not be appropriate for individuals with unique physiological for individuals with unique physiological requirementsrequirements
Close monitoring of the diet’s efficacy is Close monitoring of the diet’s efficacy is essentialessential
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Requirements for Formulation Requirements for Formulation of a Home-Prepared Dietof a Home-Prepared Diet
Detailed knowledge of specific nutrient needDetailed knowledge of specific nutrient need Knowledge of nutritional value of ingredientsKnowledge of nutritional value of ingredients Knowledge of any possible dietary Knowledge of any possible dietary
interactionsinteractions Must factor in possible deterioration of Must factor in possible deterioration of
nutrients during cooking and storagenutrients during cooking and storage Need to consider time and effort required in Need to consider time and effort required in
making mealsmaking meals
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Home-Prepared DietsHome-Prepared Diets
Imperative that owner follows a veterinarian-Imperative that owner follows a veterinarian-approved recipe to ensure a balanced diet approved recipe to ensure a balanced diet
No human daily supplements can be added No human daily supplements can be added to make a complete and balanced homemade to make a complete and balanced homemade pet dietpet diet
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Home-Prepared DietsHome-Prepared Diets
Possible to achieve the same nutrient Possible to achieve the same nutrient balance with a homemade food as with a balance with a homemade food as with a commercially prepared foodcommercially prepared food
Owners should consult with a veterinarian or Owners should consult with a veterinarian or preferably a board-certified veterinary preferably a board-certified veterinary nutritionist to obtain a balanced recipenutritionist to obtain a balanced recipe
Owner compliance should be well regulatedOwner compliance should be well regulated Diets should be kept in conformity with Diets should be kept in conformity with
animal’s needs and life-stage changesanimal’s needs and life-stage changes
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Home-Prepared DietsHome-Prepared Diets
Are crudely balanced using the average Are crudely balanced using the average nutrient content of specific foods and nutrient content of specific foods and computer formulationcomputer formulation
Require kitchen scale that weighs in grams, Require kitchen scale that weighs in grams, and blender or food processor and blender or food processor
Necessitate regular dietary histories and Necessitate regular dietary histories and patient monitoring of petspatient monitoring of pets
Owners should be committed to ensuring Owners should be committed to ensuring consistent, proper homemade foodsconsistent, proper homemade foods
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Technician’s RoleTechnician’s Rolefor Home-Prepared Dietsfor Home-Prepared Diets
Evaluate by thorough physical examinationEvaluate by thorough physical examination Body weightBody weight Body condition scoreBody condition score Activity levelActivity level
Assess existing homemade food recipeAssess existing homemade food recipe Make appropriate formula substitutions Make appropriate formula substitutions Offer nutritionally adequate recipesOffer nutritionally adequate recipes
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Home-Prepared DietsHome-Prepared Diets May contain excessive proteinMay contain excessive protein Often deficient in calories, calcium, vitamins, Often deficient in calories, calcium, vitamins,
and mineralsand minerals Canine formulationsCanine formulations
Most use carbohydrates and meat sources Most use carbohydrates and meat sources containing more phosphorus than calciumcontaining more phosphorus than calcium
Often exceed nutritional requirementsOften exceed nutritional requirements Feline formulationsFeline formulations
Deficient in fatDeficient in fat Have low energy densityHave low energy density
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Do 5 Food Groups Appear in Do 5 Food Groups Appear in Recipe?Recipe?
Carbohydrate, fiber source from cooked Carbohydrate, fiber source from cooked cereal grain or potatocereal grain or potato
ProteinProtein FatFat Mineral, particularly calciumMineral, particularly calcium Multivitamin and trace mineralMultivitamin and trace mineral
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What is the Type and Quantity What is the Type and Quantity of the Primary Protein Source? of the Primary Protein Source?
Overall protein quality can generally be Overall protein quality can generally be improved by using an animal-source proteinimproved by using an animal-source protein
Skeletal muscle protein from different animal Skeletal muscle protein from different animal species has very similar amino acid profilesspecies has very similar amino acid profiles
No great advantage to feeding one meat No great advantage to feeding one meat source over anothersource over another
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Is the Primary Protein SourceIs the Primary Protein SourceLean or Fatty?Lean or Fatty?
Fat content varies in different cuts of meatFat content varies in different cuts of meat When specified protein source is lean: When specified protein source is lean:
additional animal or vegetable fat source additional animal or vegetable fat source should compose 2%-5% of formula to ensure should compose 2%-5% of formula to ensure energy density requirementsenergy density requirements
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Is the Carbohydrate Source a Is the Carbohydrate Source a Cooked Cereal or Potato? Is It Cooked Cereal or Potato? Is It Present in a Higher or Equal Present in a Higher or Equal
Quantity than the Meat Source?Quantity than the Meat Source? Feline carbohydrate/protein ratioFeline carbohydrate/protein ratio
1:1 to 2:11:1 to 2:1 Canine carbohydrate/protein ratioCanine carbohydrate/protein ratio
2:1 to 3:12:1 to 3:1
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Is a Source of CalciumIs a Source of Calciumand Other Minerals Provided?and Other Minerals Provided?
Homemade food almost never balanced in Homemade food almost never balanced in mineralsminerals
Most homemade foods require specific Most homemade foods require specific calcium supplementcalcium supplement
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Is Source of VitaminsIs Source of Vitaminsand Other Nutrients Provided?and Other Nutrients Provided?
Supplements must provide:Supplements must provide: VitaminsVitamins MicromineralsMicrominerals Fatty acidsFatty acids TaurineTaurine Other specific nutrients of concern for cats and Other specific nutrients of concern for cats and
dogsdogs
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Storage of Homemade FoodsStorage of Homemade Foods
Specific instructions necessarySpecific instructions necessary
Most lack preservatives and are high in Most lack preservatives and are high in moisture contentmoisture content
Must refrigerate or freeze homemade foodsMust refrigerate or freeze homemade foods
Monitor food for color and odor changesMonitor food for color and odor changes
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Examinations forExaminations forPatients Who Eat Homemade Patients Who Eat Homemade
FoodsFoods Regular veterinary examinationsRegular veterinary examinations
At least two per yearAt least two per year Regular nutritional reviewsRegular nutritional reviews
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Cooking for Homemade DietsCooking for Homemade Diets
Improves digestibility of starch in Improves digestibility of starch in carbohydratescarbohydrates
Longer periods of cookingLonger periods of cooking Depreciate vitamin concentration Depreciate vitamin concentration Denature protein of meat sourcesDenature protein of meat sources
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Diets and Stool ProductionDiets and Stool Production
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Pet Food LabelsPet Food Labels
Pet food regulation varies from country to Pet food regulation varies from country to countrycountry
Labels represent contract between the Labels represent contract between the manufacturer and the consumermanufacturer and the consumer
Standards for label information established by Standards for label information established by The Association of American Feed Control The Association of American Feed Control Officials (AAFCO)Officials (AAFCO)
AAFCO StatementAAFCO Statement
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Required Pet Food Label Required Pet Food Label Information Information
Net weightNet weight Product designator (e.g., cat food)Product designator (e.g., cat food) Name and address of manufacturer or distributorName and address of manufacturer or distributor Guaranteed analysis in percentagesGuaranteed analysis in percentages
For crude protein, fat, fiber, and moistureFor crude protein, fat, fiber, and moisture List of ingredients in descending order of List of ingredients in descending order of
predominance by weightpredominance by weight Nutritional adequacy statementNutritional adequacy statement Feeding guidelinesFeeding guidelines
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Optional Pet Label InformationOptional Pet Label Information
Feeding instructionsFeeding instructions Caloric contentCaloric content Nutritional adequacy statements:Nutritional adequacy statements:
Totally nutritiousTotally nutritious Or, complete and balancedOr, complete and balanced Not needed on treats or snacks intended for Not needed on treats or snacks intended for
intermittent feedingintermittent feeding
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Evaluating Pet Food LabelsEvaluating Pet Food Labels
Manufacturer can often supply a more Manufacturer can often supply a more reliable source of datareliable source of data
Ingredients on labels are listed by weightIngredients on labels are listed by weight Heaviest ingredients listed first; lightest lastHeaviest ingredients listed first; lightest last
PitfallsPitfalls Percentages don’t reflect exact amount of nutrientPercentages don’t reflect exact amount of nutrient Conservative guaranteed nutrient levelsConservative guaranteed nutrient levels
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Ingredient PercentagesIngredient Percentages
Only one ingredient namedOnly one ingredient named At least 70% total product is named ingredientAt least 70% total product is named ingredient
Modifying words accompany named Modifying words accompany named ingredientingredient 10% for moist foods and 25% for dry foods10% for moist foods and 25% for dry foods
““WithWith” modifies named ingredient” modifies named ingredient 3%3%
Term Term flavorflavor is used is used Flavor must be detectable only by animalFlavor must be detectable only by animal
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Moisture PercentagesMoisture Percentages
Percentage rules also applyPercentage rules also apply Maximum moisture content: 78% in United Maximum moisture content: 78% in United
StatesStates Pet foods may exceed amount if labeled:Pet foods may exceed amount if labeled:
StewStew GravyGravy JuiceJuice Contains milk replacerContains milk replacer
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Market CategoriesMarket Categories
Grocery brandsGrocery brands ““Premium” grocery bandsPremium” grocery bands ““Gourmet” foodsGourmet” foods Generic foods (white label) and private label Generic foods (white label) and private label
foods (a grocery chain's own brand) foods (a grocery chain's own brand) Private label brandsPrivate label brands Specialty-brand pet foodsSpecialty-brand pet foods
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Companion Animal NutritionCompanion Animal Nutrition
Energy requirements (food)Energy requirements (food) Nutrients that provide energyNutrients that provide energy
Proteins, carbohydrates, fatsProteins, carbohydrates, fats Nutrients are burnedNutrients are burned Energy is released in form of heatEnergy is released in form of heat
Measured in kilocalories or calories Measured in kilocalories or calories
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KilocalorieKilocalorie
Amount of heat (energy) needed to raise Amount of heat (energy) needed to raise temperature of 1 kilogram of water 1 degree temperature of 1 kilogram of water 1 degree CelsiusCelsius
Energy requirements (food)Energy requirements (food) Calculated in kilocaloriesCalculated in kilocalories Expressed in kilocaloriesExpressed in kilocalories
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Daily Energy RequirementsDaily Energy Requirements
Number of calories needed to maintain an Number of calories needed to maintain an animal’s weightanimal’s weight
Increases in exercise, lactation, and growth Increases in exercise, lactation, and growth will increase energy requirementswill increase energy requirements
Decreases in these activities will lower Decreases in these activities will lower energy requirementsenergy requirements
Increased energy demands over and above Increased energy demands over and above the needs for maintenance = production the needs for maintenance = production energy requirementsenergy requirements
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Daily Energy RequirementsDaily Energy Requirements
Predictive equations are usefulPredictive equations are useful Need to also assess body composition and Need to also assess body composition and
condition of animal to determine caloric condition of animal to determine caloric needsneeds
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Body Condition Scoring (BCS)Body Condition Scoring (BCS)
Useful visual method to estimate animal’s Useful visual method to estimate animal’s body composition and relative fatnessbody composition and relative fatness Very thin, underweight, ideal, overweight, obeseVery thin, underweight, ideal, overweight, obese
Physical examination for assessment of pet’s Physical examination for assessment of pet’s muscle mass and fat storesmuscle mass and fat stores Feel the ribsFeel the ribs Include dietary historyInclude dietary history
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Nutritional AssessmentNutritional Assessment
Patient’s historyPatient’s history Physical examinationPhysical examination Body weightBody weight Body condition scoringBody condition scoring Hydration statusHydration status
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Baseline Nutritional Baseline Nutritional AssessmentAssessment
Initial assessment upon admissionInitial assessment upon admission
Serial assessments throughout course of Serial assessments throughout course of hospitalizationhospitalization
Role of the veterinary technicianRole of the veterinary technician
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Feeding of DogsFeeding of Dogs
Dogs typically omnivoresDogs typically omnivores Advertising emphasizes carnivorous aspectsAdvertising emphasizes carnivorous aspects Some dogs eat grass and feces (natural Some dogs eat grass and feces (natural
behavior)behavior) Nutritional energy requirementsNutritional energy requirements
Calculations based on metabolic body weightCalculations based on metabolic body weight Variations in body composition consideredVariations in body composition considered Variations in breed consideredVariations in breed considered Based on life stageBased on life stage
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Feeding Amounts for DogsFeeding Amounts for Dogs
Calculated from energy value of the foodCalculated from energy value of the food Each dog evaluated individually due to Each dog evaluated individually due to
differences in both activity and environmentdifferences in both activity and environment Based on regular weighing and body Based on regular weighing and body
condition scoringcondition scoring
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Frequency in Feeding Normal Frequency in Feeding Normal DogsDogs
Once a day supplies daily energy Once a day supplies daily energy requirementsrequirements
2-3 times a day coincides with family meal 2-3 times a day coincides with family meal timestimes
Avoid late evening feedingAvoid late evening feeding Avoid inconvenience of middle of night Avoid inconvenience of middle of night
eliminationseliminations Avoid large meals before exerciseAvoid large meals before exercise
Minimizes gastric dilation and torsion, especially in Minimizes gastric dilation and torsion, especially in large breedslarge breeds
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Canine Pediatric NutritionCanine Pediatric Nutrition
MilkMilk Complete food source for neonatesComplete food source for neonates Contains water, protein fat, vitamins, mineralsContains water, protein fat, vitamins, minerals
ColostrumColostrum Key nutritional factor immediately after birthKey nutritional factor immediately after birth Provides fluid for vital postpartum circulatory Provides fluid for vital postpartum circulatory
expansionexpansion Carries protective maternal antibodiesCarries protective maternal antibodies
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ColostrumColostrum
Somewhat sticky and viscousSomewhat sticky and viscous
Owners should ensure that dam is producing Owners should ensure that dam is producing colostrum, and that puppies are consuming itcolostrum, and that puppies are consuming it
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Nursing PuppiesNursing Puppies
Most are healthy and capable of active Most are healthy and capable of active nursingnursing
In general, no assistance needed from In general, no assistance needed from technician or ownertechnician or owner Exceptions are toy-breedsExceptions are toy-breeds Ensure mothers are lactating wellEnsure mothers are lactating well Ensure mothers are attentive to puppiesEnsure mothers are attentive to puppies
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Growth Rate of PuppiesGrowth Rate of Puppies
Normal rate is 2-4 grams/day/kg of Normal rate is 2-4 grams/day/kg of anticipated adult weightanticipated adult weight
Lesser rate is an indication that puppies are Lesser rate is an indication that puppies are not receiving adequate amounts of milknot receiving adequate amounts of milk
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Feeding Orphan PuppiesFeeding Orphan Puppies
Dose initially 15% of puppy’s weight per day, Dose initially 15% of puppy’s weight per day, divided into several dosesdivided into several doses
Feed via syringe and rubber feeding tube, or Feed via syringe and rubber feeding tube, or small animal nursing bottlesmall animal nursing bottle
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Feeding TubesFeeding Tubes
First 3 days of life are most critical First 3 days of life are most critical Careful placement techniquesCareful placement techniques Proper amounts of formulaProper amounts of formula
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GavageGavage
Indicated if puppy is unable to consume Indicated if puppy is unable to consume formula or dam’s milkformula or dam’s milk
Equipment includes syringe and 5F or 8F Equipment includes syringe and 5F or 8F infant feeding tubeinfant feeding tube
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Tips for GavageTips for Gavage Gag reflex is not present until 10 daysGag reflex is not present until 10 days
Easy passage to pre-measured distance usually Easy passage to pre-measured distance usually indicates correct placementindicates correct placement
After delivery of fluid, kink tube before withdrawalAfter delivery of fluid, kink tube before withdrawal
Withdraw tube quickly to prevent aspirationWithdraw tube quickly to prevent aspiration
Burp animal after feedingBurp animal after feeding
Check for residual formula after several feedingsCheck for residual formula after several feedings
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General Feeding GuidelinesGeneral Feeding Guidelines
Stomach is full when belly is distended or Stomach is full when belly is distended or animal turns its head away from bottleanimal turns its head away from bottle
New formula made at each feedingNew formula made at each feeding
Formula at room temperature before Formula at room temperature before administrationadministration
Equipment meticulously clean or sterileEquipment meticulously clean or sterile
Monitor weight gainMonitor weight gain by use of gram scaleby use of gram scale
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Considerations for Formula Considerations for Formula FeedingFeeding
Patient response to feeding may not be Patient response to feeding may not be typicaltypical Gag reflex not developed for 10 daysGag reflex not developed for 10 days
Diarrhea may occurDiarrhea may occur Dilute formula until resolvedDilute formula until resolved
Record baseline birth weightRecord baseline birth weight Record healthy puppy weight gainRecord healthy puppy weight gain Assist elimination every 2-4 hours (or after Assist elimination every 2-4 hours (or after
each feeding)each feeding)
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2 to 3 Weeks of Age2 to 3 Weeks of Age
Food dose approximately 25% of body weight Food dose approximately 25% of body weight divided into 4-6 daily feedingsdivided into 4-6 daily feedings
Small amounts of food given incrementally Small amounts of food given incrementally when puppies are able to eat solid food on when puppies are able to eat solid food on their owntheir own
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Low Birth Weight PuppiesLow Birth Weight Puppies
Correlates with increased mortalityCorrelates with increased mortality Prone to:Prone to:
HypoglycemiaHypoglycemia HypothermiaHypothermia SepsisSepsis
Separate from bitch, if necessarySeparate from bitch, if necessary
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HypothermiaHypothermia
Common in neonatesCommon in neonates
Associated with shallow respirations, Associated with shallow respirations, bradycardia, gastrointestinal paralysis, comabradycardia, gastrointestinal paralysis, coma
Feeding is Feeding is contraindicatedcontraindicated if the animal is if the animal is hypothermic (<94º F)hypothermic (<94º F)
Increase body temperatures slowlyIncrease body temperatures slowly
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External Warming EquipmentExternal Warming Equipment
Circulating hot water blanketsCirculating hot water blankets Warmed rice bagsWarmed rice bags Hot water bottlesHot water bottles Heat lampsHeat lamps
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Weaning of PuppiesWeaning of Puppies
3 weeks of age3 weeks of age Puppies introduced to semisolid gruelPuppies introduced to semisolid gruel
4 weeks of age4 weeks of age Peak lactation occursPeak lactation occurs
5 weeks of age5 weeks of age Intake of mother’s milk reducedIntake of mother’s milk reduced Larger amounts of semisolid to solid food eaten Larger amounts of semisolid to solid food eaten
6-8 weeks of age6-8 weeks of age Weaning concludesWeaning concludes
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Feeding Growing DogsFeeding Growing Dogs
Proper nutrition is essential for normal growth Proper nutrition is essential for normal growth and developmentand development
Excessive intake can lead to medical Excessive intake can lead to medical complications!complications!
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Nutritional Requirements for Nutritional Requirements for FeedingFeeding
Change is rapid during puppy’s growthChange is rapid during puppy’s growth Growth rates also vary between breedsGrowth rates also vary between breeds
Supplements not needed with commercial Supplements not needed with commercial dietsdiets
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Feeding Growing PuppiesFeeding Growing Puppies
Feed 4-5 times daily during post-weaning Feed 4-5 times daily during post-weaning period (until about 10 weeks old)period (until about 10 weeks old)
Cut to 3 meals daily until 50% of adult body Cut to 3 meals daily until 50% of adult body weight is reached (about 4 months old)weight is reached (about 4 months old)
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Feeding of Adult DogsFeeding of Adult Dogs
Primary objective: find the maintenance Primary objective: find the maintenance energy requirement and proper food dose to energy requirement and proper food dose to maintain ideal body compositionmaintain ideal body composition Based on energy value of foodBased on energy value of food Based on activity levelsBased on activity levels Based on breed sizesBased on breed sizes
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Small and Toy BreedsSmall and Toy Breeds
Have higher ratio of surface area to body Have higher ratio of surface area to body weightweight
Have higher energy requirements per unit of Have higher energy requirements per unit of body weightbody weight
Have relatively small stomachsHave relatively small stomachs What should diets have?What should diets have?
Higher energy contentHigher energy content More nutrient-dense matrix than for larger breedsMore nutrient-dense matrix than for larger breeds High digestibilityHigh digestibility
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Feeding StrategiesFeeding Strategies
Feed each dog separately when possibleFeed each dog separately when possible Time-restricted method works wellTime-restricted method works well
Feed 1-3 times daily for 5-15 minutesFeed 1-3 times daily for 5-15 minutes Feed with ad-lib consumptionFeed with ad-lib consumption
Method for dogs who overeatMethod for dogs who overeat Feed 2-3 times dailyFeed 2-3 times daily Serve calculated food dose (one-half to one-third Serve calculated food dose (one-half to one-third
of daily volume)of daily volume)
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Other Feeding TipsOther Feeding Tips
Follow feeding instructions on pet food labelFollow feeding instructions on pet food label Utilize food dose calculatorsUtilize food dose calculators Utilize manufacturer’s technical informationUtilize manufacturer’s technical information Feed maintenance pet food for the average Feed maintenance pet food for the average
house pet 1-7 years oldhouse pet 1-7 years old Eliminate table food, or use in moderationEliminate table food, or use in moderation Avoid feeding of animal bonesAvoid feeding of animal bones Nylon bones and chew toys are safer Nylon bones and chew toys are safer
substitutes for natural bonessubstitutes for natural bones
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Feeding Do’sFeeding Do’s
Do provide fresh waterDo provide fresh water Do feed for control of calorie intakeDo feed for control of calorie intake Do feed for ideal weight and body conditionDo feed for ideal weight and body condition Do provide consistent foodDo provide consistent food Do ritualize time and place of feedingDo ritualize time and place of feeding Do use life-stage feeding conceptsDo use life-stage feeding concepts Do feed treats with nutrient profile and caloric Do feed treats with nutrient profile and caloric
density considerationsdensity considerations
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Feeding Don’tsFeeding Don’ts
Don’t provide stagnant or frozen waterDon’t provide stagnant or frozen water Don’t allow excess calorie consumptionDon’t allow excess calorie consumption Don’t feed obesity-prone dogs on a free-choice basisDon’t feed obesity-prone dogs on a free-choice basis Don’t rotate flavors or brands on frequent basisDon’t rotate flavors or brands on frequent basis Don’t make rapid transitionsDon’t make rapid transitions Don’t use growth-lactation food for adult maintenanceDon’t use growth-lactation food for adult maintenance Don’t supplement a balanced, high-quality foodDon’t supplement a balanced, high-quality food Don’t allow competitive eatingDon’t allow competitive eating
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Problems Associated with Problems Associated with Group FeedingGroup Feeding
Competitive eatingCompetitive eating Over-consumptionOver-consumption Anorexia Anorexia
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Feeding Adult Dogs withFeeding Adult Dogs withIncreased Energy NeedsIncreased Energy Needs
Diet and feeding protocolsDiet and feeding protocols Vary according to training schedulesVary according to training schedules Vary according to amount of work performedVary according to amount of work performed
Extra energy supplied in pet foods by:Extra energy supplied in pet foods by: Increased fatIncreased fat Increased caloric densityIncreased caloric density Increased digestibilityIncreased digestibility
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Diets for Working DogsDiets for Working Dogs
Specific nutrient composition varies and Specific nutrient composition varies and depends on type of activity performeddepends on type of activity performed
Staples include carbohydrates and fats for Staples include carbohydrates and fats for intense muscular exerciseintense muscular exercise
Adequate water intake throughout work Adequate water intake throughout work period is crucialperiod is crucial
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Aerobic Conditioning for Aerobic Conditioning for AnimalsAnimals
AdvantagesAdvantages Increases efficiency of fatty acid metabolism in Increases efficiency of fatty acid metabolism in
muscles and cardiovascular systemmuscles and cardiovascular system Spares rate of glycogen consumption in musclesSpares rate of glycogen consumption in muscles Increases capacity for workIncreases capacity for work
RecommendationsRecommendations Slowly convert to more calorie-dense foodSlowly convert to more calorie-dense food Feed majority of daily calories after completion of Feed majority of daily calories after completion of
training to help prevent hypoglycemiatraining to help prevent hypoglycemia
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After WhelpingAfter Whelping
Bitch returns to regular body weightBitch returns to regular body weight
Expect food intake to rise rapidly by 50% the Expect food intake to rise rapidly by 50% the first week, and by 200%-400% by fourth week first week, and by 200%-400% by fourth week of lactationof lactation
Free choice food should be availableFree choice food should be available
Monitor water intakeMonitor water intake
Perform frequent physical examinationsPerform frequent physical examinations
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Feeding During LactationFeeding During Lactation
Lactation markedly increases energy, protein, Lactation markedly increases energy, protein, and mineral requirementsand mineral requirements
Nutrient requirements greater than any Nutrient requirements greater than any other adult life stageother adult life stage
Proper nutrient intake directly linked to Proper nutrient intake directly linked to successful milk productionsuccessful milk production
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Nutritional Factors for Nutritional Factors for LactationLactation
Highly digestible proteinHighly digestible protein Increased concentrations of fatIncreased concentrations of fat 10%-20% soluble carbohydrates10%-20% soluble carbohydrates 2-5 times more calcium2-5 times more calcium Supplements generally Supplements generally notnot needed needed
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Feeding Methods During Feeding Methods During WeaningWeaning
Terminate food intake for 24 hours to help Terminate food intake for 24 hours to help bitch slow and stop milk productionbitch slow and stop milk production
Advise clients not to allow any puppies to Advise clients not to allow any puppies to nursenurse
Resume feeding using maintenance foods at Resume feeding using maintenance foods at one-third of the customary maintenance levelone-third of the customary maintenance level
On day 2, two-thirds of normal feeding dose On day 2, two-thirds of normal feeding dose is recommendedis recommended
Full intake of food on day 3Full intake of food on day 3
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Obesity-Prone AnimalsObesity-Prone Animals
Ratio of too much fat to lean tissueRatio of too much fat to lean tissue Contributing factors:Contributing factors:
Genetic backgroundGenetic background High-calorie diets and snacksHigh-calorie diets and snacks Physical inactivityPhysical inactivity Endocrine or neuroendocrine disordersEndocrine or neuroendocrine disorders GonadectomyGonadectomy
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Treating ObesityTreating Obesity
Feeding programsFeeding programs Exercise strategiesExercise strategies Educating clients on health risks of obesityEducating clients on health risks of obesity Routine weighingRoutine weighing Body condition scoringBody condition scoring
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OverfeedingOverfeeding
Primary cause for obesity during growth life Primary cause for obesity during growth life stagesstages
During juvenile growth, induces increased During juvenile growth, induces increased numbers of fat cellsnumbers of fat cells
Adipocyte hyperplasis is prevented by using Adipocyte hyperplasis is prevented by using meal feeding for puppies, kittens, and foalsmeal feeding for puppies, kittens, and foals
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OvereatingOvereating
Consuming more energy than is expended Consuming more energy than is expended Feeding table food to the picky eaterFeeding table food to the picky eater Feeding diets high in fatFeeding diets high in fat PreventionPrevention
Volume-restricted mealsVolume-restricted meals Elimination of calorie-rich treatsElimination of calorie-rich treats
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Genetic PredispositionGenetic Predisposition
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Other Causes of ObesityOther Causes of Obesity
Declining lean body massDeclining lean body mass
Declining activity level during normal aging Declining activity level during normal aging processesprocesses
Decreasing energy requirements in geriatricsDecreasing energy requirements in geriatrics
Competitive eatingCompetitive eating
Surgical neuteringSurgical neutering
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Health Risks of ObesityHealth Risks of Obesity
Coronary heart diseaseCoronary heart disease Type 2 diabetes and insulin resistanceType 2 diabetes and insulin resistance HypertensionHypertension Pulmonary disordersPulmonary disorders Liver, kidney, and gall bladder diseaseLiver, kidney, and gall bladder disease Colon, ovarian, endometrial neoplasiaColon, ovarian, endometrial neoplasia Musculoskeletal diseases including joint stress, hip Musculoskeletal diseases including joint stress, hip
dysplasia, and osteoarthritisdysplasia, and osteoarthritis Muscular injuries including cranial cruciate ligament Muscular injuries including cranial cruciate ligament
rupturerupture
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Obese PatientsObese Patients
Anesthetic risksAnesthetic risks Intolerant to exercise and heatIntolerant to exercise and heat Mortality is increasedMortality is increased Linked with some endocrine diseasesLinked with some endocrine diseases
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Assessment of ObesityAssessment of Obesity
Visually examine subcutaneous fat depositsVisually examine subcutaneous fat deposits Palpitate ribs, groin, and tail headPalpitate ribs, groin, and tail head Obtain radiographs of abdomen and thoraxObtain radiographs of abdomen and thorax Measure body composition by weighing Measure body composition by weighing
animal indirectlyanimal indirectly Utilize ideal weight tables for purebred Utilize ideal weight tables for purebred
animalsanimals
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Obesity TreatmentObesity Treatment
Feed calorie-restricted, low-energy foodFeed calorie-restricted, low-energy food Feed diet high in fiberFeed diet high in fiber ExerciseExercise Restriction of treatsRestriction of treats
No human snack foods or commercial pet treatsNo human snack foods or commercial pet treats Teamwork between owner, veterinarian, and Teamwork between owner, veterinarian, and
technician necessarytechnician necessary
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Ages of Geriatric DogsAges of Geriatric Dogs
Toy and small-sized breedsToy and small-sized breeds 7 years7 years
Medium-sized dogsMedium-sized dogs 6 years6 years
Large and giant breedsLarge and giant breeds As early as 5 yearsAs early as 5 years
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Age-Associated Changes in DogsAge-Associated Changes in Dogs
Reduced immune responseReduced immune response Reduced digestive and renal functionReduced digestive and renal function Reduced glucose toleranceReduced glucose tolerance Changed smell and taste perceptionChanged smell and taste perception Reduced lean body massReduced lean body mass Reduced basal metabolic rateReduced basal metabolic rate
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Geriatric NutritionGeriatric Nutrition
Influenced by individual body conditionInfluenced by individual body condition Influenced by individual health historyInfluenced by individual health history Maintenance of optimal weight is ideal goalMaintenance of optimal weight is ideal goal Senior diets are recommendedSenior diets are recommended
Reduced proteinReduced protein Reduced phosphorus and sodiumReduced phosphorus and sodium Increased fiberIncreased fiber
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Healthy Older CatsHealthy Older Cats
Limiting protein with normal renal and hepatic Limiting protein with normal renal and hepatic function can contribute to muscle lossfunction can contribute to muscle loss
Cats should not be fed a low-protein diet just Cats should not be fed a low-protein diet just because they are oldbecause they are old
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Potential Benefits of Potential Benefits of Antioxidant DietsAntioxidant Diets
Combat signs of brain agingCombat signs of brain aging Improve learning abilityImprove learning ability Protect against free-radical damageProtect against free-radical damage Improve cell membrane healthImprove cell membrane health Optimize senior healthOptimize senior health
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Geriatric Weight LossGeriatric Weight Loss
Calorie control may begin (or be continued) in Calorie control may begin (or be continued) in some geriatricssome geriatrics
Weight loss may be symptom of:Weight loss may be symptom of: Systemic diseaseSystemic disease Dental or oral painDental or oral pain Failing sense of smellFailing sense of smell Heightened finicky tastesHeightened finicky tastes
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Renal DiseaseRenal Disease
Chronic progressive renal disease common in Chronic progressive renal disease common in older dogs and catsolder dogs and cats
Loss of renal function reduces ability to Loss of renal function reduces ability to excrete:excrete: PhosphorusPhosphorus UreaUrea Other products of protein metabolismOther products of protein metabolism
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Dietary Considerations Dietary Considerations for Renal Diseasefor Renal Disease
Avoid excessive protein, phosphorus, sodiumAvoid excessive protein, phosphorus, sodium Use commercial prescription dietsUse commercial prescription diets
Designed with dietary goals in mindDesigned with dietary goals in mind• e.g., increased potassiume.g., increased potassium
• e.g., increased omega-3 fatty acidse.g., increased omega-3 fatty acids
Readily available from veterinarianReadily available from veterinarian
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CatsCats
Carnivorous predatorsCarnivorous predators Not “small dogs”Not “small dogs” Protein metabolism is uniqueProtein metabolism is unique
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Factors Influencing Feeding of CatsFactors Influencing Feeding of Cats
Have reduced carbohydrate metabolismHave reduced carbohydrate metabolism Require higher percentage of proteinRequire higher percentage of protein General requirements for foodGeneral requirements for food
High-protein foodsHigh-protein foods Low-carbohydrate foodsLow-carbohydrate foods Amino acids (e.g., taurine, arginine)Amino acids (e.g., taurine, arginine) B vitaminsB vitamins
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Feline-Specific Requirements Feline-Specific Requirements in Foodin Food
TaurineTaurine Vitamin AVitamin A NiacinNiacin PyridoxinePyridoxine Arachidonic (fatty) acidsArachidonic (fatty) acids
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Basis for Energy Basis for Energy Recommendations Recommendations
for Catsfor Cats SignalmentSignalment Body condition scoreBody condition score Activity levelActivity level Hydration statusHydration status DentitionDentition
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Needs of Orphaned KittensNeeds of Orphaned Kittens
Adequate colostrum immediately after birth is Adequate colostrum immediately after birth is criticalcritical
Stable environment is importantStable environment is important May need assistance in urination and May need assistance in urination and
defecationdefecation
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Feeding of Orphaned KittensFeeding of Orphaned Kittens
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KittensKittens
Weigh between 85 and 120 g at birthWeigh between 85 and 120 g at birth Gain an average of approximately 100 Gain an average of approximately 100
g/weekg/week Caloric needs: 22-26 kcal/100 g of body Caloric needs: 22-26 kcal/100 g of body
weight for first 3 months of lifeweight for first 3 months of life Schedule feedings at least 4 times a daySchedule feedings at least 4 times a day In general, male kittens grow faster than In general, male kittens grow faster than
females females
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Formula for KittensFormula for Kittens
Preparation should follow label instructions Preparation should follow label instructions
Initial feedings have less volume (but not less Initial feedings have less volume (but not less frequency) than directed by manufacturer frequency) than directed by manufacturer
Should be warmed to about 100° F (37.8° C)Should be warmed to about 100° F (37.8° C)
Feeding equipment must be cleaned Feeding equipment must be cleaned immediately after useimmediately after use
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Formula Feeding of KittensFormula Feeding of Kittens
Increasing amounts of formula are given, Increasing amounts of formula are given, based on weight gain and satiationbased on weight gain and satiation
Weaning generally begins at 7-9 weeksWeaning generally begins at 7-9 weeks Growth-sustaining kitten foods are fed 2-3 Growth-sustaining kitten foods are fed 2-3
times daily until 10 months of agetimes daily until 10 months of age
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Feeding Adult CatsFeeding Adult Cats
Do feed a consistent dietDo feed a consistent diet Employ a feeding schedule to eliminate Employ a feeding schedule to eliminate
finicky behavior and food aversion finicky behavior and food aversion Most cat owners tend to feed ad-libMost cat owners tend to feed ad-lib
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Commercial Feline TreatsCommercial Feline Treats
Usually nutritionally synonymous with dry cat Usually nutritionally synonymous with dry cat foodfood
Only given in moderationOnly given in moderation
““Natural" treats preferred by some ownersNatural" treats preferred by some owners
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HairballsHairballs
Occur commonly in cats due to meticulous Occur commonly in cats due to meticulous grooming habitsgrooming habits
Owners may observe periodic gagging, Owners may observe periodic gagging, retching, and regurgitation or vomiting of hair retching, and regurgitation or vomiting of hair and mucusand mucus
Hairballs often tubular and usually do not Hairballs often tubular and usually do not contain food or bilecontain food or bile
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Energy and Nutrient Energy and Nutrient Requirements During Feline Requirements During Feline
Pregnancy and LactationPregnancy and Lactation Must support both queen and offspringMust support both queen and offspring Requirements can be 3-4 times normal Requirements can be 3-4 times normal
maintenance during peak lactationmaintenance during peak lactation Ingesting larger amounts of food may not be Ingesting larger amounts of food may not be
feasiblefeasible Queen uses stored body fat to support milk Queen uses stored body fat to support milk
production in early part of lactationproduction in early part of lactation
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Feeding Geriatric CatsFeeding Geriatric Cats
Consider overall health before diet selectionConsider overall health before diet selection
Monitor food intake in association with weight Monitor food intake in association with weight changeschanges
Note water intakeNote water intake
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Feeding of Geriatric CatsFeeding of Geriatric Cats
No single food can meet needs of every catNo single food can meet needs of every cat Dietary modification can help to optimize health Dietary modification can help to optimize health
or modulate disease or modulate disease Significant protein restriction not recommendedSignificant protein restriction not recommended Moderate protein restriction recommended if Moderate protein restriction recommended if
evidence of chronic renal failureevidence of chronic renal failure Commercial diets available with balanced Commercial diets available with balanced
nutrient contents for optimizing geriatric healthnutrient contents for optimizing geriatric health
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Feline ObesityFeline Obesity
Common nutritional problemCommon nutritional problem Obtain detailed dietary historyObtain detailed dietary history Calculate amount of food offered during a Calculate amount of food offered during a
calorie-restricted dietcalorie-restricted diet Encourage client to participate in weight Encourage client to participate in weight
reduction programsreduction programs
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Fasting in Obese CatsFasting in Obese Cats
Not recommendedNot recommended Associated with accumulation of lipids in liverAssociated with accumulation of lipids in liver Can become pathological in 5-6 weeksCan become pathological in 5-6 weeks Mimics idiopathic feline hepatic lipidosisMimics idiopathic feline hepatic lipidosis
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Obesity PreventionObesity Prevention
Nutritional counseling during routine yearly Nutritional counseling during routine yearly examinationsexaminations
Dietary therapyDietary therapy Gradual introduction of new food over 7-day Gradual introduction of new food over 7-day
periodperiod
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Dietary RecommendationsDietary Recommendationsfor Obese Catsfor Obese Cats
Multiple small meals throughout dayMultiple small meals throughout day Low-calorie, high-fiber diet substancesLow-calorie, high-fiber diet substances Commercial and prescription diets now Commercial and prescription diets now
tailored for obese catstailored for obese cats With low carbohydrate and high protein matrixWith low carbohydrate and high protein matrix Help increase amount of water consumedHelp increase amount of water consumed
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Specialty Diets for Obese Specialty Diets for Obese CatsCats
Low-carbohydrate, high-protein formulasLow-carbohydrate, high-protein formulas Added L-carnitineAdded L-carnitine
Helps feline patient lose weight while maintaining Helps feline patient lose weight while maintaining lean muscle masslean muscle mass
Can decrease accumulation of fat in liver cells Can decrease accumulation of fat in liver cells
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Feline UrolithiasisFeline Urolithiasis
Most common calculi: struvite and calcium Most common calculi: struvite and calcium oxalateoxalate
Amount and balance of mineral elements in Amount and balance of mineral elements in diet affect formation of urinary calculidiet affect formation of urinary calculi
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Diet Factors InfluenceDiet Factors InfluenceDevelopment of UrolithsDevelopment of Uroliths
Water IntakeWater Intake
Other factors effecting concentrationOther factors effecting concentration
DigestibilityDigestibility
Dietary content of mineralsDietary content of minerals
Quantity of diet consumedQuantity of diet consumed
Influence of diet and eating frequency on Influence of diet and eating frequency on urine pHurine pH
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Diets Can Be FormulatedDiets Can Be Formulatedto Induce Acidic Urineto Induce Acidic Urine
Struvite crystal formation not possible at urine Struvite crystal formation not possible at urine pH <6.5pH <6.5
Addition of acidifiers such as methionine, Addition of acidifiers such as methionine, ammonium chloride, and phosphoric acidammonium chloride, and phosphoric acid
Certain animal proteins and corn glutens can Certain animal proteins and corn glutens can also promote acidic urinealso promote acidic urine
Diets composed of vegetable proteins and Diets composed of vegetable proteins and mineral salts promote alkaline urinemineral salts promote alkaline urine
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Acidifying DietsAcidifying Diets
Recommended to safely prevent and manage Recommended to safely prevent and manage struvite-related LUTDstruvite-related LUTD
Can have potential toxicityCan have potential toxicity
Can overpower kidneysCan overpower kidneys
May cause chronic acidosis in catsMay cause chronic acidosis in cats
Not recommended for kittensNot recommended for kittens
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Acidifying DietsAcidifying Diets
Inadvisable in the older catInadvisable in the older cat No diet promotes dissolution of calcium No diet promotes dissolution of calcium
oxalate urolithsoxalate uroliths Formulated to induce higher urinary pH to Formulated to induce higher urinary pH to
minimize risk of crystal formationminimize risk of crystal formation Maintains urine acidity (pH 6.2-6.4)Maintains urine acidity (pH 6.2-6.4) Keeps magnesium intake at non-excessive Keeps magnesium intake at non-excessive
levelslevels
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Risk Control Measures Risk Control Measures for Struvite Crystalluriafor Struvite Crystalluria
Maintain an acidic urine pH (6.2-6.4)Maintain an acidic urine pH (6.2-6.4)
Avoid magnesium intakeAvoid magnesium intake
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Risk Control Measures Risk Control Measures for Calcium Oxalate Crystalluriafor Calcium Oxalate Crystalluria
Maintain a more alkaline urine pH (6.4-6.8)Maintain a more alkaline urine pH (6.4-6.8)
Avoid excess calcium, sodium, magnesiumAvoid excess calcium, sodium, magnesium
Increase cat’s water consumptionIncrease cat’s water consumption
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Feline Lower Urinary Tract Feline Lower Urinary Tract Disease (FLUTD)Disease (FLUTD)
Controlling urine mineral concentrations or Controlling urine mineral concentrations or pH will not always control FLUTDpH will not always control FLUTD
Syndrome is multi-factorialSyndrome is multi-factorial Idiopathic FLUTD Idiopathic FLUTD
Has no known causeHas no known cause Water is key factor in controlling recurrencesWater is key factor in controlling recurrences Preferred dietary products are canned and other Preferred dietary products are canned and other
high-moisture foodshigh-moisture foods
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FLUTDFLUTD
Typically caused by struvite or calcium Typically caused by struvite or calcium oxalate uroliths, or by urethral plugsoxalate uroliths, or by urethral plugs
Can be caused by feline idiopathic cystitis Can be caused by feline idiopathic cystitis (FIC)(FIC)
Clinical signs:Clinical signs: Urinating outside boxUrinating outside box Frequency of urinationFrequency of urination Straining to urinateStraining to urinate
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FLUTD Prescription DietsFLUTD Prescription Diets
Provide nutritional management for struvite, Provide nutritional management for struvite, calcium oxalate, or FICcalcium oxalate, or FIC
Provide controlled levels of magnesium, Provide controlled levels of magnesium, calcium, phosphorous, and oxalatecalcium, phosphorous, and oxalate
Contain limited sodium and high levels of Contain limited sodium and high levels of omega-3 fatty acidsomega-3 fatty acids
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Nutritional AssessmentNutritional Assessment
Primary goal is to identify which patient is at Primary goal is to identify which patient is at risk for malnutritionrisk for malnutrition
Poor nutritional status associated with Poor nutritional status associated with adverse clinical outcomesadverse clinical outcomes
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Baseline Nutritional Baseline Nutritional Assessment Assessment
Evaluate both clinical and biochemical dataEvaluate both clinical and biochemical data
Analyze patient history, including nutritional Analyze patient history, including nutritional backgroundbackground
Perform a thorough physical examinationPerform a thorough physical examination
Perform serial assessments throughout Perform serial assessments throughout course of hospitalization course of hospitalization
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Nutritional BackgroundNutritional Background
When was last complete meal or nutritional When was last complete meal or nutritional support given?support given?
What was the type and route of nutrition?What was the type and route of nutrition?
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CaninesCanines
Healthy animals can use body fat stores for a Healthy animals can use body fat stores for a longer timelonger time
Can preserve body protein and nitrogen Can preserve body protein and nitrogen reservesreserves
Can decrease resting energy expenditure to Can decrease resting energy expenditure to survivesurvive
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FelinesFelines
Healthy felines do not use body stores or Healthy felines do not use body stores or preserve body protein and nitrogen reserves, preserve body protein and nitrogen reserves, as do caninesas do canines
Felines use proteins for metabolic energyFelines use proteins for metabolic energy
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Simple Starvation Simple Starvation in the Normal, Healthy Patientin the Normal, Healthy Patient
A shift to fatty acids for fuelA shift to fatty acids for fuel Mobilization of glucose in the liverMobilization of glucose in the liver Decrease in metabolic rateDecrease in metabolic rate Decrease in blood glucoseDecrease in blood glucose Production of ketones to minimize glucose Production of ketones to minimize glucose
requirementsrequirements
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Prolonged StarvationProlonged Starvation
Tissue proteins are mobilized for:Tissue proteins are mobilized for: Visceral protein synthesisVisceral protein synthesis Antibody productionAntibody production GluconeogenesisGluconeogenesis
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Consequences of StarvationConsequences of Starvation
Protein depletionProtein depletion Life-threateningLife-threatening Development of hepatic lipidosis in catsDevelopment of hepatic lipidosis in cats
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Chronically Undernourished Chronically Undernourished Patients at Increased RiskPatients at Increased Risk
ImmunosuppressionImmunosuppression Hormonal imbalanceHormonal imbalance InfectionInfection Aspiration pneumoniaAspiration pneumonia Surgical complicationsSurgical complications
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Common Surgical Common Surgical ComplicationsComplications
Wound dehiscenceWound dehiscence Delayed tissue healingDelayed tissue healing Decubital ulcersDecubital ulcers SepsisSepsis Pulmonary infectionsPulmonary infections
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Nutritional support often becomes the MOST Nutritional support often becomes the MOST essential element in the outcome of critical essential element in the outcome of critical illnessillness
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Malnourishment in the Malnourishment in the Critical PatientCritical Patient
Affects all body systemsAffects all body systems Affects mentation Affects mentation Exacerbates weakness and depressionExacerbates weakness and depression Speeds up the entire disease processSpeeds up the entire disease process
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Critical PatientsCritical Patients
Metabolism accelerated to support healingMetabolism accelerated to support healing Metabolism accelerated to resist infectionMetabolism accelerated to resist infection Structural proteins consumed as source of Structural proteins consumed as source of
energyenergy
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Indications for Nutritional Indications for Nutritional SupportSupport
Recent weight loss of >10%Recent weight loss of >10% Absent or poor food intake for more than 2 Absent or poor food intake for more than 2
daysdays Acute illness or injuryAcute illness or injury Acute muscle wastingAcute muscle wasting Heavy gastrointestinal or urinary system Heavy gastrointestinal or urinary system
losses of protein or electrolyteslosses of protein or electrolytes
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Indications forIndications forSpecific Nutritional SupportSpecific Nutritional Support
HypoalbuminemiaHypoalbuminemia
Body condition score under optimum value of Body condition score under optimum value of 33
Surgical intervention or hospital procedures Surgical intervention or hospital procedures that may result in a reduction of oral intake that may result in a reduction of oral intake over 3-5 daysover 3-5 days
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Assessment of Nutritional Assessment of Nutritional StatusStatus
Subjective global assessment (SGA) to Subjective global assessment (SGA) to determine nutritional status:determine nutritional status: Dietary historyDietary history BCSBCS Current morbidity index of illness or injuryCurrent morbidity index of illness or injury
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Enteral FeedingEnteral Feeding
Upper alimentary tract used for assisted Upper alimentary tract used for assisted feedingfeeding
Preferred method of feeding when possiblePreferred method of feeding when possible Safest and least expensiveSafest and least expensive
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Enteral Feeding MethodsEnteral Feeding Methods
Coaxed feedingCoaxed feeding
Appetite stimulation with drugsAppetite stimulation with drugs
Forced oral feedingForced oral feeding
Tube administrationTube administration
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Feeding of Enteral Food Feeding of Enteral Food TypesTypes
Similar food to that which liver is using from Similar food to that which liver is using from body storesbody stores e.g., fat, carbohydrates, proteine.g., fat, carbohydrates, protein
Canine foodCanine food Provides protein at least 4-6 g/100kcalProvides protein at least 4-6 g/100kcal
Feline foodFeline food Provides protein at least 6-8 g/100kcalProvides protein at least 6-8 g/100kcal
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Initial Enteral FeedingInitial Enteral Feeding
Ensure vomiting has ceasedEnsure vomiting has ceased
Feed small amount of an easily digestible low Feed small amount of an easily digestible low fat dietfat diet
Amount divided into portionsAmount divided into portions
Normal diet gradually reintroduced after Normal diet gradually reintroduced after appetite and stool have returned to normalappetite and stool have returned to normal
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Tube-Feeding SchedulesTube-Feeding Schedules
Day One: dilute 1/3 food amount with 2/3 Day One: dilute 1/3 food amount with 2/3 waterwater
Day Two: dilute 2/3 food with 1/3 waterDay Two: dilute 2/3 food with 1/3 water
Day Three: full food amountDay Three: full food amount
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Monitor Response to Tube FeedingMonitor Response to Tube Feeding
Patients may feel initial discomfort with Patients may feel initial discomfort with administrationadministration
Will adapt after several feedingsWill adapt after several feedings
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Abdominal Tube FeedingAbdominal Tube Feeding
Common signs of discomfortCommon signs of discomfort Restlessness, salivation, abdominal bloating, Restlessness, salivation, abdominal bloating,
vomitingvomiting Radiographic confirmationRadiographic confirmation Consider slow “trickle” feedings Consider slow “trickle” feedings
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Serious Complications Serious Complications of Tube Feedingsof Tube Feedings
Pulmonary aspirationPulmonary aspiration DiarrheaDiarrhea ConstipationConstipation Tube occlusionTube occlusion Peritonitis from improper tube positionPeritonitis from improper tube position Delayed gastric emptyingDelayed gastric emptying Bacterial contaminationBacterial contamination
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Tube Feeding GuidelinesTube Feeding Guidelines
Monitor patient for abnormal responsesMonitor patient for abnormal responses Avoid excessive stress associated with Avoid excessive stress associated with
restraintrestraint Monitor all tubes for blockage or kinkingMonitor all tubes for blockage or kinking Cap all feeding tubes to prevent entry of airCap all feeding tubes to prevent entry of air Ensure food substances at room temperatureEnsure food substances at room temperature Flush with water, before and after feedingFlush with water, before and after feeding Monitor for gastric emptyingMonitor for gastric emptying Monitor weight and stool productionMonitor weight and stool production
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Gastric MotilityGastric Motility
Monitor by checking contents of stomach by Monitor by checking contents of stomach by aspirating tube prior to feedingaspirating tube prior to feeding
If greater than 1/3 of previous feeding If greater than 1/3 of previous feeding remains in the stomach, recommend remains in the stomach, recommend subsequent feeding be skippedsubsequent feeding be skipped
If two consecutive feedings are missed, notify If two consecutive feedings are missed, notify veterinarianveterinarian
Feces should be analyzed for normal Feces should be analyzed for normal compositioncomposition
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Stomach CapacityStomach Capacity
DogsDogs Capacity ≈ 90 ml/kgCapacity ≈ 90 ml/kg Amount fed typically should not exceed 50 Amount fed typically should not exceed 50
ml/kgml/kg
CatsCats Capacity should never exceed 100 mlCapacity should never exceed 100 ml
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Tube PlacementTube Placement
Always confirm with radiographs prior to initial Always confirm with radiographs prior to initial feedingfeeding
Monitor daily Monitor daily
Increased lung soundsIncreased lung sounds
Areas of dullness or auscultationAreas of dullness or auscultation
Coughing and feverCoughing and fever
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Prevent Tube Feeding Prevent Tube Feeding ComplicationsComplications
Always ensure tube patency prior to feedingAlways ensure tube patency prior to feeding Monitor for delayed gastric emptyingMonitor for delayed gastric emptying Monitor GI functionMonitor GI function Mark tube entryMark tube entry Flush tube before and after useFlush tube before and after use
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Prevent Tube Feeding Prevent Tube Feeding ComplicationsComplications
Treat tube insertion site as a woundTreat tube insertion site as a wound
Inspect tube daily for possible migrationInspect tube daily for possible migration
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Calculate Nutrient Calculate Nutrient RequirementsRequirements
Calculate resting energy requirement (RER)Calculate resting energy requirement (RER) RER = 30 x (body weight in Kg) + 70RER = 30 x (body weight in Kg) + 70 or . . . [ RER = 70 x (body weight in Kg)or . . . [ RER = 70 x (body weight in Kg)0.75 0.75 ]]
Calculate illness energy requirement (IER)Calculate illness energy requirement (IER) IER = RER x illness factorIER = RER x illness factor
Calculate amount of food requiredCalculate amount of food required Food amount (ml) = IER Food amount (ml) = IER Caloric density of Caloric density of
selected food (Kcal/ml)selected food (Kcal/ml)
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Suggested Disease FactorsSuggested Disease Factors
Cage restCage rest 1.11.1
Surgery, trauma, cancer, sepsisSurgery, trauma, cancer, sepsis 1.2-1.51.2-1.5
Severe burns, head trauma, ventilator Severe burns, head trauma, ventilator patientspatients 1.7-2.01.7-2.0
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Parenteral Nutrition (PN)Parenteral Nutrition (PN)
Refers to delivery of nutrients intravenously Refers to delivery of nutrients intravenously (IV)(IV)
Candidates:Candidates: Severe pancreatitisSevere pancreatitis Inflammatory bowel diseaseInflammatory bowel disease PeritonitisPeritonitis Post-operative surgeryPost-operative surgery
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Parenteral NutritionParenteral Nutrition
Compounded liquid diet of:Compounded liquid diet of: ElectrolytesElectrolytes ProteinsProteins WaterWater CarbohydratesCarbohydrates FatFat VitaminsVitamins MineralsMinerals
Formulated on case-by-case basisFormulated on case-by-case basis
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Parenteral Nutrition DeliveryParenteral Nutrition Delivery
Administration through catheter:Administration through catheter: CentralCentral PeripheralPeripheral IntraosseousIntraosseous IntraperitonealIntraperitoneal
Sterile technique critical Sterile technique critical
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Complications ofComplications ofTotal Parenteral Nutrition (TPN)Total Parenteral Nutrition (TPN)
Catheter-related sepsisCatheter-related sepsis Air embolismAir embolism PneumothoraxPneumothorax Central venous thrombosisCentral venous thrombosis Catheter occlusionCatheter occlusion HypoglycemiaHypoglycemia HyperglycemiaHyperglycemia HyperlipidemiaHyperlipidemia
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Patient Management DuringPatient Management DuringTPN AdministrationTPN Administration
Maintain sterility with IV catheter and fluid Maintain sterility with IV catheter and fluid bagsbags
Inspect the catheter insertion site, and Inspect the catheter insertion site, and change bandages dailychange bandages daily
Agitate the bag gently every few hoursAgitate the bag gently every few hours Do not disconnect the IV linesDo not disconnect the IV lines
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Laboratory Analysis During Laboratory Analysis During TPNTPN
Monitor electrolytesMonitor electrolytes
Monitor liver functionMonitor liver function
Monitor for coagulopathiesMonitor for coagulopathies
Monitor CBC for infectionMonitor CBC for infection
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Nutritional ConsiderationsNutritional Considerationsfor the Critical Patientfor the Critical Patient
Critical illness = Hypermetabolic processCritical illness = Hypermetabolic process
Mobilization occurs at expense of body tissueMobilization occurs at expense of body tissue
Body becomes reliant on its protein stores to Body becomes reliant on its protein stores to provide gluconeogenesisprovide gluconeogenesis
ConsequencesConsequences
Alternations in protein homeostasisAlternations in protein homeostasis
Loss of lean body massLoss of lean body mass
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Reduce Parenteral Reduce Parenteral ComplicationsComplications
Maintain enterocyte functionMaintain enterocyte function Combine enteral and parenteral feedingCombine enteral and parenteral feeding
Reduce bowel atrophyReduce bowel atrophy Reduce bacterial translocationReduce bacterial translocation Prevent intestinal mucosal deteriorationPrevent intestinal mucosal deterioration Prevent intestinal hypertrophyPrevent intestinal hypertrophy Facilitate healing by promoting intestinal growthFacilitate healing by promoting intestinal growth
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Clinical Signs of Clinical Signs of Hypermetabolic StateHypermetabolic State
TachycardiaTachycardia TachypneaTachypnea HyperglycemiaHyperglycemia Eventual breakdown of skeletal muscle proteinEventual breakdown of skeletal muscle protein Mobilization of body fatMobilization of body fat
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MonitoringMonitoring
Evaluate respiratory effortEvaluate respiratory effort
Evaluate lung soundsEvaluate lung sounds
Monitor vascular integrityMonitor vascular integrity
Monitor serum protein and albumin levelsMonitor serum protein and albumin levels
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Clinical Signs of Poor NutritionClinical Signs of Poor Nutrition
Unexplained weaknessUnexplained weakness Dull mentationDull mentation MalnutritionMalnutrition Deterioration of respiratory functionDeterioration of respiratory function Recumbent patientRecumbent patient
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Clinical Signs of Poor NutritionClinical Signs of Poor Nutrition
Decreased kidney functionDecreased kidney function Decreased muscle functionDecreased muscle function Weakened cardiac muscleWeakened cardiac muscle
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Feeding Pet BirdsFeeding Pet Birds
Common nutritional problemsCommon nutritional problems Inadequate dietsInadequate diets Poor feeding practicesPoor feeding practices
Patients may need nutritional support, Patients may need nutritional support, different from normal dietdifferent from normal diet
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Dietary-Induced DiseasesDietary-Induced Diseases
Each species of bird has differences in Each species of bird has differences in nutritional demandsnutritional demands
Diseases occur frequently in psittacine and Diseases occur frequently in psittacine and passerine bird species, due to diverse passerine bird species, due to diverse nutrimental requirementsnutrimental requirements
Feeding and nutritional disorders can result Feeding and nutritional disorders can result from all-seed diets and diets supplemented from all-seed diets and diets supplemented with fruits, vegetables, and other human with fruits, vegetables, and other human foodsfoods
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Small BirdsSmall Birds
High metabolic ratesHigh metabolic rates High-energy requirementsHigh-energy requirements Need continuous supply of foodNeed continuous supply of food Natural diet of insects, fruits, seedsNatural diet of insects, fruits, seeds Primary natural diet is Primary natural diet is notnot seeds seeds
Seeds deficient in nutrientsSeeds deficient in nutrients
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Primary Seed DietsPrimary Seed Diets
Composed primarily of sunflower seedsComposed primarily of sunflower seeds High in fatHigh in fat Low in calciumLow in calcium Low in vitamin ALow in vitamin A Perpetuates obesity and/or nutritional deficienciesPerpetuates obesity and/or nutritional deficiencies
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Fruits and VegetablesFruits and Vegetables
They are eaten preferentially because of high They are eaten preferentially because of high water contentwater content
They dilute key nutrients present in They dilute key nutrients present in nutritionally balanced commercial foodsnutritionally balanced commercial foods
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Common Avian Nutritional Common Avian Nutritional RequirementsRequirements
All birds have similar nutritional requirementsAll birds have similar nutritional requirements Water, proteins, amino acids, carbohydrates, fats, Water, proteins, amino acids, carbohydrates, fats,
vitamins, inorganic elements, mineralsvitamins, inorganic elements, minerals Different species require different amountsDifferent species require different amounts Calcium required in largest quantityCalcium required in largest quantity
Hypocalcemia can be alleviatedHypocalcemia can be alleviated
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ProteinsProteins
Approximately 20 amino acids required by Approximately 20 amino acids required by companion birdscompanion birds
10 of the 20 are essential amino acids10 of the 20 are essential amino acids
Infant birds need glycine and proline Infant birds need glycine and proline
Increased proteins may be needed during Increased proteins may be needed during reproductive cyclereproductive cycle
Insects may supply increased protein needsInsects may supply increased protein needs
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Commercial Avian FoodsCommercial Avian Foods
BenefitsBenefits Nutritionally balancedNutritionally balanced ConvenientConvenient
DisadvantagesDisadvantages No testing for nutritional adequacyNo testing for nutritional adequacy
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Seed DietsSeed Diets
Seeds are not best or most natural foodSeeds are not best or most natural food
Seeds in most commercial mixes are not Seeds in most commercial mixes are not native to areas where most pet bird species native to areas where most pet bird species originateoriginate
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Well-Balanced Seed MixturesWell-Balanced Seed Mixtures
Can supply essential nutrientsCan supply essential nutrients Rarely appropriate as sole nutritional sourceRarely appropriate as sole nutritional source
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Homemade Mixed-Food DietsHomemade Mixed-Food Diets
An alternative if bird will not accept An alternative if bird will not accept commercially prepared foods or seed commercially prepared foods or seed mixturesmixtures
Can result in excellent feathering and Can result in excellent feathering and appropriate body mass appropriate body mass
Will not cause nutritional deficiencies, if Will not cause nutritional deficiencies, if prepared carefully from scientifically prepared carefully from scientifically developed recipesdeveloped recipes
Ensure owner compliance!Ensure owner compliance!
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Mineral GritMineral Grit
Dietary supplementDietary supplement Insoluble grit remains in gizzardInsoluble grit remains in gizzard
Quartz or silicaQuartz or silica Soluble grit is completely digestedSoluble grit is completely digested
Oyster shells or cuttlefishOyster shells or cuttlefish Over-supplementing can be harmfulOver-supplementing can be harmful
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WaterWater
Single most important dietary componentSingle most important dietary component
Makes up >50% of a bird's body weightMakes up >50% of a bird's body weight
Intake is important for thermoregulationIntake is important for thermoregulation
Breeding females require increased amounts Breeding females require increased amounts of waterof water
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Water RequirementsWater Requirements
Birds should not go more than a few hours Birds should not go more than a few hours without access to fresh, clean water without access to fresh, clean water
Some foods require free water for efficient Some foods require free water for efficient digestion and absorptiondigestion and absorption
Provide water in easily accessible containerProvide water in easily accessible container
Avoid large water bowls to discourage Avoid large water bowls to discourage bathingbathing
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RabbitsRabbits
Dietary requirements vary according to age Dietary requirements vary according to age and useand use Pet rabbitsPet rabbits Show and production rabbitsShow and production rabbits
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Recommended Rabbit DietsRecommended Rabbit Diets
Feed alfalfa-based pellets with a hay Feed alfalfa-based pellets with a hay supplement on a daily basissupplement on a daily basis
Feed at rate of 0.25 cup/2.27 kg (5 lb) body Feed at rate of 0.25 cup/2.27 kg (5 lb) body weight, divided into two mealsweight, divided into two meals
Remove uneaten portions Remove uneaten portions May need increased feeding during gestation May need increased feeding during gestation
and lactationand lactation Offer good-quality grass hay ad-libOffer good-quality grass hay ad-lib Some “treats” are acceptableSome “treats” are acceptable
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Feeding of RabbitsFeeding of Rabbits
Regular times are importantRegular times are important Rabbits are nocturnal in natureRabbits are nocturnal in nature Adequate fresh water essentialAdequate fresh water essential
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Vitamin A Supplements for Vitamin A Supplements for RabbitsRabbits
Deficiency can result in infertility and other Deficiency can result in infertility and other reproductive complicationsreproductive complications
Adequate vitamin A contained in most fresh Adequate vitamin A contained in most fresh alfalfa pelletsalfalfa pellets
Dangerous to add supplement to adequate Dangerous to add supplement to adequate dietdiet
Recommend purchasing feeds within 90 days Recommend purchasing feeds within 90 days of productionof production
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PelletsPellets
Feeds containing antibiotics not Feeds containing antibiotics not recommendedrecommended
Feeds high in calcium or vitamin D not Feeds high in calcium or vitamin D not recommendedrecommended
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Guinea PigsGuinea Pigs
Fastidious eatersFastidious eaters
Herbivores with normal coprophagous Herbivores with normal coprophagous behavior behavior
Daily fresh water is essentialDaily fresh water is essential
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Recommended Diet for Recommended Diet for Guinea PigsGuinea Pigs
Food with increased fiberFood with increased fiber
Freshly milled guinea pig feedFreshly milled guinea pig feed
Do not feed rabbit food, or any other diet Do not feed rabbit food, or any other diet designed for another speciesdesigned for another species
Provide access to hard food diets that Provide access to hard food diets that promote gnawingpromote gnawing
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Vitamin C in the Guinea Pig Vitamin C in the Guinea Pig DietDiet
Require daily dietary ascorbic acid Require daily dietary ascorbic acid supplementsupplement
Minimal vitamin C in commercially prepared Minimal vitamin C in commercially prepared dietsdiets
Fresh fruit supplements commercial dietsFresh fruit supplements commercial diets Spinach, kale, parsley, chicory, bell peppers, Spinach, kale, parsley, chicory, bell peppers,
orangesoranges
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Ascorbic Acid Ascorbic Acid SupplementationSupplementation
10 mg/kg/day is required 10 mg/kg/day is required
30 mg/kg/day needed, if pregnant30 mg/kg/day needed, if pregnant
If supplementation is not provided in feed, If supplementation is not provided in feed,
1 gram/L may be added to water1 gram/L may be added to water
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Clinical Signs of Vitamin C Clinical Signs of Vitamin C DeficiencyDeficiency
AlopeciaAlopecia
AnorexiaAnorexia
DehydrationDehydration
Poor wound healingPoor wound healing
Eventual periodontal diseaseEventual periodontal disease
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HamstersHamsters
OmnivoresOmnivores
Nocturnal, so feed at nightNocturnal, so feed at night
Require hard food dietsRequire hard food diets
Fed pelleted hamster diets or mixesFed pelleted hamster diets or mixes
Need to drink water from heavy bowl or water Need to drink water from heavy bowl or water delivery systemdelivery system
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GerbilsGerbils
HerbivorousHerbivorous
GranivorousGranivorous
Typically eat frequent small mealsTypically eat frequent small meals
Commercial gerbil food availableCommercial gerbil food available
Diets supplemented with green vegetables, Diets supplemented with green vegetables, fresh fruit, and hard food or pieces of woodfresh fruit, and hard food or pieces of wood
Need fresh water dailyNeed fresh water daily
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Rats and MiceRats and Mice
OmnivorousOmnivorous
Commercially available pellet-based diets Commercially available pellet-based diets supply most nutritional requirementssupply most nutritional requirements
Diets are supplemented with small amounts Diets are supplemented with small amounts of apples, tomatoes, or biscuitsof apples, tomatoes, or biscuits
““Treats” may encourage handlingTreats” may encourage handling
Fresh water should be supplied daily in sipper Fresh water should be supplied daily in sipper bottlesbottles
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ChinchillasChinchillas
Hindgut fermentersHindgut fermenters Diet devoid of fiber can cause diarrhea, Diet devoid of fiber can cause diarrhea,
constipation, bloat, or rectal prolapseconstipation, bloat, or rectal prolapse Recommended dietRecommended diet
Grasses and seedsGrasses and seeds Supplemented with small quantities of dried fruits, Supplemented with small quantities of dried fruits,
nuts, carrots, green vegetables, or green grassnuts, carrots, green vegetables, or green grass Need dust baths for grooming needsNeed dust baths for grooming needs Daily fresh water necessaryDaily fresh water necessary
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FerretsFerrets
Typically carnivoresTypically carnivores Normal seasonal fluctuations in body weightNormal seasonal fluctuations in body weight High-fiber diets are not recommendedHigh-fiber diets are not recommended Pelleted commercial ferret diets availablePelleted commercial ferret diets available Commercial diet may be supplementedCommercial diet may be supplemented
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CheloniansChelonians
Land tortoisesLand tortoises Predominantly herbivoresPredominantly herbivores Captivity diets primarily composed of Captivity diets primarily composed of
vegetablesvegetables
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Typical Tortoise DietTypical Tortoise Diet
85% Vegetables85% Vegetables
10% Fruit10% Fruit
>5% High-protein foods>5% High-protein foods
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Caring for the Captive Caring for the Captive TortoiseTortoise
Vary the dietVary the diet Provide shallow water dishProvide shallow water dish Provide sunlight or ultraviolet lightProvide sunlight or ultraviolet light Multivitamins containing vitamin D may be Multivitamins containing vitamin D may be
added to diet every 1-2 weeksadded to diet every 1-2 weeks
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Aquatic TurtlesAquatic Turtles
Feed only when they are in the waterFeed only when they are in the water Need variety of foods to achieve balanceNeed variety of foods to achieve balance Majority of diet should be composed of Majority of diet should be composed of
natural foodsnatural foods
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Vitamin A DeficiencyVitamin A Deficiencyin Captive Turtlesin Captive Turtles
Clinical signsClinical signs Respiratory infectionsRespiratory infections Edematous eyesEdematous eyes Urogenital tract obstructionsUrogenital tract obstructions Beak overgrowthsBeak overgrowths
Clinical findingsClinical findings Related to anorexia and dehydrationRelated to anorexia and dehydration
Prevention with beta-carotene in dietPrevention with beta-carotene in diet
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SnakesSnakes
CarnivoresCarnivores Feed varied diet every 1-2 weeksFeed varied diet every 1-2 weeks Specific dietary needs depend on the species Specific dietary needs depend on the species
of snakeof snake Nutritional deficiency rareNutritional deficiency rare Water requirements lowWater requirements low
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LizardsLizards
Most are omnivorousMost are omnivorous Require vitamin and mineral supplementation, Require vitamin and mineral supplementation,
with emphasis on a variety of foodwith emphasis on a variety of food
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Feeding of LizardsFeeding of Lizards
Juvenile lizardsJuvenile lizards Require feedings 1-2 times a dayRequire feedings 1-2 times a day
AdultsAdults Require feedings 2-3 times per weekRequire feedings 2-3 times per week
Most lizards are diurnalMost lizards are diurnal Require daytime feedings and time to bask in Require daytime feedings and time to bask in
natural or ultraviolet light natural or ultraviolet light
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Herbivorous LizardsHerbivorous Lizards
Require varied diet to ensure adequate Require varied diet to ensure adequate nutritional balancenutritional balance
Leafy greens are recommended dietary Leafy greens are recommended dietary substancessubstances
Commercially prepared diets are availableCommercially prepared diets are available
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Common IguanasCommon Iguanas
Require protein for normal growth and Require protein for normal growth and developmentdevelopment
Juvenile iguanas in captivity need more Juvenile iguanas in captivity need more protein and calcium than adultsprotein and calcium than adults
Protein sourcesProtein sources Dog food, monkey biscuits, tofuDog food, monkey biscuits, tofu
Provide water in bowl for bathing and drinkingProvide water in bowl for bathing and drinking
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AmphibiansAmphibians
Pets included in groupPets included in group Frogs, toads, salamanders, and newtsFrogs, toads, salamanders, and newts
Most adults are carnivoresMost adults are carnivores Captive amphibiansCaptive amphibians
May adapt to eating dead prey or meatMay adapt to eating dead prey or meat Should be fed 2-3 times a weekShould be fed 2-3 times a week
Replication of natural environment importantReplication of natural environment important