Clinical Nutrition Flashcards

1
Q

Why is this an emerging problem?

A

Aging pets

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2
Q

Can diet fix problems?

A

No just aid

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3
Q

Can food worsen disease?

A

Yes

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4
Q

Are indications necessarily proven to be efficacious from company claims?

A

No just recommendation to widen sales market!

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5
Q

Can food companies make medical claims? “cures this disease etc.”

A

No so don’t use these

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6
Q

What are the 3 aims of dietary management

A
  • differentiate between actual effects and company claims
  • don’t make other diseases worse
  • prioritise
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7
Q

Are home made diets recommended?

A

No - difficult to balance and effort to make - poor compliance
- do not trust recipes on Internet

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8
Q

Problems with raw food meat diet

A
  • high phosphorus, no calcium
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9
Q

Systematic approach in nutrition ?

A
  1. Ddx
  2. Which are amenable to dietary Tx
  3. Prioritise
  4. List nutrients of interest
  5. List other nutritional considerations
  6. Conflicts?
  7. Priorities?
  8. Find commercial diet
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10
Q

General values for reduced fat, reduced protein, reduced phosphorus, sodium, calories, fibre. What are these diets useful for?

A
  • sodium 2g/100kcal (esp for large bowel colitis, constipation )
  • calories
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11
Q

What do you look for to identify strain on the heart?

A

Left atrium

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12
Q

Priorities with CHF, CRF, hyperthyroidism

A
  • CHF (Na restriction, can Tx with drugs that will make CRF worse)
  • CRF (restrict PHOSPHORUS, protein if very azotaemic)
  • hyperthyroid (already managed)
    > Tx with Na and Ph restriction diet
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13
Q

Prioritise

  • calcium oxalate with Hx of urethral obstruction (will reblock)
  • now has IBD
A
  • IBD (not necessarily an allergy, may/may not benefit from diet)
  • stones (^water intake, v USG, manipulate pH though less important for oxalate)
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14
Q

Why are urate diets PDF obesity?

A
  • very very low protein diet

- makes up calories with fat

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15
Q

Prioritise chronic colitis, DJD, obesity and potential liver disease

A
  • colitis
  • obesity and DJD
  • ?liver disease (ONLY need protein restriction if neurological, ^enzymes alone does not need dietary management)
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16
Q

When is fat absorbed in the gut?

A

Before the colon - if it gets to the colon will be D+

17
Q

What is clinical nutrition?

A
  • going beyond meeting nutritional needs
18
Q

Which breed is pdf renal amyloidosis? (nephrotic syndrome)

A
  • sharpei