Dietary Management of Inpatients Flashcards

1
Q

what are the 5 vitals?

A
  • 3 vitals = TPR assessment
  • 4th vital - pain
  • 5th vital - nutritional assessment
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2
Q

what is the body condition score assessment?

A

Method for evaluating body fat

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3
Q

what are critically ill patients more at risk of?

A
  • malnutrition
  • acute and chronic illness
  • inflammation induced stress-related catabolism
  • drug-induced adverse effects may reduce appetite or increase nausea
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4
Q

what are some indicators for malnutrition?

A
  • unintentional weight loss
  • poor coat condition
  • muscle wastage
  • delayed wound healing
  • hypoalbuminaemia
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5
Q

what are some risk factors for malnutrition?

A
  • anorexia
  • severe underlying disease
  • pancreatitis
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6
Q

what is RER?

A

function of metabolic body size. and represents the energy requirement of the patient while at rest

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7
Q

what is the RER calculation for animals between 2kg and 30kg?

A

30 x bodyweight + 70 = RER

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8
Q

what is the RER calculation for patients under 2kg and 30kg+?

A

70 x (bodyweight)*0.75

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9
Q

what is MER?

A

maintenance energy requirement including the energy needed for obtaining, digesting and absorbing food in amount to maintain body weight and energy for spontaneous exercise

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10
Q

what is the calculation for MER?

A

140 x (bodyweight)*0.75

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11
Q

what percentage of a hospitalised dog and cats diet should protein be?

A

dogs - 15-25%
cats - 25-35%

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12
Q

what does GE, DE, ME, and NE mean?

A

GE - Gross energy
DE - digestible energy
ME - metabolise energy
NE - net energy

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13
Q

what is the definition of malnutrition?

A

an imbalance of nutrients and includes both nutrients deficiencies and nutrient excess

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14
Q

what is the definition of nutrition?

A

how the body receives and processes food for growth, development, maintenance and repair

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15
Q

what are macronutrients?

A

energy producing
- carbohydrate - fat - protein

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16
Q

what are micronutrients?

A

non - energy producing
- water - minerals - vitamins

17
Q

how many kcals are in 1g of carb?

18
Q

how many kcals are in 1g of fat?

19
Q

how many kcals are in 1g of protein?

20
Q

how many calories is required to raise the temp of 1ml of water by 1 degree?

21
Q

what can dogs synthesise that cats cannot?

22
Q

what is important to aid in the conversion of ammonia to urea?

23
Q

what happens to excess amino acids?

A

excreted by the liver and kidneys = urea

24
Q

what are proteins needed for?

A
  • energy
  • growth and maintenance
  • repair
25
what can a deficiency of protein due to?
- anorexia - poor quality protein - insufficient protein
26
what can a deficiency of protein lead to?
- poor growth - poor body condition - weight loss
27
what can a excess of protein lead to?
- renal damage which leads to: - osteochondrosis - cervical spondylomyelopathy - taurine deficiency in cats which leads to: - renal degeneration - dilated cardiomyopathy
28
what is fat needed for?
- energy - to absorb ADEK - provide EFAS - increase palatability
29
what are the essential fatty acids in cats and dogs?
- linoleic - linolenic - arachidonic
30
what do cats get linolenic fatty acid from?
Linoleic
31
where do dogs get linolenic and arachidonic from?
linoleic
32
what is the EFA for a dog?
linoleic
33
what is the EFA for a cat?
linoleic and arachidonic
34
what are some types of carbohydrates?
- starches - sugar - monosaccharides - disaccharides - oligosaccharides - polysaccharides
35
what are the journey of carbohydrates?
polysaccharides into disaccharides into monosaccharides
36
how much water is lost from urine from cats/dogs a day?
20ml/kg/day
37
how much water is lost from faeces from cats/dogs a day?
10-20ml/kg/day
38
how much water is lost from respiration from cats/dogs a day?
20ml/kg/day