Nutrition 2 - Week 9 Flashcards

1
Q

State the 3 main nutrient in Small Animal nutrition

A

protein
fat
carbohydrate

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2
Q

Proteins: How many amino acids are used in animal protein?
- how many amino acids are essential for dogs?
- how many are essential for cats?

A

21
10
11

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3
Q

Proteins: Which essential amino acid do cats need that dogs don’t?
- where is it found?
- what is it required for? (4)
- what can a taurine deficiency in cats lead to?

A

taurine

in animal tissues

tissue growth and repair
manufacture of hormones and enzymes
immune system
energy source

dilated cardiomyopathy which can be reversed if taurine is reintroduced

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4
Q

Proteins: State some foods which are high in protein (6)

A

egg
beef
lamb
pork
chicken
liver

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5
Q

Fat: State 3 general functions of lipids

A

provide energy
aids the absorption of fat soluble vitamins A D E and K
supplies essential fatty acids

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6
Q

Carbohydrates: State 3 types of carbohydrate

A

simple sugars
starches
fibre

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7
Q

Fat: Is fat more energy dense than protein?
- where do they need to obtain these fats from?
- which essential fatty acids do both dogs and cats need?
- which essential fatty acid do cats also require and where do they obtain it from?

A

yes

their protein source

linolenic acid which is synthesised from linoleic

arachidonic acid from animal tissue

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8
Q

Carbohydrates: Give an example of a simple sugar and where its found

A

glucose found in fruits

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9
Q

Carbohydrates: Give 2 examples of starch molecules
- where are they found (6)
- do cats and dogs really need carbohydrates?

A

amylose
glycogen

potatoes
oats
rice
barley
wheat
corn

no as they are better equipped to use proteins and fats as their energy source

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10
Q

What is a complete and balanced diet?

A

a diet where an animal has consumed enough energy to meet its energy requirements as well as the correct amount of all other essential nutrients needed for good health

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11
Q

Carbohydrates: Give 4 examples of Fibre
- what are fibres good for? (2)
- how does their structure affect their digestion and function?

A

bran
cellulose
beet pulp
psyllium husk

promoting and regulating normal bowel function

providing fuel for enterocytes in the colon

they are resistant to mammalian digestive enzymes so are broken down by fermentation by microbes in the colon, feeding the enterocytes here

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12
Q

Which European regulatory body is in control of commercial pet food production?
- what do they provide?

A

FEDIAF

a guide on the legal levels of vitamins and minerals for pet food

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13
Q

What are complementary foods?

A

foods which individually are not sufficient to meet all the nutritional requirements of a dog or cat in a single meal as they have no added supplements

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14
Q

Give examples of Complementary foods bought form a store (3)
- give examples of complementary foods from the owner (2)

A

mixer biscuits
certain tinned meats
bag of treats

human food
vitamin and mineral supplements

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15
Q

State 3 broad areas we look at when creating and implementing a suitable feeding regime for a patient

A

patient assessment
feeding plan
monitoring

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16
Q

Patient Assessment: What do we do in this stage?
- what is this assessment based off? (7)

A

we determine the patients key nutritional factor and their energy levels

signalment
reproductive status
age
physical examination
weight
MCS
BCS

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17
Q

Comparing foods: What does ‘As fed or Guaranteed’ mean?
- what is it expressed as on the packet?

A

the nutrients as a percentage of the food including water

as a percentage or amount of nutrients per kg of food

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18
Q

Feeding Plan: What happens during this phase? (2)

A

make a recommendation based on patient assessment findings
think about food and feeding methods

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19
Q

Monitoring: What should be done for this phase and why? (3)

A

repeat the previous steps regularly to maintain long term health
adjust feeding guide to maintain optimum condition
offer the client complimentary diet checks with the nurse and incentives

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20
Q

Comparing foods: What is dry matter?
- what is it expressed as on the packet?
- how have the percentages different from that of ‘as fed/guaranteed’?

A

the nutrients as a percentage after the water has been removed

as a percentage or amount of nutrients per kg of food dry matter

the percentages of nutrients often increases in dry matter as the nutrients are making up a larger percentage of the feed once the water has been removed

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21
Q

Comparing foods: As fed protein is said to be 10%.The can says 80% is moisture.
- What percentage is dry matter?
- What percentage does this mean the protein is as Dry Matter?

A

20%

50%

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22
Q

Comparing foods: For dry food, does it contain more or less water than wet food?
- If the protein as fed is 10% and there is 7% water, how much dry matter is there?
- What percentage of dry matter is protein?
- How does this compare with wet food?

A

93%

10.7%

the nutrient percentage difference between as fed and dry matter is less significant in dry food than in wet food

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23
Q

Give 4 advantages of Wet complete food
- Give 3 disadvantages of wet complete food

A

increased acceptability
easier to digest
increased water intake
can be higher in animal source proteins and animal fat

contains less nutrients per 100g
more must be fed to satisfy energy and nutritional needs
linked to increased dental disease

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24
Q

Give 3 Advantages of Dry complete food
- Give 4 disadvantages of Dry complete food

A

more nutrients per 100g
less food required to satisfy energy and nutritional requirements

acceptability is reduced when fed alone
low water content
availability of fatty acids may be limited
can become rancid quickly depending on fat additives if not stored correctly

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25
Q

State 3 alternative diets (other than dry and wet)

A

RAW
BARF
homemade

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26
Q

Weight Loss Clincs: How can you manage weight gain, in animals? (2)

A

educate owner - in how energy works and teach them to manage their pets diet based on their activity levels

maybe a change in diet and lifestyle to help reverse the situation

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27
Q

Give some reasons why animals are being fed an unsuitable diet? (5)

A

poor quality diet
owners feeding too much of a diet
high fat content
additional complementary feeds being given on top of normal dietary intake
inadequate exercise

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28
Q

State some of the possible problems associated with feeding inappropriate diets e.g. excess energy

A

could lead to obesity, arthritis and other medical conditions

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29
Q

Generally, why do animals gain weight? (2)

A

owners are feeding to much food compared to their activity level
a cheap nutritionally unbalanced diet is being used

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30
Q

What are some of the problems associated with feeding an animal less energy than required? (6)

A

weight loss
nutrient deficiencies
poor growth in young animals
lactation failure
poor wound healing or recovery from illness
ongoing disease for example IBD or exocrine pancreatic insufficiency

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31
Q

Weight Loss Clinics: State 7 ways of changing food to help animal loose weight

A

reduce calories
reduce carbohydrates
higher insoluble fibre
added L-carnitine for fat mobilisation
reduced overall dietary fats
increased exercise to the patients capability
increase protein and decrease carbohydrate in cats

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32
Q

Weight Loss Clinics: How do we monitor the progress of a patient?
- how much weight per week is safe to lose in dogs?
- What about in cats?

A

schedule regular visits to reassess the patient

3% body weight
2% body weight

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33
Q

Dental Disease: Does diet play a big role in dental disease?
- How can we prevent it?
- Will dietary changes help teeth with huge amounts of tartar and plaque build up?

A

no, dental care plays a bigger role

regular home care

no

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34
Q

Dental Disease: Which diets can increase the likelihood of cavity formation without brushing?
- what can you give to young animals to help slow the formation of tartar and why does it work?

A

high sugar diet
exclusively wet food diet

100% biscuits due to crunching

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35
Q

State the stages of energy usage starting with Gross energy intake from food (5)

A

gross energy
digestible energy and faecal energy
metabolisable energy and urine and gas energy
net energy and heat increment
production and maintenance

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36
Q

What is the Resting Energy Requirement? (RER)
- give the equation for an animal over 2kg
give the equation for an animal under 2kg

A

the number of calories required for maintaining homeostasis in a thermo-neutral environment while at rest

(30x weight) + 70

70 x (weight)^0.75

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37
Q

What is the Daily Energy Requirement? (DER)
- how do you calculate it?

A

the daily requirement for an animal in each part of its life stages

RER x life stage factor

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38
Q

Do we feed an overweight dog for its current weight or its ideal weight?
- how can you calculate its ideal body weight? (3)

A

its ideal weight

each body condition score after 5 is an additional 10% overweight
divide current body weight by 1.1,1.2,1.3 or 1.4 depending on current BCS
where BCS 6 is 1.1 and BCS 9 is 1.4

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39
Q

For which patients would we feed RER not DER?

A

a hospitalised or sick patient

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40
Q

State a helpful resource we can use to assess BCS
- why is the 9 point BCS better than the 5 point BCS?

A

royal canin BCS sheet

it provides a broader spectrum to condition the animals down to

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41
Q

State the Life Stage Factor for:
- Entire dog
- Neutered dog
- Obese prone and senior

A

1.8
1.6
1.4

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42
Q

How do we know how much to feed?
- are supplements necessary?
- What should we avoid when changing food?
- Over what period of time should we change food?

A

the manufacturers guidelines

not necessary if the food is complete and balanced

sudden diet changes

7-10 days

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43
Q

Give examples of types of foods that exist for different types of cat (5)

A

indoor cat
neutered male and female
hairball control
skin and stomach sensitivities
breed specific

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44
Q

Give examples of types of foods that exist for different types of dog (5)

A

active or working dog
neutered male and female
vegetarian
skin and stomach sensitivities
breed specific

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45
Q

When should puppies and kitten be weaned?
- when should weaning be completed?
- What foods should you feed the weaned puppies and kittens?
- What should be regularly done?

A

4-8 weeks old

10 weeks old

a commercially available diet designed for puppies or kittens

assessing the puppy or kittens weight, BCS and recalculating their feeding accordingly.

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46
Q

Describe the ideal growth and weight gain of a puppy or kitten
- how long can it take some breeds to achieve adult weight?
- What about large breeds?

A

they should be gaining weight at a steady rate

9 months

18 months

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47
Q

What are some of the risk of feeding Puppies or Kittens a RAW or homemade diet? (4)

A

rickets
growth deformities
heart problems from taurine deficiency
vitamin deficiencies

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48
Q

Adult Dogs: What food should you choose?
- When should you switch from puppy food?
- When should you switch to senior food?

A

a complete balanced diet suitable for the size of breed

12-15 months depending on size of breed

5-7 years depending on size of breed

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49
Q

Adult Cats: How much more protein do cats need compared to dogs?
- State 3 nutrients they need that are ONLY found in animal tissues
- Give 2 diseases a Taurine deficiency can lead to?

A

1.5-2 times

taurine
arachidonic acid
pre formed vitamin A

cardiomyopathy
irreversible blindness

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50
Q

Urinary Health: How can some diets decrease the risk of FLUTD in cats? (Feline lower urinary tract disease) (2)
- What are struvite stones made from? (2)
- What do diets overall aim to do to help prevent crystal formation?

A

controlled level of magnesium and phosphorus
increased water content

magnesium ammonium phosphate
calcium carbon apatite

maintain urine PH at 6.2-6.4 by controlling mineral content

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51
Q

What are some of the disease risks, that senior foods try to manage, for Geriatric Patients? (4)

A

renal disease
liver disease
dibetes
urinary disease

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52
Q

List and explain some of the diet changes for Senior cats and dogs (7)

A

high digestibility - to enable nutrient absorption in smaller meals and reduce wastage

excellent palatability - as taste and smell is reduced in older pets

high in antioxidants - to reduce free radical damage

increased fibre - to promote normal intestinal motility

moderate protein intake - to maintain lean body mass while avoiding exacerbation of sub clinical renal disease

avoid excess sodium intake - as they are more susceptible to chronic diseases associated with hypertension

reduced phosphorus - to slow progression of subclinical renal disease

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53
Q

Working Dogs: How are their nutritional demands different? (2)
- why do they need more fat? (2)
- what can be added to help prevent muscle injury?

A

require more calories
require more fat

to increase the amount of easily accessible energy
to allow a higher energy intake in small meals

antioxidants

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54
Q

Working Dogs: Which nutrient do the following types of working/active dog require more of?
- Sprint athlete
- endurance athlete

  • When should they be fed? (2)
  • What should they be provided with during prolonged exercise?
A

carbohydrate
fat

small amounts before activity
main meal after exercise

food and water

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55
Q

Sensible Feeding Regimes: How many meals per day is normal for a dog?
- How are cats different?
- How can we accommodate for cats?
- How can you accommodate multiple cats in a household?
- How can you accommodate biscuit gobblers?

A

1-2

they like to come and go and feed frequently

multiple feeds
electronic bowls with food in all day

individual feed stations

enrichment

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117
Q

Why is assisted feeding important if an animal hasn’t eaton in 12-24 hours?

A

the intestinal villi will start to die
this will reduce the absorptive rate of any food

118
Q

Why is it important to not let an animal gorge on food if for whatever reason they haven’t eaton in a couple days? (e.g. locked in a shed) (2) - explain the first one

A

they can develop re feeding syndrome
where a surge in insulin and rapid change in hormones causes severe clinical signs

they are at risk of developing fatty liver disease especially if they’ve been starved

119
Q

When is an animal classed as Anorexic?
- Give and explain an example of anticipated anorexia

A

where an animal does not eat for 12-24 hours

post jaw surgery - we can anticipate that the animal will not want to or be able to eat for a few days

119
Q

State 6 reasons for considering assisted feeding

A

anorexia
anticipated anorexia
concerns regarding weight loss or malnutrition
increased losses
increased requirements
bypass precipice areas of GI tract

120
Q

Give an example of what we mean by “increased losses”
- Give examples of how these losses can occur (4)

A

protein loss

burns
renal disease
liver disease
chronic diarrhoea

121
Q

Give examples of when an animal has ‘increased requirements’ (2)

A

sepsis
extensive wound healing

122
Q

Do we bypass healthy bits of the GI tract or just broken sections of the GI tract?

A

just the broken sections as they heal

123
Q

It is well documented that early attention to nutrition may avoid complications associated with reduced calorie intake, shorten hospitalisation times and aid recovery

A
123
Q

Should we syringe feed?
- why (2)

A

no

force feeding can cause food aversion
rabbits are at a higher risk of aspiration due to the stress of syringe feeding

124
Q

When hand feeding:
- Where is best to avoid hand feeding patients?
- why

A

in their kennel

this is their safe, relaxation and sleep zone so hand feeding them here can cause stress and food aversions

125
Q

State the 3 main types of Assisted Feeding Tubes

A

nato-oesophageal
oesophagostomy
percutaneous endoscopic gastronomy

126
Q

Naso-oesophageal Tubes: Describe its placement
- Where is it usually best to stop the end of the tube and why?
- Is it well tolerated?
- Is any anaesthetic required? if so, where

A

the tube is passed into the nose
into the back of the oropharynx
into the oesophagus

before the cardiac sphincter to avoid oesophagitis from gastric acid splashing into oesophagus

yes

local anaesthetic on the nose

127
Q

Naso-oesophageal Tube:
- How long can it stay in place?
- What should we do if the animal still needs assisted feeding after this timeframe?
- Is it expensive? Why?
- Can the animal be sent home with it in?
- What is the main risk?

A

3-5 days

consider switching to a different type of tube

relatively cheap because only a small amount of local anaesthetic is used

Yes if the owner is well educated

it can become dislodged and lead food into the trachea

128
Q

Oesophagostomy:
- How is this tube placed?
- How long can it be left in?
- is it well tolerated?
- Is it expensive? Why?

A

the tube enters the oesophagus through an incision on the left hand side of the neck

3-4 weeks

generally

more expensive than an NO tube as general anaesthetic is required to place it

129
Q

Oesophagostomy:
- Can animal we sent home with it in? (2)
- How does the tube size compare to a NO tube?
- What is the biggest risk with this type of tube?

A

yes if the owner is well taught
and able to keep incision site clean and change dressings

bigger tube so can feed more

infection

130
Q

PEG Tube:
- How is this tube placed?
- Is anaesthetic required?
- What is the delay between tube placement and being able to use it?
- Why is there a delay?
- How long can it be left in place?

A

it is placed into the stomach through an incision in the body wall

yes general anaesthetic is required

7-14 days

to allow time for the tube to heal into the body wall to minimise the risk of stomach juices leaking into the abdominal cavity

months

131
Q

PEG Tube:
- Can the animal go home?
- Give an example of a disorder you would use this tube to treat
- What is the advantage in terms of type of food for this tube over the other 2?
- Why is it so expensive? (3)

A

yes the owner must be taught how to use it

megaoesophagus

this tube is wider so can accommodate most types of food blended up

general anaesthetic used
more equipment required to place it
more technically demanding procedure

132
Q

State the name of the 4th type of assisted feeding tube that is less commonly used.

A

enterostomy tube

132
Q

What foods can we use in the tubes? (3)

A

liquid foods
specific clinical liquid diets
critical care diets

133
Q

How can we calculate how much food to feed the patient?
- Can very liquid food be administered another way?
- What does the decided feeding regime need to fit around? (2)

A

calculate the RER of the patient
find the kcal per ml of the food you are using
give 10-15ml per kg per meal

can be given via continuous rate infusion

the animal
clinic working hours

134
Q

State and explain some of the common problems with feeding tubes (5)

A

blockages
dislodging of the tube
trauma to the site of tube or the tube itself
infection
over-granulation

135
Q

What is Over-granulation?

A

where the tissues start to heal over the tube before you want it to

136
Q

What are the main causes for the problems associated with feeding tubes? (4)

A

not flushing the tube
coughing, sneezing, vomiting
chewing, biting, pawing at the tube
poor care of the surgical site

137
Q

Feeding the critical patient:
- What should you do before each tube feed?
- How much of the RER should you give on day 1?
- What about on day 2?
- What about on day 3?

A

offer the patient food

1/3

2/3

entire RER

138
Q

Managing the critical patient:
- What records should you keep? (5)

A

the weight of the patient each morning, afternoon and evening
the quantity of food and water given
a note of how well the feed was tolerated
a note when the dressings and stomas need changing or cleaning
a clear feeding plan

139
Q

When feeding through a feeding tube, what temperature should the food and water be given at?
- Why is it best to not use a microwave?
- how best do you get the food to this ideal temperature?

A

body temperature

as it can lead to heat spots

take the food out well in advance to warm it to room temperature