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Nutritional Support for Hospitalised Cases, Incl. TPN
A. McSloy and I. Johns
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Nutritional support plays an important role in stabilising patients and providing the body with a means of recovery from illness. In certain conditions a negative energy balance can be life threatening.
Importance of nutritional support
Many patients will have a decreased voluntary food intake resulting in a negative energy balance. This in turn is associated with fatigue, an excessive loss of lean body mass, immunosuppression, delayed wound healing and mobilisation of fatty acids.
Patients requiring nutritional support
All hospitalised animals with a decreased appetite benefit from support, but certain cases in particular will present more of a challenge such as those with dysphagia or difficulty eating from jaw fractures or guttural pouch disease. Patients with gastrointestinal disease will also warrant special attention and can be very difficult to manage. Those predisposed to hyperlipaemia, including ponies, miniature horses, donkeys and pregnant and lactating mares must be closely monitored and treated as necessary. Finally long term residents, such as limb fractures, lose weight gradually and can be hard to track as they are seen every day but often cannot be weighed accurately on scales. [...]
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