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Nutrition and Disease Management for Veterinary Technicians and Nurses PDF

270 Pages·2015·2.55 MB·English
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Nutrition and Disease Management for Veterinary Technicians and Nurses Nutrition and Disease Management for Veterinary Technicians and Nurses SECOND EDITION By Ann Wortinger and Kara M. Burns Thiseditionfirstpublished2015©2015byJohnWiley&Sons,Inc. Firstedition,2007©BlackwellPublishing Editorialoffices: 1606GoldenAspenDrive,Suites103and104,Ames,Iowa50014-8300,USA TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 9600GarsingtonRoad,Oxford,OX42DQ,UK Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformationabouthowtoapplyforpermissionto reusethecopyrightmaterialinthisbookpleaseseeourwebsiteatwww.wiley.com/wiley-blackwell. Authorizationtophotocopyitemsforinternalorpersonaluse,ortheinternalorpersonaluseofspecificclients,isgranted byBlackwellPublishing,providedthatthebasefeeispaiddirectlytotheCopyrightClearanceCenter,222Rosewood Drive,Danvers,MA01923.ForthoseorganizationsthathavebeengrantedaphotocopylicensebyCCC,aseparate systemofpaymentshasbeenarranged.ThefeecodesforusersoftheTransactionalReportingServiceareISBN-13: 978-1-1185-0927-2/2015. Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks.Allbrandnamesand productnamesusedinthisbookaretradenames,servicemarks,trademarksorregisteredtrademarksoftheirrespective owners.Thepublisherisnotassociatedwithanyproductorvendormentionedinthisbook. Thecontentsofthisworkareintendedtofurthergeneralscientificresearch,understanding,anddiscussiononlyandare notintendedandshouldnotberelieduponasrecommendingorpromotingaspecificmethod,diagnosis,ortreatmentby healthsciencepractitionersforanyparticularpatient.Thepublisherandtheauthormakenorepresentationsor warrantieswithrespecttotheaccuracyorcompletenessofthecontentsofthisworkandspecificallydisclaimall warranties,includingwithoutlimitationanyimpliedwarrantiesoffitnessforaparticularpurpose.Inviewofongoing research,equipmentmodifications,changesingovernmentalregulations,andtheconstantflowofinformationrelatingto theuseofmedicines,equipment,anddevices,thereaderisurgedtoreviewandevaluatetheinformationprovidedinthe packageinsertorinstructionsforeachmedicine,equipment,ordevicefor,amongotherthings,anychangesinthe instructionsorindicationofusageandforaddedwarningsandprecautions.Readersshouldconsultwithaspecialist whereappropriate.ThefactthatanorganizationorWebsiteisreferredtointhisworkasacitationand/orapotential sourceoffurtherinformationdoesnotmeanthattheauthororthepublisherendorsestheinformationtheorganization orWebsitemayprovideorrecommendationsitmaymake.Further,readersshouldbeawarethatInternetWebsiteslisted inthisworkmayhavechangedordisappearedbetweenwhenthisworkwaswrittenandwhenitisread.Nowarranty maybecreatedorextendedbyanypromotionalstatementsforthiswork.Neitherthepublishernortheauthorshallbe liableforanydamagesarisingherefrom. LibraryofCongressDataappliedfor ISBN:9781118509272 AcataloguerecordforthisbookisavailablefromtheBritishLibrary. Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprintmaynotbeavailable inelectronicbooks. Typesetin8.5/12ptMeridienLTStdbyLaserwordsPrivateLimited,Chennai,India 1 2015 Contents Preface,vii Section3: FeedingManagementof DogsandCats Acknowledgements,ix AbouttheCompanionWebsite,xi 18 FeedingRegimensforDogsandCats,93 19 BodyConditionScoring,99 Section1: BasicsofNutrition 20 PregnancyandLactationinDogs,103 1 NutrientsandEnergy,3 21 PregnancyandLactationinCats,107 2 Water,9 22 NeonatalPuppiesandKittens,110 3 Carbohydrates,12 23 GrowthinDogs,113 4 Fats,16 24 GrowthinCats,118 5 ProteinandAminoAcids,20 25 AdultMaintenanceinDogs,121 6 Vitamins,24 26 AdultMaintenanceinCats,124 7 Minerals,33 27 FeedingtheHealthyGeriatricDogandCat,128 8 DigestionandAbsorption,38 28 PerformanceandDogs,133 9 EnergyBalance,42 29 NutritionalRequirementsofCats,139 10 NutritionCalculations,48 30 NutritionMyths,144 31 NutritionalSupport,149 Section2: NutritionalRequirements 32 AssistedFeedinginDogsandCats,157 ofDogsandCats 11 HistoryandRegulationofPetFoods,55 Section4: NutritionalManagement 12 PetFoodLabels,59 ofDisease 13 NutrientContentofPetFoods,65 33 NutritionalManagementof 14 TypesofPetFoods,71 GastrointestinalDisorders,169 15 RawFoodDiets:FactversusFiction,76 34 HepaticDisease,175 16 AdditivesandPetFoodPreservatives,80 35 WeightManagement,179 17 HomemadeDiets,85 36 FelineLowerUrinaryTractDisease,186 v vi Contents 37 Dermatology,192 Section5: FeedingManagementof OtherSpecies 38 Endocrinology,197 43 Avian,227 39 Cancer,202 44 SmallPetMammals,234 40 RefeedingSyndrome,208 45 Equine,240 41 CardiacDisease,212 42 Musculoskeletal,217 Index,247 Preface Nutritionisanareaofveterinarymedicinethatisvery fortunatetohaveanumberofveterinarianswhowere easyforthetechniciantohaveanactiverolein.Many willingtoexplainthepointsIdidn’tunderstand,tocor- of the commercial food producers have even concen- rectmewhenImisunderstoodaconceptandtodirect tratedoneducatingtechniciansonnutrition.Thereare metoareasthatImayfindinteresting.Withoutthem,I nutritiontracksatmostnationalconferences,aswellas wouldhavehadamuchmoredifficulttimeunderstand- on-linelearningprograms. ing and utilizing nutrition in our day-to-day practice. Aswithanyotherareaofeducation,youstillneedto Afterall,thatistheultimategoalofnutritionisn’tit? knowthebasicstounderstandwhatisbeingtaught,and My goal in writing this book was to provide a book unfortunatelythisisoftennotaddressedfortechnicians. for a technician that was both relevant and technical Whilechemistry,microbiologyandmatharerequiredat butunderstandableandusable.Thisisnotadummied mostschools,eventhesedonotadequatelyaddressbasic down version of a veterinary nutrition book, but one animalnutrition.Weallaretaughtthebasicnutrientsin thatfocusesontheuniqueinterestsoftechniciansand adiet:water,protein,fatsandcarbohydrates, buthow howweusenutritioninpracticeandathome.Forthe dotheyworktogether,whathappenstotheminsidethe second edition I have asked my good friend and part- bodyandwhatchangesoccurwithagingordisease? nerinnutrition,KaraBurnstoprovideherspinondis- So where does this leave a technician who wants to easemanagementandalternatespeciesnutrition.Iam knowmoreaboutnutrition,whowantstoreallyunder- veryexcitedtohaveKarahelpingtoimprovethesecond standwhatisgoingoninsidetheanimal?Usuallythey edition. start by going through the available veterinary nutri- The book is organized into five sections. The first tionbooks,ifyouaren’toverwhelmedandterrifiedby section addresses the basics of nutrition by looking at the first chapter it’s a miracle. These books are often energy and nutrients, how the individual nutrients of moredetailedthanatechnicianneedsorwantstoknow; water,carbohydrates,fats,proteins,vitaminsandmin- you tend to get lost in these details and miss the basic eralsareutilizedbythebody,digestionsandabsorption points.Ifyougotohumannutritionbooks,thesedonot of these nutrients and finally energy balance. Section addresstheuniquenutritionalneedsofourmostcom- 2 covers nutritional requirements for cats and dogs by mon species, dogs, cats, horses, birds and pocket pets, going through the history and regulation of pets food, though they can often address basic nutrition in a less understandinghowtoreadpetfoodlabels,understand- technicalmanner.Somepeopleenrollinanonlinepro- ing nutrient content and types of foods and how they gram,butthebasicsarestilloftenmissingfromtheseand differ,andevaluatingrawfooddiets,preservativesand referencingtheselateroncanbedifficult.Ilovehaving homemade diets. Section 3 covers different feeding reference books available whenever I have a question regimens, body condition scoring both definition and or need clarification on a point of interest, and I often use, and takes feeding from pregnancy and lactation have questions and need clarification. Many commer- through neonatal, growth and adult maintenance cialfoodproducersalsoprovidetechnicalhelplines,but feedingandintogeriatrics.Section3alsocoversfeeding you still need to understand the basics before you can for performance animals, special feeding requirement askforclarification! forcats,nutritionmyths,theuseofnutritionalsupport Ihaveplowedthroughnutritionbooksfromthevery and assisted feeding techniques. Section 4 is new and basic pet owner books to the extremely technical vet- coversnutritionalmanagementofdisease,lookingatGI erinarybooks;allofthemhavesomethingtooffer,but disease, hepatic disease, weight management, FLUTD willyoureadlongenoughtounderstandit?Iwasvery and others. The final section, also new, addresses the vii viii Preface feedingmanagementofotherspecies,includinghorses, therapeuticuse.Youwillhaveabetterunderstandingof birds, and pocket pets. Each section will build on the basicdigestion,nutrientusebythebodyandhowfood information covered in previous sections, allowing for canaffectourpatientsfromthepre-natalperiodthrough practicaluseoftheinformationlearned. theirdeath(hopefullymanyyearsdowntheline).And My cats and chickens are not thrilled when I start lastly that you will bring nutrition into your practice calculating caloric intake, nutrient distribution or anduseittoimprovethequalityofcarethatisprovided metabolizable energy. I am sure that Kara’s varied pet to your patients. Nutrition is an ever-evolving field in population feels much the same way, but they too veterinary medicine, and I hope this book serves as a will ultimately benefit from our knowledge, as have steppingstoneforfuturelearning.KaraandIlovevet- innumerableclients,patients,co-workersandstudents. erinarynutritionandwehopethatyouwillcometolove Myhopeisthatthroughthisbookyoutowillcome ittoo! to appreciate the important role nutrition plays in AnnWortinger veterinary medicine, both through prevention and

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