> Hi Bonnie,
> In a message dated 1/8/04 8:50:03 AM,
> bonniebrown22@... writes:
> << I am a new member. My cat Simba was diagnosed
> with Cardio Myopathy in
> October. He is on a great deal of drugs and recently
> his appetite has
> decreased significantly. >>
> << is there anything like a "nutrition shake" for
> cats? I will feed it from a dropper if necessary. >>
> Hmm, not really.
Actually there is. The product I am most familiar with
is available through your vet and was created by vets
for Hill's Prescription Pet Food line.
From Critical Care in Cats
Critically ill patients are in a very unstable and
dynamic phase of change.
�The effect of starvation is different and more severe
in stressed animals compared to
normal pets, and malnutrition can occur within a
number of days.
�Protein-calorie-malnutrition can have severe effects
on the major organ systems,
including muscles, the gastrointestinal tract, and the
immune system, possibly even
leading to bacterial translocation and septicemia.
�Identifying patients that benefit from nutritional
support is important and is based
on patient histories, physical examinations, and
�The provision of nutritional support plays a crucial
role in the rapid and successful
recovery of critically ill patients.
�The energy intake of critically ill patients needs to
be monitored closely, while
supplying a minimum level of resting energy and
adjusting this as appropriate.
�Energy needs to be provided in the form of high
quality protein and fat.
�Other nutrients of interest are specific amino acids
like arginine, glutamine, and
branch-chain amino acids, as well as B vitamins and
�There are a variety of methods for nutritional
support, ranging from assisted
feeding to a number of different feeding tubes for
enteral and parenteral feeding.
�Enteral feeding is the safest, most physiologic and
cost-effective way to supply
nutrients, and the gut should be used whenever
�Patient monitoring includes daily physical
examinations with twice daily body
weight checks and laboratory values, such as total
proteins, albumin, PCV, blood
glucose, blood urea nitrogen, and urine specific
Information on the critical care food from Hills:
For the Nutritional Management of Pets Recovering From
Serious Illness, Accidents and Surgery Both dogs and
cats can undergo significant changes when faced with a
serious illness, injury or surgery. They may have
trouble maintaining natural defenses and sparing lean
body mass(in other words, they may be losing body
weight from muscle or organ tissue), which can affect
recovery. Prescription Diet� Canine/Feline a/d� has
been specifically formulated by veterinarians to be
fed to dogs or cats with certain debilitating
conditions. These conditions can be affected by the
lack of key nutrients and digestible energy.
Water, poultry liver, chicken, corn flour, casein,
fish oil, sodium tripolyphosphate, guar gum, taurine,
minerals (calcium carbonate, potassium chloride,
magnesium oxide, zinc oxide, ferrous sulfate, copper
sulfate, manganous oxide, calcium iodate, sodium
selenite), vitamins (choline chloride, vitamin D3
supplement, vitamin E supplement, thiamine
mononitrate, niacin, calcium pantothenate, pyridoxine
hydrochloride, riboflavin, folic acid, biotin, vitamin
As petowners we turn to this list with what many of us
think are minor questions. We really should be asking
our vets these questions. In the case of critical care
nutrition there are complex calculations that are used
to come up with both an appropriate diet and amount of
food. As a layperson we might think that oversupplying
nutrients cannot hurt as much as undersupplying:
"The calculation of energy requirements of critically
ill patients is difficult to establish. As
a result, it has been the subject of some controversy.
As it is usually not possible to
measure a patient�s energy consumption directly,
equations have been established to
estimate the requirement. Recommendations have been
made using resting energy
requirements (RER), basal energy requirements (BER),
or maintenance energy
���� Basal energy requirements encompasses all the
energy that is needed to keep the
body �ticking over� (i.e., the energy required to meet
the needs of cells and organs
under certain set conditions, such as a thermoneutral
environment, no stress, and 12-
hour dietary rest (BER/RER = 70 x W 0.75 kcal/day).
���� Resting energy requirements encompasses all the
energy required by the animal in a
resting state and accounts for physiologic influences
and the nutrient assimilation.
���� Maintenance energy requirements encompass all the
energy required for
maintaining normal body condition in a normal pet (MER
= 60 x W kcal/day).
Many authors recommend using either RER or MER and
multiplying these by an illness
factor to account for extra hypermetabolic
requirements. It has been suggested that
critically ill patients have requirements ranging from
0.5-1.5, possibly 2.0 x RER/MER
(Wills and Simpson 1994, Buffington 1998, Murtaugh
Other authors suggest that the RER of critical
patients, determined through indirect
calorimetry, indicates that their energy expenditure
is only slightly higher than normal
(Michel 1998, Thatcher 1998). Additionally, feeding
excessive calories may result in a
number of negative effects, such as gastrointestinal
problems, electrolyte imbalances, and
hepatic dysfunction (Lippert et al. 1989, Michel
1998). Also, it is recommended that
overfeeding be avoided to reduce the risk of
associated complications (Buffington 1998)."
Rudy: Male DSH brown tabby, feral mom, diagnosed 09-2002 at 19 months of age with idiopathic HCM: grade 2 murmur, hyperkinetic heart, borderline normal thickening, considered asymptomatic, 12.5 mg Atenolol 1x day, 1/2 baby aspirin 2x week administered via pilling
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