Nutritional Management of Hospitalized Small Animals offers veterinarians, veterinary students and technicians a comprehensive reference to the latest information relating to the principles and practice of nutritional support in small animals that require hospitalization. •Represents the definitive resource for small animal veterinarians in providing optimal nutritional support for their patients during hospitalization •Discusses and demonstrates the most up-to-date techniques available for successfully implementing nutritional support for hospitalized small animal patients •Provides step-by-step pictorial instructions on how to implement the most appropriate techniques for particular patients •Reveals expected outcomes and possible complications along with strategies to minimize risk of complications

Contributors vii

Preface ix

Acknowledgements xi

1 Nutritional assessment in small animals 1
Kathryn E. Michel

2 Estimating energy requirements of small animal patients 7
Daniel L. Chan

3 Routes of nutritional support in small animals 14
Sally Perea

4 Nasoesophageal feeding tubes in dogs and cats 21
Isuru Gajanayake

5 Esophagostomy feeding tubes in dogs and cats 29
Laura Eirmann

6 Gastrostomy feeding tubes in dogs and cats 41
Isuru Gajanayake and Daniel L. Chan

7 Jejunostomy feeding tubes in dogs and cats 54
F. A. (Tony) Mann and Robert C. Backus

8 Minimally invasive placement of postpyloric feeding tubes 65
Matthew W. Beal

9 Tube feeding in small animals: diet selection and preparation 80
Iveta Becvarova

10 Intravenous access for parenteral nutrition in small animals 92
Sophie Adamantos

11 Parenteral nutrition in small animals 100
Daniel L. Chan and Lisa M. Freeman

12 Pathophysiology and clinical approach to malnutrition in dogs and cats 117
Jason W. Gagne and Joseph J. Wakshlag

13 Appetite stimulants in dogs and cats 128
Lisa P. Weeth

14 Adverse food reactions in small animals 136
Cecilia Villaverde and Marta Hervera

15 Nutritional management of short bowel syndrome in dogs and cats 152
Daniel L. Chan

16 Refeeding syndrome in small animals 159
Daniel L. Chan

17 Feeding small animal patients with gastrointestinal motility disorders 165
Karin Allenspach and Daniel L. Chan

18 Immune modulating nutrients in small animals 172
Daniel L. Chan

19 Nutritional management of superficial necrolytic dermatitis in dogs 183
Andrea V. Volk and Ross Bond

20 Nutritional support in acute kidney injury in dogs and cats 193
Denise A. Elliott

21 Nutritional support in hepatic failure in dogs and cats 199
Renee M. Streeter and Joseph J. Wakshlag

22 Nutritional management of the septic patient 210
Daniel L. Chan

23 Nutritional support during acute pancreatitis 219
Kristine B. Jensen and Daniel L. Chan

24 Nutritional support in the mechanically ventilated small animal patient 228
Daniel L. Chan

25 Nutritional support in exotic pet species 234
Jeleen A. Briscoe, La Toya Latney and Cailin R. Heinze

Index 247

Daniel L. Chan is Professor of Emergency, Critical Care and Nutrition at the Royal Veterinary College, University of London, UK where he is the Head of the Section for Emergency and Critical Care and of the Nutritional Support Service. He is a Diplomate of the American and European Colleges of Veterinary Emergency and Critical Care and of the American College of Veterinary Nutrition