energy requirement calculations

RE: energy requirement calculations

Steph Worsley — Tue, 13 Jan 2015 21:17:17 GMT

to be honest we don't routinely use anything around the stoma ointment wise, we often use biopatches which are chlorhexidine impregnated dressings or just clean on a daily basis and we don't often have much issue with stoma site infections

RE: energy requirement calculations

James Colver Cert. Ed, RVN — Tue, 13 Jan 2015 20:57:09 GMT

Lol - well I certainly didn't mean to cause a fuss, but I do agree that one of the main advantages of an O tube is the fact that almost anything can be fed if blended sufficiently and a wide enough tube is in place so we can feed diets appropriate to conditions. Do you guys use betadine ointment around the stoma?

RE: energy requirement calculations

Steph Worsley — Mon, 12 Jan 2015 21:18:51 GMT

[quote user="Lauren Valentine"]I work at the first opinion hospital with the RVC. Our protocol for assisted feeding has been approved by vet nutritionist clinician at the QMHA. Our sister hospital. [/quote]

sorry but if we are shouting about where we work I work at Liverpool University as the internal medicine nurse and our protocol has been designed/approved between myself and our head of Internal medicine

[quote user="Lauren Valentine"]when using feeding tubes commercial diets are not ideal, foods designed specifically for this purpose are best, they are calorie dense, this is important for recovering patients who need top quality nutrition.[/quote]

Hmmm, yes up to a point, however you do not want to be feeding a patient with pancreatitis, for example, one of these diets as they tend to be high fat content. Ideally especially if the tubes are going to be in long term you want to be feeding for the patients condition, enteral care and convalescence are designed for short term supplemental feeding not as a long term diet

[quote user="Lauren Valentine"]Convalescence by royal canin and enteral care. these diets are easily made up and do not need blending to get them to the right consistency. [/quote]

True these diets don't need blending and therefore are more time effective...IF you can get hold of them enteral care constantly has supply issues and the volume you need to feed of convalescence if huge - for example I have an 8kg in at the min with an N-O tube this poor patient at full requirement will need 600mls of convalescence whereas if he had an O tube I could prepare say sensitivity and the total daily requirement, even using a lot of water to help blend, would be approximately 375mls.

RE: energy requirement calculations

Lauren Valentine — Mon, 12 Jan 2015 20:56:36 GMT

Hello There.

I work at the first opinion hospital with the RVC. Our protocol for assisted feeding has been approved by vet nutritionist clinician at the QMHA. Our sister hospital.

when using feeding tubes commercial diets are not ideal, foods designed specifically for this purpose are best, they are calorie dense, this is important for recovering patients who need top quality nutrition.

Convalescence by royal canin and enteral care. these diets are easily made up and do not need blending to get them to the right consistency.

Hope this helps.

RE: energy requirement calculations

Steph Worsley — Mon, 12 Jan 2015 19:38:44 GMT

hmmm in my experience 12F wont stay patent for very long, we always use 14 or 19 in cats.

We would probably use sensitivity or i/d or even something like whiskas etc feeding according to their guides long term, all blend down really well with a bit of water with them.

RE: energy requirement calculations

James Colver Cert. Ed, RVN — Mon, 12 Jan 2015 19:34:17 GMT

It's a 12.. Have used I/d so far off the shelf but will have discussion re. appropriate food longer term - suggestions welcome!

RE: energy requirement calculations

Steph Worsley — Mon, 12 Jan 2015 19:22:59 GMT

we just use either basal energy requirement of 60x bw or MER 110 xbw^0.75

illness factors are not used anymore, the only increases would be young/pregnant animals or those losing weight whilst having assisted feeding.

just out of interest what F tube is in place and what food are you using?