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Your Singapore, the Tropical Garden City
ill or severely malnourished patients. Enteral feeding is a ISI
more appropriate choice to ensure adequate nutrition in these patients. If caloric intake remains insufficient after 2–3 days of using an appetite stimulant (or maximum 3–5 days since cessation of food intake), further measures, including enteral feeding, must be considered.
Appetite stimulants used in cats: 1. Cyproheptadine
2. Diazepam
3. Megestrol acetate
4. Mirtazapine 5. Nandrolone 6. Oxazepam 7. Prednisolone
Antiemetics and Prokinetics:Vomiting in cats is a complex coordinated reflex, resulting in expulsion of gastric contents, coordinated by neurons distributed in the brainstem. Antiemetics are used to control or prevent vomiting through specific receptor interactions mediated either centrally or peripherally, making some more effective in cats than others.
1. Mirtazepam
2. Metoclopramide
3. Dolasetron and Ondansetron 4. Maropitant
5. Phenothiazines
6. Cisapride
Temping cats to eat:Where possible and appropriate, persuading a cat to eat is preferred over other
feeding methods.Warming the food to just below body temperature may help encourage intake. If this is not successful, colder foods may be tried, as cats show variation in their preferences. Some cats will eat while being offered food by hand. Placing a small amount of wet food gently in the cat’s mouth or on their paws may initiate feeding. A variety of foods may be offered and some cats only eat at night when the wards are quiet.
Conclusion:
This presentation will address enternal nutrition for critical care patients, along with clinical case examples focusing on pancreatitis and hypertrophic cardiomyopa- thy due to hyperthyroidism.
References:
1. Chan, DL. The inappetent hospitalized cat: clinical approach to maximising nutritional support J Feline Med Surg 2009, 11:925-933 Google Scholar, SAGE Journals,
2. Michel KE. Management of anorexia in the cat. J Feline Med Surg 2001, 3:3-8. Google Scholar, SAGE Journals
Sparkes, AH Assessing and temping the finicky cat. Proceedings of the Western Veterinary Conference.2005 Feb 20-24, Las Vegas, USA. http://www.vin.com/ members/Proceedings.plx?CID=WVC 2005&Catego- ry=&PID=7840&O=VIN. Google Scholar
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