Refeeding syndrome in dogs and cats
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- Опубліковано 15 жов 2024
- Refeeding syndrome refers to a potentially fatal constellation of metabolic derangements that occur upon refeeding a patient with an extended period of complete anorexia or severe malnutrition. These metabolic derangements include severe hypophosphatemia, hypomagnesemia, hypokalemia, hyponatremia, and vitamin deficiencies.
Clinical manifestations of these abnormalities include peripheral edema, hemolytic anemia, cardiac failure, neurological dysfunction and respiratory failure. Many of these metabolic changes are believed to result from sudden release of insulin (stimulated by carbohydrate intake) in the presence of total body nutrient depletion. The successful management and refeeding of a patient with a history of prolonged starvation, therefore, involves careful use of fluid therapy, frequent monitoring of electrolytes, conservative nutritional therapy, and support of cardiac and respiratory function.
Measures to prevent a refeeding syndrome include the following:
1. Identify patients at risk;
2. Correct fluid and electrolyte imbalances first;
3. Administer nutrition gradually and increase incrementally;
4. Frequently monitor electrolytes q4-8h (especially during the first 48 hours) in at-risk patients (e.g. K, Mg, PO4, Ca, blood glucose, PCV/TS);
5. Supplement electrolytes and thiamine as needed;
6. Discontinue or slow down nutrition should complications arise.
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Yea this one doesn't seem like it has the symptoms , but thanks for the information. I will keep an eye on her and feed her properly
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Q : If feline/canine diabetes can lead to DKA, then what might be the root cause of the diabetes ?
The root cause of diabetes mellitus depends on the specific type. In type I, the pathogenic mechanisms responsible for decreased insulin production and secretion are multiple, but usually they are related to destruction of islet cells, secondary to either immune destruction or severe pancreatitis (dogs) or amyloidosis (cats). Cats are more prone to developing type 2 diabetes, which is often associated with obesity and insulin resistance. Certain breeds may have a higher predisposition.
Do you get paid by Nestle (oops, Purina) and Boehringer Ingleheim ? I like a good copy and paste.... Why have you not linked Diabetes and Cancer in animals to the food yet ? It's the same in humans....@@vetemcrit