eChapter Name: Feeds for Sick and Old Animals
9789389902076
eBook Name: ANIMAL NUTRITION AND FEED TECHNOLOGY
by Raman Rao
Patients are unable to consume foods and fluids orally when they are suffering fromillness. Under surgical conditions, severe burns, severe infectious neonatal infants, congenital anomalies, anorexia, coma or dysfunction of elementary tract etc., special feeding methods should be used for feeding such patients.
Objectives
• To provide water and electrolytes to prevent dehydration and correct electrolyte imbalance.
• To make up the loss of tissue protein.
• To provide energy to meet the daily needs of the patients.
The nutrients used in intravenous feeding are :
a) Water and electrolytes : The daily minimum water requirement of an adult on anaverage is 1.5 liters.Additional waterwillbe requiredto correct dehydration that might have occurred before therapy. The water loss made up in about 24 hour and the urinary excretion restored to about 300-400 ml in every 8 hrs.
b) Carbohydrates and alcohol : Glucose, Fructose and Sorbitol are used in intravenous feeding. Three per cent alcohol @ 8 g/h can also be given; because this provides 7.1 kcal energy/ g. Glucose is usuallyadministered as 5 % solution. Fructoseis preferred to Glucose, as it can be administered at a concentration of 10-15 % without any adverse effect.
c) Amino acids : Solution form of Protein hydrolysates, Synthetic amino acid mixture and a mixture of L-amino acids are available for intravenous feeding. Protein hydrolysates prepared from casein, free from peptides and fortified withTryptophan are commonlyusedfor intravenous therapy.
d) Whole blood or plasma : One litre of whole blood provides about 180 gm proteins including haemoglobin. Blood is used mainly to combat circulatoryfailure andloss of bloodfrombody. One liter of plasma contain about 60-70 gm of protein. Plasma infusion is given as a measure for increasing plasma protein level when it is low.
e) Vitamins: All the vitamins (twice daily requirements) should be added to intravenous fluid to meet the daily needs of the patient.