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Chapter 7  Feeds and Feeding     119


                                                                bowls, perhaps it could be changed out for a heavy crock
                TIP BOX 7.2
                                                                type bowl or a dish or pail that can be attached to the
                Always have a bit of the regular food available when   kennel door. Sometimes you must get creative if there
                feeding through a nasogastric or pharyngostomy tube.   aren’t the options describe above. A appropriately sized
                This can entice the patient to eat on its own. Alert the   rock scrubbed clean may weigh down a bowl enough to
                veterinarian if this happens.                   keep it from tipping. Make sure it isn’t so big that it dis-
                                                                places too much water and big enough that it can’t be
                                                                swallowed! Whatever the choice, ensure the patient has
                                                                enough water for a 12‐hour period.
               Remember the amount of food to be fed should be
             calculated based upon the patient’s BER + illness, injury,   If the patient isn’t drinking alert the veterinarian of
             or condition. It is important to keep careful records of   this development. He/she may decide to administer
             how much was eaten and when in the patient’s record.   fluids either orally or by subcutaneous or IV infusion.
             Monitoring  urine  and  fecal  output  is  also  important.   Water is given orally by syringe and utilizes the same
             What goes in must come out and sometimes there is a   technique described for liquid food. Subcutaneous
             problem with that process and if missed can create   fluids are given under the skin with a needle attached to
             another whole set of problems. Alert the veterinarian if   an IV drip set which is attached to an IV bag of fluids.
             the patient is not eliminating properly.           Approximately 25–50 mL per subcutaneous location can
               Open food cans should be labeled with the open date,   be given depending on the size of the patient. The loca-
             whom it is for, and your initials, then placed in the refrig-  tion is usually along the side, where there is excess skin.
             erator for storage. This is not only to make sure the   IV fluids require a catheter to be placed into a vein, often
             patient is fed properly, or food is wasted, but also for   the cephalic vein. Careful monitoring is required to
             billing reasons. It is important to recoup the expense of   make sure the catheter is not pulled out or dislodged.
             feeding a special diet. Another reason is if sending the   Careful monitoring and speed of the amount of IV fluids
             diet home with the patient they get their can or if the   is very important. If given too fast the fluids are not
             patient has gone home the diet can be thrown.      absorbed and may migrate to the lungs causing fluid
                                                                overload symptoms.
                                                                   Fluids are usually calculated upon the animal’s weight
             Water Availability                                 and depth of dehydration. The daily amount of fluid is
             and Consumption                                    administered throughout the day in evenly divided
                                                                amounts. Marking the IV bag with a sharpie pen or a
                                                                piece of adhesive tape that includes amounts, times for
             Water is not considered a nutrient but is essential to life.   infusion, and rates helps to ensure that the fluid amounts
             Without water a patient becomes  dehydrated quickly   are administered correctly.
             and if severe enough can lead to death. The smaller the
             patient the quicker the level of dehydration. Water must
             always be accessible and in adequate volume unless oth-  Feeding Livestock
             erwise specified. Check water frequently throughout the
             day, refill before it is gone. Access should be easy for all  and Poultry
             patients. Small puppies and kittens might not be able to
             reach into a standard water bowl so select one that is   The same rules apply to feeding livestock and poultry as
             shallow enough, so they can reach. If the water dishes   to all other animals. A clean, fresh source of water avail-
             are held in place by a bracket, the screws holding it in   able always is just as important to them as it is to
             place can be loosened and the bracket lowered to allow   companion animals. When it is hot outside check more
             easier access for shorter adult patients. Pocket pets drink   often as animals will consume more water than usual.
             out of sippy tubes attached to bottles. These tend to go   When it is cold outside make sure the water hasn’t
             empty quickly or if they leak the animal can be without   frozen. If it is freezing a heater designed to keep the
             water quickly. Check and if bottles are empty figure out   water warm can be added to the bucket or tank.
             if it is from a leak before refilling; you may have to   Livestock require the same nutrients, although in dif-
             replace it with a new cork or bottle.              fering amounts, as carnivores. Livestock gain their nutri-
               Spilling of water is a huge issue for two reasons: (i) the   ents from plants, grains, and supplements. The mixture
             animal doesn’t have access to water; and (ii) it makes the   of forages, grains silage, and supplements is called a
             kennel wet. Both are uncomfortable situations that no   ration which is balanced carefully to provide nutrition
             pet should be exposed to for any great length of time.   for the animal. Forage, also known as roughage, makes
             Checking the kennels throughout the day will catch   up the bulk of their diet and can be the main source of
             these mishaps and correcting them immediately is   nutrition. Forage is grass and grain plants that are often
             important. If the water is spilled utilizing standard water   baled as hay and fed in racks or the animal is turned out
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