Page 657 - Fluid, Electrolyte, and Acid-Base Disorders in Small Animal Practice

644 SPECIAL THERAPY

isoniazid, and vitamins all contained sorbitol. Although • Both the continuous and intermittent methods of
commonly added to improve the palatability of some nasoenteric tube feeding can facilitate adequate nutri-
medications,sorbitolisalsoknowntohaveanosmoticeffect ent intake with minimal GI complications in critically
insensitive individuals and should beconsidereda potential ill dogs.
cause of diarrhea in patients receiving enteral diets. 33 • Additional research is needed to determine optimal
Technical complications include: feeding stopped for diet formulations for different patient populations.
diagnostic or therapeutic procedures, feeding stopped
for owner visitation, feeding stopped for extended walks
outside, equipment malfunction, syringe pump off, REFERENCES
syringe pump disconnected, or accidental rate change.
1. Abood S, Buffington CA. Improved nasogastric intuba-
Care should be taken when patients are receiving enteral
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nutrition to minimize the time lost due to temporary in dogs. J Am Vet Med Assoc 1991;199:577–9.
discontinuation of enteral feedings. Mechanical 2. Abood S, Mauterer JV, McLoughlin MA, et al. Nutritional
complications were evaluated at Michigan State Univer- support of hospitalized patients. 2nd ed. Philadelphia: WB
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3. Abrams J. The nutrition of the dog. In: Boca Raton, Fla:
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complications. The 0.5 hours lost in the continuous with commonly employed drug additives. Nutr Supp Serv
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Anim Pract 1982;23:588–98.
mately 2%) of continuously fed dogs (98.4%) when 6. Beal M, Jutkowitz LA, Brown AJ. Development of a novel
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Metabolic problems include rapid absorption of high- tube placement in dogs. J Vet Emerg Crit Care
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hyperosmolar coma. This is referred to as the refeeding Proceedings of the American College of Veterinary Inter-
syndrome; 90 we do not routinely observe this complica- nal MedicineCanada: Montreal, Quebec; 2009 June
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