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810        Small Animal Clinical Nutrition



                  tain <20% DM fat, which would be appropriate for a  Table 2. Fat content of canine therapeutic renal foods.
                  dog with a history of pancreatitis (Table 2). The dog’s
        VetBooks.ir  current food contained approximately 9% DM fat;  Foods                                Form Fat (%)*
                                                                                                           Can
                                                                Hill’s Prescription Diet g/d Canine
                                                                                                                  10.8
                  therefore, it was recommended to initially transition to
                                            f
                                                                                                            Dry
                                                                Hill’s Prescription Diet k/d Canine
                                                                                                                  19.4
                  a veterinary therapeutic renal food formulated for early  Hill’s Prescription Diet g/d Canine  Dry  11.0
                  kidney disease that contained a similar amount of fat.  Hill’s Prescription Diet k/d Canine  Can  26.7
                                                                Iams Eukanuba Veterinary Formula
                    The amount of new food to feed was based on an  Renal Early Stage                       Dry   13.7
                  estimate of the patient’s resting energy requirement  Purina Veterinary Diets NF KidNey Function Canine Formula Dry  15.7
                  (RER) at its ideal weight (7.3 kg) and multiplying it by  Purina Veterinary Diets NF KidNey Function Canine Formula Can  27.4
                                                                                                           Can
                                                                                                                  29.9
                                                                Royal Canin Veterinary Diet Renal LP
                  a factor of 1.2 (assumes a small amount of physical  Royal Canin Veterinary Diet Renal LP 11  Dry  14.0
                  activity) to determine the daily energy requirement  Royal Canin Veterinary Diet Renal MP 14  Dry  16.5
                  (DER). RER at 7.3 kg = 311 kcal (1,300 kJ); DER =  *Dry matter basis.
                  RER x 1.2 = 373 kcal (1,561 kJ).The as fed energy den-
                  sity of the food was 358 kcal/8-oz. measuring cup.The daily amount to feed is estimated by dividing the DER (373 kcal) by the as
                  fed energy density (358 kcal/cup), which equals slightly more than one cup of food daily. The patient was offered small quantities
                  of the food every three to four hours.
                    The owners were instructed to return the dog to their primary care veterinarian seven to 10 days after discharge for physical exam-
                  ination, urine culture, blood pressure evaluation and measurement of serum biochemistries and UPC ratio. Long-term monitoring
                  was recommended every one to four months indefinitely to assess effectiveness of treatment and make adjustments as needed.The
                  dog’s condition continued to decline over the next six months and the patient was euthanized after it began having seizures; a post-
                  mortem examination was not done.
                  Endnotes
                  a. Baytril. Bayer HealthCare, Shawnee Mission, KS, USA.
                  b. Prescription Diet r/d Canine. Hill’s Pet Nutrition, Inc., Topeka, KS, USA.
                  c. Prescription Diet k/d Canine. Hill’s Pet Nutrition, Inc., Topeka, KS, USA.
                  d. Fortekor. Norvartis Animal Health, Basel, Switzerland.
                  e. Tagamet. SmithKline Beecham Pharmaceuticals, Philadelphia, PA, USA.
                  f. Prescription Diet g/d Canine. Hill’s Pet Nutrition, Inc., Topeka, KS, USA.
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