KRATKOROČNA ENTERALNA PREHRANA TIJEKOM BOLNIČKOG LIJEČENJA KOD PASA I MAČAKA

master's thesis

• Title (english): Short-term enteral nutrition during hospital treatment in dogs and cats
• Author: Daria Pervan
• Mentor: Diana Brozić (mentor)
• Committee member: Hrvoje Valpotić (predsjednik povjerenstva)
• Committee member: Tomislav Mašek (član povjerenstva)
• Committee member: Diana Brozić (član povjerenstva)
• Committee member: Željko Mikulec (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; Zagreb
• Defense date and country: 2023-06, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine; Animal Production and Biotechnology

Abstract

Prilikom zaprimanja novih pacijenata bitno je odrediti hranidbeni status kako bi se,
ukoliko je to indicirano, pravodobno moglo krenuti s nutritivnom potporom. Cilj nije samo
detektiranje pothranjenih pacijenata, već i onih kojima nutritivna intervencija može pomoći pri
pozitivnom ishodu liječenja. Asistiranoj prehrani se pristupa ako životinja odbija samostalno
uzimati hranu ili ne unosi hranu u dovoljnoj količini da bi zadovoljila energetske potrebe u
mirovanju. Nazoezofagealne i nazogastrične sonde su sonde koje se preporučuju kad
očekujemo kratkoročnu potrebu za nutritivnom potporom ili u periodu između stabilizacije
pacijenta i postavljanja sonde ili stome za dugoročno hranjenje. Glavne prednosti ovih sondi
su jednostavnost postavljanja, ekonomičnost i mogućnost postavljanja bez potrebe za općom
anestezijom. Nakon postavljanja sonde, kao i prije svakog hranjenja bitno je provjeriti točnu
pozicioniranost sonde kako ne bi došlo do njenog pomicanja u dušnik. Moguće komplikacije
uključuju epistaksu, rinitis, dakriocistitis, opstrukciju sonde, aspiracijsku pneumoniju,
probavne smetnje, refluksni ezofagitis, pomicanje sonde te trahealnu intubaciju zbog krivog
postavljanja ili slučajnog izmicanja sonde. Polimerni tekući pripravci prvi su izbor za hranjenje
putem ovih sondi zbog njihovog uskog lumena, ali moguće je koristiti i komercijalne
polutekuće pripravke (konzerve) ako ih se adekvatno razrijedi. Odabir prehrane ovisi o
individualnim potrebama svake životinje, njihovom zdravstvenom i nutritivnom statusu te o
primarnoj bolesti.

Abstract (english)

When admitting new patients it is important to assess nutritional status so that, if
indicated, nutritional support can be started in timely manner.The main goal is not only to
detect malnourished patients, but also to detect those whom nutritional intervention can help
with a positive treatment outcome. Assisted feeding is used if the animal refuses to take food
voluntarily or does not consume enough food to meet resting energy requirements.
Nasoesophageal and nasogastric feeding tubes are tubes that are recommended when there is a
short-term need for nutritional support or in the time period between stabilization of the patient
and placement of the long-term feeding tubes. The main advantages of these feeding tubes are
ease of placement, cost-effectiveness and the possibility of placement without the need for
general anesthesia. After placing the tube, as well as before each feeding, it is important to
check the correct positioning of the tube so that the tracheal intubation doesn't occur. Possible
complications include epistaxis, rhinitis, dacryocystitis, tube obstruction, aspiration
pneumonia, reflux esophagitis, tube displacement and tracheal intubation due to tube
misplacement or accidental tube dislodgement. Polymeric liquid diets are the first choice for
feeding through these tubes due to their narrow lumen, but it is also possible to use commercial
semi-liquid foods (cans) if they are adequately diluted. The choice of diet depends on the
individual needs of each animal, their health and nutritional status and on the primary disease.

• Keywords: enteralna prehrana; malnutricija; nazoezofagealna sonda; nazogastrična sonda; tekući pripravci
• Keywords (english): enteral nutrition; malnutrition; nasoesophageal feeding tube; nasogastric feeding tube; liquid diets
• Language: croatian
• URN:NBN: urn:nbn:hr:178:782949
• Study programme: Title: Veterinary Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica veterinarske medicine (doktor/doktorica veterinarske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-06-26 10:23:17