Early enteral nutrition and rehydration for gastrointestinal health support
REHYDRATE
RE-NOURISH
RENEW
#Feed don’t fast www.oralade.com
34%
Acute Gastroenteritis – a common condition1 • • • •
Vomiting and diarrhoea
34% of dogs are affected by vomiting and diarrhoea2 Often caused by dietary indiscretion Some 32 % of all diarrhoea samples contain viruses3 Up to 55% of haemorrhagic diarrhoea cases likely to be coronavirus positive4
Other conditions
Chronic Enteropathy
Enteric pathogens
Fasting – an Outdated Approach The GI tract needs a constant source of enteral nutrition • • • •
Enterocytes atrophy within hours of having no direct nutrient supply Fasting increases mucosal barrier break down and risks bacterial translocation Bacteria can enter the blood stream and result in sepsis Most gastrointestinal diets are too high in fat and protein for use within the first 24hrs
Microenteral Nutrition, Safe and Proven for Early Feeding Electrolytes
Feeding patients early and proactively with a combination of fluids, electrolytes, functional amino-acids and simple sugars supports enterocyte recovery. • • • •
Low protein and ultra-low fat is well-tolerated Enterocytes are nourished and renewed The mucosal immune barrier is strengthened Nutrients are easily absorbed leading to optimum patient recovery
GLUTAMATE, A FUNCTIONAL AMINO-ACID, IS THE PREFERRED FUEL SOURCE OF ENTEROCYTES
Amino Acids Glucose
Glycine
A mi
E le c
troly t e s
Glutamate
n o a ci ds
Glu co s e
Oralade®, your first step on the road to recovery NUTRITION AT ITS SIMPLEST
ml/kg.
30
Early enteral nutrition full calorie diet
Oralade is a unique, ready-to-use isotonic formula for dogs and cats which is suitable for day 1 feeding through gastroenteritis and before solid food is introduced.
25 20 15
Feed up to 24hrs earlier!
10 5 0 0
12
24
36
48
60
Hours
Microenteral Nutrition Glutamate and glycine
Functional amino-acids feed enterocytes and support gut repair
Dextrose
Simple sugars inhibit gastric secretions and provide ready-to-use energy
Ultra-low fat
Highly digestible, quickly absorbed
Hydrolysed chicken liver
Suitable for hypoallergenic patients
Simple formulation makes Oralade suitable for pancreatitis and for tube-feeding
Oral Rehydration Balanced electrolytes
Replaces nutrients lost from vomiting and diarrhoea
Isotonic
Fast absorption for quick rehydration
Low phosphorus
Suitable for renal patients
No bitter-tasting preservatives
Highly palatable natural chicken flavour
Feed early, feed first with Oralade “My dog loves it and patients will readily drink Oralade”
8 out of 10 Dogs prefer Oralade5
Dan Chan, Professor of Emergency and Critical Care Medicine and Clinical Nutrition at the Royal Veterinary College
“I’ve had great success with Oralade in both dogs and cats, they simply love it, it’s my go-to product for early feeding and rehydration support. Dr Ava Firth, Senior Clinical Mentor, Vets Now
72
Oralade is a dietetic complementary feed to help in the management of acute intestinal absorptive disorders, such as recovery from acute diarrhoea, as well as pancreatitis and post-GI surgery. It contains a balanced level of electrolytes, including sodium and potassium, with easily digestible sugars and simple amino-acids in an isotonic solution. It is low in phosphorus and highly palatable, making it ideal for renal patients. This product is also suitable for diabetics and hypoallergenic patients. Na 55mmol/L, K 60mmol/L, Cl 65mmol/L, P 15mmol/L, Isotonic solution
FEEDING GUIDES Diarrhoea only
Daily feeding guide for oral rehydration (ORS) Size
Breed
Approx weight
Rec,. vol per 24hr
mL/kg
Cat / Puppy
Any
3kg
150mL
50
Sml Dogs
Terrier/Schnauzer
8kg
350mL
44
Med Dogs
Spaniel/Labrador
20kg
660mL
33
Large Dogs
Rottweiler/Mastiff
50kg
1320mL
26
Offer free choice, replace unused portion after 12hrs
If patient is vomiting
Feeding guide for vomiting patients 0.25 - 0.5 ml/kg/hr
EASY TUBE FEEDING
Commercial diets may be added after microenteral nutrition is being tolerated, usually after 12-18 hours.
FREEZE FOR REUSE OR IN AN ICE TRAY FOR SMALL PORTIONS
MICROENTERAL FEEDING FOR CRITICAL CARE ZERO HR
ADDITIONAL USE – HYDRATION SUPPORT DURING HOT WEATHER, TRAVEL, EXERCISE, WHELPING.
COMPOSITION Demineralised Water, Dextrose Monohydrate 2.2%, Sodium Chloride, Potassium Chloride, Monosodium Phosphate, Chicken Liver Hydrolysate.
increasing by 50% every 8-12 hours
Stage 1 Start 0.5ml/kg/hr
8 HRS
16 HRS
24 HRS
Stage 2
Stage 3
Stage 4
+50%
+50%
+50%
For more information Call +44 (0) 2887 789245 www.oralade.com email: info@macahl.com DLC Australia Pty Ltd: sales@dlc.com.au
ADDITIVES Gelling agent: Xanthan Gum 0.1%, Amino Acids: L-Glutamic Acid 0.19%, Glycine 0.4%
ENERGY VALUES 12 kcal per 100ml
*Full terms and conditions at www.oralade.com
Palatability Guarantee*
ANALYTICAL CONSITUENTS Crude protein min 0.6%, Crude fat min 0.1%, Crude fibre max 0.1%, Moisture max 97%, Ash max 0.5%, Potassium min 0.07%, Sodium min 0.13%, Chloride min 0.22%.
72 HRS
Manufactured in Northern Ireland for: DLC Australia Pty Ltd 17-17 Horne Street, Hoppers Crossing, Victoria Australia Ph: 1300785 405 www.dlc.com.au All rights reserved References 1. 2. 3. 4. 5.
Sævik B Skancke E, Trangerud C (2012) A longitudinal study on diarrhoea and vomiting in young dogs of four large breeds Acta Vet Scand. 54(1): 8. Hubbard K, Skelly BJ, McKelvie J, Wood JLN. Risk of vomiting and diarrhoea in dogs. Veterinary Record 2007;161:755-757 Vieler E et al (1995). Electron microscopic demonstration of viruses in feces of dogs with diarrhea, Tierarztl Prax 23: 66-69. Schulz B S, Strauch C, Mueller R S, Eichhorn W and Hartmann K (2008). Comparison of the prevalence of enteric viruses in healthy dogs and those with acute haemorrhagic diarrhoea by electron microscopy, The Journal of Small Animal Practice 49: 84-88. PAL trial, Netherlands 2009. Data on file.