We have designed a four part feeding program that provides highly concentrated, highly digestible nutrients in a both flexible and convenient manner. All components may be mixed together.
The total program has a fat content of less than 2% so that it can be used in the face of compromised (or underdeveloped) liver function. In cases where hepatic encephalopathy is a concern, the protein and amino acids contributed by Parts I, II, and III are very highly digestible and will contribute very little to the waste N load.
A 1000-pound patient with compromised hepatic function can be given as little as 2 meals through an nasogastric tube per day. These meals provide 73% of maintenance calories and 100% of maintenance protein requirements, and they will also provide substantial amounts of the amino acids that are rate limiting for wound healing and direct energy sources for enterocytes. Furthermore, Part II also provides highly bioavailable forms of minerals, trace minerals, vitamins and antioxidants. If liver function is not compromised, 1/2 pint of corn oil added per meal will raise the caloric content to the full maintenance level.
The different parts of this feeding program can be used in a wide variety of cases. All parts may be tube fed, top-dressed or fed as a gruel (Part I does not work well as a dry product). Parts I, II, and III work well with pre-weaning age foals. In addition to the critically ill, dysphagic patients (traumatic or infectious origin) and perisurgical cases benefit from the nutrient dense feeding program.
The different parts of our program were designed to offer the concentration and flexibility to be used in both the hospital and ambulatory settings. We invite you to call us so that we can help you customize a feeding program for any case you may have.
Descriptions & Directions
PART I – Liquid Meal (2 packets), 40 packets per Box
- 2 packets are completely soluble in q.s. 1 gallon warm water. Max temp=100 degrees F. Let incubate at room temp or greater for at least 1 hour. Discard unused portion after 24 hours. May be refrigerated.
- 4 packets provide 12% Protein (whey based), 73% Carbohydrates (mainly glucose and galactose), 1% Fat, 4,263 Kcal energy and the equivalent of 245g protein.
- This yields (1,000lb. horse) 45% maintenance protein and 31% maintenance calories.
- Max 2 packets per meal and 6 packets per day (adult). Each packet contains 340g (1/2 Adult Serving).
PART II – Liquid Vitamin, Mineral, Trace Mineral, Antioxidant Box of 30 Packets (1 oz. each)
- 3 ounces per 1,000 lb. adult per day (3 packets)
- Human grade oral liquid product
- Ingredient list available and on box. All mineral content listed in elemental amounts.
- Tube, syringe or top-dress feeding
PART III – GI Support. (4 Scoops – 135g), 1,350g per Container
- 1 Adult serving per day, divide between meals
- Smaller foals 1 ½-2 scoops per day
- Tube feed or top dress
- May be used in all GI cases, not just critical care
- Strongly recommended in GI surgery cases
- Provides large amounts of L-Glutamine (direct energy source for enterocytes), L-Arginine (rate limiting amino acid in wound healing), N-acetyl-D-Glucosamine (does not leave the digestive tract, is incorporated into the mucosal lining), Carnitine (amino acid used in clearing hepatic fat), the prebiotics Amaferm and Yeast (for support of the normal GI flora), Salt
PART IV – Suspendable Feed Mix. 35 lbs. per Air-Tight, Resealable Bucket
- This ground feed mix, when added to water at the time of feeding, can be readily delivered through a normal equine NG tube (agitate while feeding).
- Mix up to 2 lbs. with 1.5 gallons of water (1 gallon may be Part I). Rinse bucket and tube with additional ½ gallon water.
- Max 1 lb. feed per 500 lb. Body Weight per feeding. Max 6 lb. per average adult per day.
- Tube feed, gruel or dry.
- This feed mix is a good transition back to normal feedstuffs. It contributes very little to fermentation, but does introduce some solids and fiber to the GI tract.
- Good for getting nutrition into surgical cases more quickly.
- 2 adult servings (2 lbs. each) provide (1,000 lb. horse) 46% (252g) maintenance protein and 41% (5,560kcal) maintenance calories.
Part IV can be considered ½ Forage and ½ Concentrate (13.9% Protein, 2.4% Fat).
For individual consultation or questions about our products, call