Purina Veterinary Diets® NF Kidney Function® Canine Formula (Canned)
The role of dietary management in canine kidney conditions is to provide a proper balance of total nutrients while meeting the special dietary needs of the patient. Low phosphorus intake helps to protect against hyperphosphatemia and the associated renal damage. Restricted but high quality protein in the diet minimizes the intake of nonessential amino acids. This helps decrease the production of nitrogenous waste products. Reduced levels of sodium help compensate for the diseased kidney’s inability to regulate this important mineral. Increased omega-3 fatty acids may help reduce glomerular hypertension.
Purina Veterinary Diets ® NF Kidney Function ® canine formulas provide complete and balanced nutrition for adult maintenance and have been formulated to achieve the following characteristics:
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Diets with these nutritional modifications have been recommended for dogs with some forms of the following conditions:
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NF Kidney Function also features many of the characteristics that have been recommended for dogs with a history of the following condition:
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Conditions that require high protein or phosphorus intake.
FEEDING AND ADMINISTRATION:
The following feeding program is recommended as a guideline only, with discretionary clinical adjustments for proper weight maintenance.
Water sufficient for processing, meat by-products, rice, corn grits, beef, liver, chicken by-products, animal fat (preserved with TBHQ and citric acid), calcium sulfate, guar gum, fish oil, potassium citrate, locust bean gum, carrageenan, potassium chloride, magnesium sulfate, added color, choline chloride, natural flavor, Vitamin E supplement, calcium carbonate, zinc sulfate, calcium phosphate, ferrous sulfate, niacin, thiamine mononitrate, copper sulfate, calcium pantothenate, manganese sulfate, pyridoxine hydrochloride, Vitamin B-12 supplement, riboflavin supplement, Vitamin A supplement, folic acid, Vitamin D-3 supplement, biotin, potassium iodide, sodium selenite.
AVERAGE NUTRIENT CONTENT ON SERVING AND 100 CALORIE BASIS
|Grams per 100 kcal ME||Grams per 13.3 oz. can|
AVERAGE NUTRIENT COMPOSITION
|As Fed||Dry Matter|
|Omega 6:3 ratio||7.8:1||7.8:1|
Cases of 12, 13.3 oz. cans
URINARY STONE MANAGEMENT IN DOGSGeneral Principles for the Management of Urinary Stones
1. Surgical removal of the stones
2. Quantitative analysis of the stones to determine future management.
3. Eliminate and manage the recurrence of urinary tract infections or other underlying conditions that may contribute to stone formation.
4. Increase water consumption. This increases urine output and lowers the urinary concentration of mineral components.Guidelines for Reducing the Risk of Urinary Stone Recurrence
Urinary stones form as a result of varying combinations of underlying risk factors, many of which are uncontrollable inherent metabolic or genetic factors. Surgical removal of the stone does not eliminate the underlying metabolic risk factors. Therefore, it is important to attempt to control as many external risk factors as possible.Struvite Stones (Magnesium Ammonium Phosphate) in Dogs
1. Culture the urine. If a stone is removed, culture the stone. Even if the urine is sterile, the stone may harbor bacteria. Canine struvite stones are called †œinfection stones† because a urinary tract infection with urease-producing bacteria is essential for their formation.
2. Treat with the appropriate antibiotic for a minimum of 2 weeks after stone removal.
3. For dogs with chronic or recurrent urinary tract infections continue antibiotic therapy at a low dose for 6 months, (1/3 of the standard dose is generally recommended) and culture the urine every 3 months.
4. Increase water consumption. Water may be added to the diet to enhance intake, or a canned diet may be fed.
5. Dietary modification is not necessary. Since struvite stones in dogs are the result of infection, feeding an acidifying diet or giving medication to acidify the urine is not necessary. Most normal dogs will maintain a mildly acidic urine pH when fed many diets, including: DCO Dual Fiber Control® canine formulas.Calcium Oxalate Stones in Dogs
(Dietary management has not been shown effective in treating or preventing calcium oxalate stones. Current research regarding dietary associations with calcium oxalate has provided conflicting results, so absolute recommendations are not appropriate at this time. However certain dietary characteristics may help reduce the risk of calcium oxalate formation.)
1. Avoid use of vitamin C, urine acidifiers, or calcium supplements.
2. Avoid feeding a low calcium diet. Low calcium diets appear to enhance oxalate absorption, so a low calcium diet can actually increase the risk for calcium oxalate stones.
3. Avoid acidifying diets. Feed a diet to promote a fasting urine pH of 6.5-7.5. Feeding a non-acidifying diet (NF Kidney Function® canine formula) may be sufficient. If not, use oral potassium citrate to effect, provided with meals. Initial dose 100 mg/kg/day in two divided doses.
4. Increase water consumption.
5. If hypercalcemia is present, identify and eliminate the cause.Urate Stones in Dogs
1. Rule out or correct portosystemic shunt if present. This is a common cause of urate stones in non-Dalmatian dogs.
2. Feed a low purine diet (NF Kidney Function dry formulas for dogs or HA Hypoallergenic® canine formula). Diets containing organ meat protein generally have a much higher purine content than diets composed of vegetable protein.
3. Alkalinize the urine. Maintain a fasting urinary pH of 7.0-7.5. Feeding a non-acidifying diet (NF Kidney Function)
may be sufficient. If not, use oral potassium citrate to effect, provided with meals. Initial dose 100 mg/kg/day in two divided doses.
4. Control urinary tract infections if present.
5. Administer allopurinol to Dalmatians if needed (Initial dose 10 mg/kg/day orally.) Allopurinol lowers the urinary urate excretion.