Download the PDF Quick reference guide, and the Feeding Recommendations (PDF).
Canine EmerAid Sustain Basic Use Guide
FOR Canines THAT ARE RECOVERING FROM CRITICAL ILLNESS, SUFFERING FROM CHRONIC MEDICAL CONDITIONS, OR UNDERWEIGHT.
EmerAid Sustain HDN Canine or “Highly Digestible Nutrition” is a semi-elemental therapeutic diet developed by veterinarians and nutritionists. EmerAid Sustain HDN Canine is scientifically designed to support canines that are underweight, recovering from critical illness, or suffering from chronic medical conditions.
Available in 100 g, 400 g and 2 kg pouches
Standard Mixing Directions
| Feeding Style | EmerAid Powder (parts)* | Water** (parts) | ME*** (kcal/ml) |
|---|---|---|---|
| Syringe | 3 | 2 | 2.21 |
| Tube (10Fr or larger) | 2.5 | 2 | 1.93 |
| Tube (5Fr-8Fr) | 2 | 2 | 1.67 |
| * “Parts” indicate the proportions needed. To mix EmerAid, you can use the scoop provided, a syringe cap, any measuring implement of your choice as long as the proportions described above remain consistent ** Mix with hot water measuring 122°F (50°C) *** Metabolizable energy when made as directed |
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Adult Dogs
EmerAid® Sustain™ HDN™ Canine is a therapeutic product to be used only under the supervision of a veterinarian. Begin with 25% to 30% of the resting energy requirement and gradually adjust the volume and number of feedings based on patient condition. A volume of 5-10 ml/kg/feeding is generally well tolerated via esophagostomy or gastric tube. Calculation for Resting Energy Requirement: RER = [70 x BW(kg)0.75]
In adult dogs, EmerAid® Sustain™ HDN™ Canine feeding recommendations are based on predicted resting energy requirements (RER)a
| BW (kg) | BW (lb) | RER (kcal/day) | Feed (G/day)b | Feed (ml/day)c |
|---|---|---|---|---|
| 1 | 2.2 | 70 | 16.1 | 32 |
| 2 | 4.4 | 118 | 27.3 | 53 |
| 4 | 8.8 | 198 | 45.7 | 90 |
| 6 | 13.2 | 268 | 61.9 | 121 |
| 8 | 17.6 | 333 | 76.9 | 156 |
| 10 | 22 | 394 | 91.0 | 178 |
| 15 | 33 | 534 | 123.3 | 242 |
| 20 | 44 | 662 | 152.9 | 300 |
| 25 | 55 | 783 | 180.9 | 354 |
| 30 | 66 | 897 | 207.2 | 406 |
| 35 | 77 | 1007 | 232.6 | 456 |
| 40 | 88 | 1113 | 257.1 | 504 |
| 45 | 99 | 1216 | 280.9 | 550 |
Puppies
Puppies have relatively high energy requirements when compared to adult dogs. EmerAid Sustain HDN Canine meets or exceeds requirements for all canine life stages. Begin with 25% to 30% of daily energy requirements and gradually adjust the volume and number of feedings based on patient condition. A volume of 5-10 ml/kg/feeding is generally well tolerated via esophagostomy or gastric tube. Daily energy requirements can be calculated using the following equation [70 x BW(kg)0.75] x 3.
In puppies, EmerAid Sustain feeding recommendations are based on predicted daily energy requirements (DER)
| BW (kg) | BW (lb) | Est DER (kcal/day)d | Max Fed (G/day)e | Max Fed (ml/day)f |
|---|---|---|---|---|
| 0.2 | 0.44 | 63 | 14.5 | 29 |
| 0.4 | 0.90 | 106 | 24.5 | 48 |
| 0.6 | 1.3 | 143 | 33.0 | 65 |
| 0.8 | 1.8 | 178 | 41.1 | 81 |
| 1.0 | 2.2 | 210 | 48.5 | 95 |
| 1.8 | 4.0 | 328 | 75.8 | 148 |
| 2.7 | 6.0 | 445 | 102.8 | 201 |
| 3.6 | 8.0 | 552 | 127.5 | 250 |
| 4.5 | 10.0 | 653 | 150.8 | 295 |
| 6.8 | 15.0 | 885 | 204.4 | 400 |
| 9.1 | 20.0 | 1098 | 253.6 | 497 |
| 11.3 | 25.0 | 1298 | 299.8 | 587 |
| 13.6 | 30.0 | 1488 | 343.7 | 673 |
| 18.1 | 40 | 1846 | 426.4 | 835 |
| 22.7 | 50 | 2182 | 504.0 | 987 |
| 27.2 | 60 | 2502 | 577.9 | 1132 |
Evaluate the Patient’s Feeding Response
Did the patient accept this feeding well? Does the food appear to be tolerated by the patient’s GI tract? If yes, increase the volume fed gradually over the course of two to three feedings. Frequency and volume should be adjusted based upon patient response.
Long-Term Feeding
Under the direct supervision of a veterinarian, canine patients may be fed EmerAid® Sustain™ HDN™ long-term. When the patient has fully recovered, they may transition to their regular diet as recommended by their veterinarian.