Bottle Baby Fostering Orphaned Kittens Body Warmth
Transcription
Bottle Baby Fostering Orphaned Kittens Body Warmth
Bottle Baby Fostering Care of Orphaned Kittens Under 6 Weeks of Age Orphaned Kittens Newborn kittens are sometimes orphaned or abandoned by their mother. Success with raising these newborns is based on following basic procedures and keeping important elements in mind. Successful rearing of orphaned kittens requires providing them with a suitable environment, the correct quantities of nutrients for different stages of growth, and a regular schedule of feeding, sleeping, grooming and exercise. You must also provide the stimulus for urination and defecation during the first 18-21 days of life. Body Warmth You must maintain their body warmth, since kittens do not have the ability to regulate and control their body temperature. Keep them out of drafts. Place a warmed Snuggle Safe disk at the opening of the crate and cover it with several layers of towels. Check on it frequently to ensure that it is not too hot or too cold. Kittens should be able to get away from it if they are too hot so make sure that there is a place in the box that is not as hot as the rest of it - the back of the box most likely. Make sure the heating pad is not the kind that turns itself off. Although not as important in cats over 6 weeks, this is CRUCIAL to babies! We cannot overemphasize the need for warmth in young kittens. If there is nothing else you can do or provide for a munchkin, THIS IS IT! WARMTH. Babies are used to their mom providing a nice 103 degree environment for them, and we must duplicate this the best we can. In the bottle-baby section we will explore this further. Warmth also includes providing a non-drafty environment. For an older animal, all you need to do is make sure it has a nice warm, cozy spot to retreat to. For younger pets (less than 4 months) the entire environment should be draft-free and a refuge. If a rescued kitten feels cold, warm it immediately but gently. Place it on a heating pad wrapped in towels and on the lowest setting, or warm a hot water bottle to about 100 degrees (wrapped in a towel) and place it with the kitten. DO NOT PUT A KITTEN DIRECTLY ON A HEATING PAD OR HOT BOTTLE! Kittens under 3 weeks can't control their body temperature. Keep them on a heating pad; set on low, wrapped in towels (at least two layers of towels, or one towel folded over) should cover the pad. You'll know if it's too hot if the kittens tend to sleep on the edges. The heating pad should be used until the kittens are about 4-5 weeks old, or until you notice that they're avoiding it. Your body heat is not sufficient to get or keep the kittens warm! Their mom's temp is 103F! Kittens should be kept in a box or cat carrier in a warm, draft-free place, completely isolated from other animals. Keep the container covered with a towel or blanket; a small towel or cloth inside the carrier will also keep them cozy. Change the bedding of their "nest" daily, since kittens tend to have accidents! As they get older, they will need more room to exercise, play, and explore. Do not feed a kitten until it is warm, since it can't properly digest when cold. It is okay, though, to syringe feed a few drops of 5% sugar water or to rub a little bit of Karo syrup on the kitten’s lips. ISOLATION IS THE BEST POLICY It’s important to keep newborn and young kittens physically separated from other cats for the duration of the kittens’ stay. Newborn and young kittens are extremely vulnerable to illness. While other cats may be vaccinated and thereby protected from various illnesses, they can still carry and transmit illnesses they have been exposed to. A kitten's immune system is very, very fragile! The 7-day isolation period is even more important for kittens than it is for cats. Why? Imagine a child starting kindergarten. Everybody usually comes home with a cold of some sort. The same holds that kittens will have been exposed to the county shelter. DEVELOPMENT MILESTONES Kittens weigh about 2 to 4 ounces at birth; they should double their body weight in the first week. Eyes open at 7-10 days but will stay blue until they are about 6-7 weeks old, true eye color won't settle in until the kitten's about 3 months old. At about 3 weeks, they will start crawling around. At 3 1/2 weeks, the ears will start to stand up. At 4 weeks, they'll start to play with each other and develop teeth. Kittens start to gain weight rapidly around 4-5 weeks. By 6 weeks, they are beginning to regulate their own body temperature. WEIGHT GAIN Kittens should gain about 1/2 ounce every day or 4 ounces per week. Weigh them at the same time every day with a kitchen or small postal scale. It's a good idea to weigh them with every meal. Lack of gain or weight loss beyond 24 hours is cause for alarm and it's time to begin syringe feeding. Their bellies should always be rotund— if you squeeze them between two fingers and slowly try to bring the fingers together; you should NOT be able to do it! If the belly is hard refer to the sections about parasites. You can check to make sure a kitten is properly hydrated by pulling up the skin at the scruff of the neck. If it bounces back nicely, hydration is good. If it doesn't bounce back, or goes back down slowly, they will need to be seen by a member of the med team. Kitten Weight Chart - Weigh Your Kittens Before AND After Every Feeding! Age Weight At birth 3.0 to 3.7 oz. (90-110 grams) 2 weeks old 7.0 to 11.0 oz. (200-300 grams) 3-4 weeks old 1.7 to 15.0 oz. (350-450 grams) 5-7 weeks old 1 to 1.5 lbs. (450-700 grams) 8 weeks old 1.7 to 2 lbs. (800-900 grams FEEDING The change to KMR can cause tummy upset and dangerous vomiting or diarrhea so we introduce it at half strength and taper up to full strength over eight feedings. The dilution rates are listed below. +The first four feedings should be eight parts water to one part KMR powder. +The next four feedings should be four parts water to one part KMR powder. +Feeding nine until weaning is two parts water to one part KMR powder. Any prepared KMR or gruel must be discarded after 24 hours. The nutritional value drops and can even make the kitten ill. Do not feed a kitten until it is warm, since it can't properly digest when cold. It is okay, though, to syringe feed a few drops of 5% sugar water or to rub a little bit of Karo syrup on the kittens' lips. Unfortunately, cow's milk is not nutritious enough for kittens - they will slowly starve to death on it. It also causes diarrhea which is extremely dangerous for young kittens. Once a certain type of milk has been started for a group of kittens, it MUST be continued until weaned. Changing formula brands can cause major Gl distress. We typically feed KMR/GNC formula, or goat’s milk. Test the temperature of the kitten milk replacement formula (KMR) before feeding. It should be warm, but not hot: around 100 degrees Fahrenheit. Don't boil the KMR, since boiling will destroy the nutritional value. You can warm the bottle by placing it in hot water for a few minutes or putting it in the microwave until it reaches 100 degrees Fahrenheit. If constipation occurs, add 1 drop of mineral oil to each kitten's feeding no more than once daily until the problem eases. Don't overfeed, since it can cause diarrhea and a host of other problems. Feeding equipment needs to be cleaned before and between feedings. Ideally, this would be done by dipping the equipment in boiling water. If we can’t do that, we need to wash each bottle and nipple with soapy water until all milk residue is gone, dip in dilute bleach water (1 part Clorox to 30 parts water) or chlorahex solution, then rinse in regular water. Ideally, all bottles would be dry before next use. You can also put the nipple, ring, and and bottle in a cup of water and microwave until boiling. This also serves to make the nipple softer and warmer. Before each feeding, clean your hands with antibacterial sanitizer or soap and water. You must disinfect after you're done with the kittens each time BEFORE handling other animals. This way, the kittens will be protected against one another's germs. You can wear separate pairs of exam gloves for each litter but clean your hands anyway! Below are general guidelines for how much to feed and when to feed. Not that the weight of a kitten is more important than the age (see below). Week of life 1st week 2nd week 3rd week 4th week Amount to feed 3.7 cc's per ounce of body weight 4.9 cc's per ounce of body weight 5.7 cc's per ounce of body weight 6.3 cc's per ounce of body weight As long as the kitten does not cry excessively, gains weight, and feels firm to the touch, the diet is meeting his/her nutritional needs. Don't forget to weigh your kittens with every meal! A kitten should eat about 8 cc of formula per 30g of body weight per day. Nursing bottles and syringes are marked with measurements so it's easy to keep track. Weigh the kittens daily to calculate the amount of formula they need; a kitchen or small postal scale should be used. Keep in mind that the younger kittens are, the more accustomed they are to staying "latched onto" a mom cat's nipple all the time, nursing small amounts periodically. If you notice that your kittens are not eating enough in one feeding, increase the frequency of feedings. Or go back to that kitten after the others have eaten to give him/her another chance to eat at that feeding time. Feedings should occur every 2 hours ideally for newborn kittens. If overnight feeding is not feasible, it is important to count the cc's each kitten is getting during the day to make sure that it is the total that the kitten should get per 24 hour period. For 1-2 week old kittens, 4 hours at night will probably be ok. For 3-4 week old kittens, 6-7 hours overnight will probably be OK. Again, it is important that they are getting their total amount during the 24 hour period, especially if there are longer breaks between their feedings. Divide their needed daily intake by the number of daily feedings, and you'll know how much they should eat each time. Kittens that are weak or recovering from a "crash" should get frequent smaller meals. If caring for multiple litters, wear a smock or scrub top for each kitten cage that you put on each time you feed that litter. When you move to the next litter, you can put it on top of the crate until the next feeding unless soiled. Some viruses can live on clothing, and this can help prevent cross-contamination to and from other kittens. Kitten positioning for feeding is very important; this is where the crucial surrogate-mom bonding happens. Reclining a kitten while feeding can cause the kitten to aspirate. This can lead to the kitten "drowning". The kitten must be leaning forward or flat on it's belly. Different people have different "styles" of bottle-feeding. Kittens are most comfortable in a position similar to the position they'd be in if they were nursing from a mom cat. One position is simply to place the kitten on its stomach on a towel or cloth on which it can cling; it will "knead" its paws on instinct. You can also sit cross-legged on the floor with the kitten inside your legs, and let the kitten place its paws on your leg as it nurses. Remember to keep a towel on your lap for this— and use a fresh, clean towel between litters. Open the mouth gently with the tip of your finger and slip the nipple in. Once your kitten gets the hang of it, they will search out the nipple enthusiastically! You will feel a real "vacuum effect" when the kitten gets into suckle mode. Watch for bubbles in the bottle during suckling and ears wiggling, this means the kitten is suckling successfully! To keep air from getting into the kitten's stomach, hold the bottle at a 45-degree angle, keeping a light pull on the bottle. You can try slightly loosening the bottle’s cap to allow for better suction, if the kitten seems to be struggling. The hole in the nipple should be large enough to allow milk to drip slowly when the bottle is held upside down. Let the kitten nurse at its own pace. If she refuses to take the nipple or won't suckle, try rubbing it vigorously on its forehead or stroking its back. This replicates the activity of a mom cat's cleaning and can effectively stimulate the kitten to nurse. Sometimes you will hear a "clicking" noise which means the kitten's nursing instinct is in gear and should be ready for the nipple. Sometimes a kitten is simply picky; there are two kinds of nipples out there, one shorter and one longer, so you might have to make sure they don't prefer one or the other. If a kitten still won’t nurse, try pottying him/her first to make them more comfortable. Cupping the kitten’s head and/or shoulders in your hand gently but firmly (mimicking the crowding of it’s siblings) helps with some kittens. If you're feeding multiple kittens, you'll have better luck with them eating the required amount if you feed them each several times, taking turns. Feed the first kitten until it stops nursing, feed the second, etc. Then go back to the first and repeat this round-robin. Usually after 2 or 3 nursing turns, a kitten has had enough for one feeding. Kittens that seem too weak to nurse can often be stimulated by rubbing some Karo syrup on the lips. If a kitten still refuses to nurse, and this happens beyond the first few "getting the hang of it" times, it indicates illness. Please contact your Foster mentor or the Foster Home Coordinator for advice on which medical professional to take the kitten to. If you see bubbles coming out of the nose or hear a gurgling the kitten has accidentally suck formula into the lungs; if this happens, hold the kitten upside down until it stops choking. Alert the Medical Manager on duty at the Adoption Center so it can be placed on antibiotics immediately. When a kitten has had enough formula, it will usually get some bubbles around its mouth and its tummy will be very rounded, almost pear-shaped. After feeding, you should burp the kitten just like you'd burp a human baby; hold it upright against your shoulder and pat it on the back. Do not over-feed kittens, since this can cause diarrhea and a host of other problems. Kittens under four weeks will go happily to sleep after they're fed and full; older kittens will want some serious play and cuddle time. After each feeding session, you should give each kitten a full-body once over with a barely damp warm washcloth, using short strokes like mom would use. This activity keeps the kittens' fur clean, teaches them how to groom, and gives them the attention and mothering that they crave. Do not bathe kittens under three weeks and if you bathe kittens older than that, you must have warmed towels ready to dry them completely. NEVER leave a kitten damp or wet. Remember that changes in diet can quickly cause diarrhea, so keep an eye on your kitten's stools. Consult our guide to stool and urine below. Diarrhea can be lifethreatening to a kitten if left untreated; usually, a dose of one or more types of antibiotics prescribed by your vet will get them back on track. It is very common for them to get sick the first week they are on formula. It's natural for kittens to suckle on each other or on your fingers, even after they're finished eating. If kittens are suckling on each other, apply "YUK" to the kitten. If this does not stop a persistent kitten, you may need to separate them. It is a good idea to check each kitten’s genitals to ensure that the sucking activity is not causing problems (redness, irritation, penis hanging out, etc.). Suckling on genitals can lead to the urethra swelling shut and having to be surgically reopened. If any of this occurs, please contact the Medical Manager immediately. STIMULATION FOR URINATION AND DEFECATION By nature, mom cats lick the "back end" of their babies to stimulate the bowels and bladder on a regular basis. If you are the babies' new mom cat, guess who gets this duty! After each feeding, gently rub the kitten on its low abdomen, as well as the genitals and rectum, with a warm moist cotton ball, toilet paper, cotton pad, or alcohol and fragrance free baby wipe. Make sure you rub only enough to get them to eliminate; overstimulation will irritate the area. Keep an eye out for chafing and lingering dirt. DO NOT let them get chilled. Kittens should (and almost always will) urinate during each stimulation. They should defecate at least once a day. One trick is to slowly count to 60 while you're stimulating a kitten; at that point, you'll know if they're done or if something's on its way out! (Don’t panic if a young kitten doesn’t defecate the first day you have them.) When kittens get to be about three- four weeks old, they don't usually need our help. Place a shallow pan for the litter box nearby so kittens always have access. Use shredded newspaper or non-clumping cat litter. The clumping properties will cause it to clump in tummies and respiratory passages. WEANING You will know that a kitten is ready for the weaning process when it is (a) biting its nipple often and forcefully, and (b) able to lick formula from your finger. The next step is to get the kitten to lap up formula from a spoon. Once they've mastered that, try putting it in a flat dish. Introduce the kittens to solid food by offering warmed canned food mixed into a thin gruel with a little bit of water or KMR. Eventually, you can mix canned kitten food with formula, gradually reducing the amount of formula until they're eating just the food. It is not uncommon for weight gain to slow and minor, temporary diarrhea to occur during weaning. Place the food in a shallow saucer. Some kittens will begin lapping right away, while others will prefer to lick the gruel from your fingers. Allow them to do so and slowly lower your finger to the saucer. The kittens may bite the edge of the plate or walk in the food. Sometimes it takes two or three meals or more before they really catch on. If a kitten doesn't seem interested in the gruel at all, try gently opening the kitten's mouth and rubbing a little of the food on his tongue or teeth. Be patient; the weaning process takes time. As the kittens catch on, begin to thicken the gruel. Remember that as you thicken the gruel, you will need to make sure the kittens always have access to fresh water in a low, spill-resistant bowl. Many kittens are eating gruel well and not yet interested in a bowl of water. Other kittens are so messy and boisterous you can't leave water in their cage without them getting wet and chilled. Keep giving water in the wet food until they are drinking sufficient water to stay hydrated. Kittens will walk through their food & be quite messy. Make sure they are cleaned and DRY before putting them in their cage. If kittens are messy eaters, don't leave gruel or water in their cage. Being wet rapidly causes body temperature to drop. This is a good time to introduce the Royal Canin BabyCat (or Mother & BabyCat) kibble. Kittens will chew on litter out of curiosity but they will redirect this exploration to tasty kibble! CLEANING Kitten bedding must be changed daily, and sometimes more often. Wash dirty bedding with a cap full of bleach and fragrance and dye free detergent to disinfect it. Kittens need exercise to promote muscular and circulatory development. However, care should be taken in the first two weeks of life because their internal organs and limbs are extremely fragile. Play with and handle them prior to feeding. At least twice a week, and more often if possible, the babies need to be groomed with a soft, warm, moist cloth, wiping gently in imitation of the mom's grooming style. DO NOT LEAVE A KITTEN UNTIL IT IS COMPLETELY DRY! After each feeding session, you should also give them a full-body once-over with a barely damp washcloth, using short strokes like a mom cat would use. This keeps their fur clean, teaches them how to groom, and gives them the attention and "mothering" they crave. Kittens will often get very dirty and muckedup in between cleanings; it's okay to wash a kitten with warm water under a sink faucet, but try to focus only on the areas where they need it. A simple "butt-bath" will usually do the trick. Never bathe a kitten under three weeks this way. Your body heat is not enough to warm up a cold kitten - you need to use towels/blankets and heating pads set on low. Again, please DO NOT LEAVE A KITTEN UNTIL IT IS COMPLETELY DRY! PARASITE CONTROL You should check your kittens’ ears regularly for dirt and, especially after initial rescue, ear mites. Dirt can be cleaned gently with a cotton ball or swab; consult the medical team if you find the telltale ear mite "coffeeground" type dirt. If you find fleas or flea dirt on kittens of any age, let the medical team know. They will get them treated with Revolution or Frontline at a safe dose. Some kittens are so infested they need Capstar orally to kill the fleas within 30 minutes. Young kittens can easily get anemia from flea infestation and really endanger its life. First, use a flea comb to remove as much of the dirt and fleas from the fur as you can. After they have been treated and the fleas are dead (30 minutes with Capstar, 24 hours with Frontline/Revolution), give the kitten a bath in gentle soap and warm water. Again, only let them get wet for a few seconds then warm them up ASAP. Make sure water temperature is warm (but not hot) so as not to chill the kitten. Dry the kitten, with a towel then place in dry warm towels on heating pad on low. Cover with fleece to trap heat in "nest". DO NOT LEAVE A KITTEN UNTIL IT IS COMPLETELY DRY! Medical Guide If the kitty does any of these things, even once, you should be concerned. In most instances, it will be nothing, but again we always want to be on the safe side because kittens at this age don't give much warning before they start to crash. +Sneezing: watch closely unless severe then call medical team +Coughing: watch closely unless severe then call medical team +Wheezing: watch closely unless severe then call medical team +Tires easily: watch closely +Diarrhea: URGENT +Straining to urinate or defecate: stimulate, consult medical team if not productive +Bleeding from any part of the body +Abnormal twitches: URGENT +Loss or decrease of appetite: URGENT +Change in attitude or behavior: watch closely +Lethargic or depressed: URGENT +Breathing heavily: URGENT +Head slumped in food/water bowl: wake it up, if can't URGENT +Behavior that is unusual compared to normal behaviors: call medical team Because many of the kittens are rescued from shelter environments, it is very difficult for Brother Wolf Animal Rescue to ensure that they will always be healthy. A cat or kitten that appears healthy at the time of rescue could easily begin to show signs of illness several days later. It can take up to 7 days for signs of upper respiratory infection (URI) to develop. Please keep your foster kitten(s) away from any other foster animals and from your own animals, and provide separate food bowls, water bowls, and litter boxes. Common Illnesses in Cats The following information is intended to help you better understand and recognize some of the more common illnesses in cats. UPPER RESPIRATORY INFECTION (URI) The term "upper respiratory infection" is used to refer to any illness that affects a cat's upper respiratory system. URIs are very common in cats. Some of the more serious URIs (for which there are vaccines) are listed separately in this section. Following is information that applies to all upper respiratory infections. Signs & Symptoms: Sneezing, runny nose and eyes, fever, anorexia Treatment: Veterinary care, including antibiotics for bacterial infection, and supportive care Transmission: Very contagious to other cats through direct contact with bowls, bottles, and hands. CONJUNCTIVITIS (USUALLY AN EARLY INDICATOR OF A URI) If the eye is crusted shut or pus filled, use a warm most cotton ball or soft towel to soak the area. Never pick at crust or force an eye open. There is a potential to further injure tissues this way. As always make sure the med team alerted. *Neonatal kittens can be mistaken for being too young to have their eyes open, when in fact infection is the culprit. See notes above about how to determine age of kittens if you think this might be the case. Signs & Symptoms: Watery eyes, white, yellow or green discharge. Black crust can be dried blood. Eyelids and third eyelid are red, swollen and raised. Treatment: Veterinary care, including antibiotics and ointment, and supportive care Transmission: Very contagious to other cats through direct contact of bowls, bottles, hands. EAR MITES Ear mites are tiny parasites that live in the ear canal. Signs & Symptoms: Itching, scratching, head-shaking, dark brown discharge in the ears - often looks like dirt Treatment: Veterinary care including an injection or ear meds Transmission: Contagious to other cats and dogs, usually requires direct contact with the infected animal RINGWORM Ringworm is a fungus related to athlete's foot, not actually a worm. Signs & Symptoms: Irregularly shaped areas of fur loss; the skin in these areas will usually appear rough and scaly and often the bald patch is round Treatment: Veterinary care, including dips and/or oral medications; ringworm can be self-limiting in healthy animals Transmission: Contagious to other cats, dogs, and people, but usually requires close contact with the infected animal or its bedding ROUND, TAPE, AND HOOK WORMS Worms affect a cat's digestive system. They are most commonly seen in kittens and young cats. Worms are very common in kittens, but luckily are easily treated. Signs & Symptoms: Large hard belly, diarrhea, an inability to gain weight but with a voracious appetite Treatment: Veterinary care, including de-worming medication Transmission: Contagious to other cats and dogs, but only through contact with (and subsequent ingestion of) feces. FLEAS Fleas are tiny insects that feed on the blood of cats, dogs, humans, and other animals. Although each flea only consumes a small drop of blood, fleas usually attack in large numbers. Signs & Symptoms: Intense itching and scratching, hair loss or "barbering" Treatment: Veterinary care including medications and topical treatment. If the fleas are very bad, bathing may be required. Transmission: Contagious to other cats, dogs, and people PANLEUKOPENIA (FELINE DISTEMPER) Panleukopenia (sometimes called feline distemper) is a viral infection that most commonly affects kittens and young cats. Left untreated, panleukopenia is almost always fatal. Even with intensive treatment, the majority of cats showing signs of panleukopenia will die. Unfortunately, this illness can be frustrating to deal with because the virus can survive in the environment for up to a year. This means that other unvaccinated cats can become infected with panleukopenia simply by coming into contact with places where an infected cat has been. A bleach solution is the best way to disinfect areas that may have been contaminated. The vaccine for panleukopenia (part of the FVRCP combo vaccine) is considered extremely effective. Signs & Symptoms: Fever, diarrhea, lethargy, vomiting, loss of appetite Treatment: Veterinary care, including fluid therapy and antibiotics Transmission: Very contagious to unvaccinated cats, especially through contact with infected feces or vomit but also bowls, hands, clothes, etc. COCCIDIA AND GIARDIA Coccidia and Giardia are very common. They are protozoa that can invade a kitten’s digestive system and cause diarrhea. These are contagious and can be spread through feces. Signs & Symptoms: Diarrhea perhaps mucous or blood tinged and sometimes consistency of water; often has a strong odor Treatment: Veterinary care, including antibiotics Transmission: Ingestion of feces from an infected dog or cat or the ingestion of a rodent. Mothers can pass this to their kittens. The Scoop on Poop Below is a guide to the color and consistency of kittens' feces. Pay attention to this whenever the kitten does 'their business', it can be a warning sign of serious health problems. Fecal Color: Brown Bloody Mucous Black Orange Yellow White Normal Color. Be Happy! Actual red blood seen in stool. Yellowish/white/clear slimy substance. Can be seen when straining is occurring or excessive diarrhea. True dark black color to stool. Usually indicates bleeding in high bowel. Usually indicates way to much bile in stool, can occur with reflux. Almost always indicates bacterial imbalance in the bowel. If has diarrhea also, usually related to coccidian. Grossly abnormal color. Usually indicates severe bacterial imbalance and severe infection in the bowel. Fecal Consistency: Firm Formed but soft ‘Toothpaste’ ‘Cow patty’ Liquidy ‘The Squirts’ Normal Consistency. Be happy! Low range of “normal”. If stools change from firm to soft you should seek medical advice. Still has somewhat tubular form but falls apart once touched. Watch closely because could turn into diarrhea. Never formed but thick enough that it falls in a ‘cow patty’ shape Just fluid that falls out of rectum, thin and may have mucous. Animal has no control over bowel and watery fluid squirts out of rectum. For any poop that is "not OK", please contact the medical team immediately. All diarrhea is bad in a bottle baby kitten! OVERVIEW OF HYDRATION Okay, this sounds intimidating, but it’s not. Hydration is basically how much water we have in our system. Since water drives all of our metabolic functions, you can see why adequate hydration is essential. Checking hydration is a lot simpler than trying to spell it. If you pull up on your own skin, you will see the skin snaps right back down. This is called “skin turgor” (how well it snaps back). A well hydrated animal will have quick skin turgor. Below is a guide to checking kitten’s skin turgor and their urine color, to ensure proper hydration. Immediate snap back Quick snap but not immediate Snap back within one second Within 1-3 seconds Stands up on own Excellent hydration. Watch however at this stage for over-hydration. Hydrated. Monitor other signs to be sure the kitten is overall (full –body) hydrated. Adequate hydration. However if ANY other signs, this animal is at risk and needs constant care Dehydrated. Needs immediate attention. Call medical team ASAP Call vet team immediately BWAR will provide training on how to give subcutaneous fluids (fluids injected under the skin) to all foster homes with bottle babies. Pedialyte given orally to a kitten won’t cause any harm, but offers no real benefit to a truly dehydrated kitten. Pedialyte can be mixed with the kitten’s KMR to add electrolytes back to the kitten’s system, but is not usually necessary. Pedialyte should be thrown out if not used within 3 days, or frozen in cubes in an airtight bag. Urine Color: Light yellow Yellow Intense Yellow Dark yellow/almost brown Red/ Dark Orange Mildly dilute urine. Overall body hydration should be adequate if no kidney disease. With sick/injured or at-risk animals, this is the color we shoot for. Mildly concentrated urine. Monitor closely and if ANY other signs of dehydration, seek care immediately. Concentrated urine. Animal is not getting enough fluid for total body hydration. Extreme dehydration or bilirubin in urine. Call medical team, the kitten may need fluids. Call medical team immediately! Medication Schedule The BWAR veterinary/medical team prescribes any needed medications and decides doses. The med sheet attached to the kitten’s chart will tell you what to give and when. We will provide you a take home copy. Pay close attention to dose and method of administering. Oral and eye meds can have similar names but it's important to use it correctly. Different kittens in the same litter may be getting different doses, sometimes one is much larger or smaller than the others. Always finish the medications as prescribed and make notes in the chart and log book about symptoms you continue to see. Notes FADING KITTEN SYNDROME Fading Kitten Syndrome is a life threatening emergency in which a kitten, sometimes one that was previously healthy, "crashes" and begins to fade away. If not dealt with by a foster parent immediately, it can result in death. If you are caring for kittens 12 weeks or younger, it is a very good idea to familiarize yourself with this handout so you know what to do if it happens. It is caused by 2 things: Hypothermia (being too cold) and hypoglycemia (not enough blood sugar). You must combat both of these things or the kitten will die. Symptoms: Low Body Temperature - the kitten feels cool or cold to the touch Extreme Lethargy - not getting up, unable to stand, not responding when pet Gasping for breath Meowing/Crying out When this happens, it is vital that you take these immediate steps! Step 1- Get them warm: Create the "burrito" towel. Immediately wrap the kitten up in a towel like a burrito leaving their face exposed only. Their whole body, tail, ears, and paws should be in the towel, only nose and mouth exposed. Do not take the kitten out of the towel to adjust them, check on them, etc. - this is very important! Every time you take them out you will make them cold again, even if it is only for a second. You must apply an extra source of heat. The kitten's body can't warm itself up with just a towel alone, you have to apply extra heat. Also, your body temperature is much lower than what a kitten should be, so trying to warm them up with your body heat won't work either. Then wrap a heating pad turned onto *low* around the towel - duct tape it or secure it around the towel so it stays wrapped around them. Don't let the heating pad touch them directly as it can cause burns. Make sure the 'burrito' towel is between their skin and the heating pad. Step 2- Get their blood sugar up: Once you get the heat on them, get a bowl or Tupperware and a few tablespoons sugar in hot water. Stir it up so you get a sugar water solution- you do want it to be as strong as possible while still being runny. Using a syringe or your finger give 3 drops every 3 minutes into the mouth. If they aren't swallowing, try not to get it down the throat, try to get it on the tongue or gums. Set an egg timer or use the stop watch on your cell phone to make sure you are doing it at least every 3 minutes. Every 5 minutes or 10 minutes will not work, it must be every 3 minutes. Step 3 - Call BWAR medical team: Call the emergency medical technician's phone number. (We will provide you with an emergency number when you take your kittens into foster. We rotate on an on-call basis.) Don't leave your kitten to make this call or forget to do your sugar every 3 minutes. They won't have any extra advice for you that isn't in this handout, but they will need to be made aware of what is going on. If you believe a kitten has passed, please visit a member of the medical team for them to confirm. In the sad event that a kitten does pass, you have the option of bringing the kitten to the Adoption Center for us to deliver to Best Friends Crematory, or you can bury the kitten on your own property. Prognosis: It can sometimes take hours for them to come out of it and start acting normally again. Once they do come out of it, make sure you alert the med team to discuss what could have possibly caused them to fade in the first place and make sure we have the kitten on all the right medical treatments for any illnesses they have that may have caused it. Keep in mind, even with all the love and attention and perfect treatment of this condition, some of them still won't make it. Try not to blame yourself during this difficult time and focus on all the kittens you have personally saved by opening your heart to these kittens. Any kitten you’ve ever fed was given a second chance at life BECAUSE of YOU!
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