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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Tips on Caring for Sick Cats

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January 09, 2013 / (5) comments


In 2012, the American Association of Feline Practitioners (AAFP) and International Society of Feline Medicine (ISFM) released Feline-Friendly Nursing Care Guidelines for veterinarians and veterinary support staff. As a part of that effort, they have also put together a pamphlet for owners entitled “Nursing Care for Your Cat - Practical Tips for Pet Owners.” It contains a lot of good information. I want to share with you a few of its most helpful tips.

 

On the topic of reducing the stress of veterinary visits:

 

  • If your cat is very anxious in the waiting area, or if dogs are present, ask the receptionist if you can go immediately to an exam room. Alternatively, cover your cat’s cage with a towel or your coat to block the view and muffle the sounds. Once you are in the exam room with your cat, talk to it soothingly in a low pitched voice.

  • Avoid behaviors that while intended to comfort your cat, may actually increase anxiety. These can include clutching your cat, talking or staring in its face, and disturbing or invading its personal space. Human sounds intended to soothe or quiet (like ‘shhhh’) may mimic another cat hissing and should be avoided.

  • Physical correction such as tapping your cat’s head and verbal reprimands should be avoided because they may startle your cat and provoke the fight-or flight response. Remember, cats are not human and react differently to discipline.

  • Do not handle or remove your cat from its carrier until requested by a member of the veterinary team.

  • Reinforce your cat’s positive behavior with petting or treats and ignore negative behavior rather than trying to correct it.

  • If your cat must stay in the hospital, bring along familiar toys and bedding from home. Provide the name of the cat litter and food that your cat is routinely given. Also mention anything that your cat enjoys (e.g., treats, brushing, or play-time activities). The veterinary staff can use this information to help make your cat’s stay more pleasant.

 

Tips for providing nursing care to cats in the home environment:

 

  • Identify a quiet, familiar, and private space such as a small enclosure or alcove with good lighting where you can easily access your cat. A small space allows for close monitoring of your cat and provides it with a sense of security.

  • Establish a routine for administering oral medication to your cat. A bathroom sink lined with a soft towel or fleece provides an enclosed, secure place for administering medication.

  • Give your cat positive reinforcement (e.g., treats, brushing, petting) for accepting medication.

  • Unless your veterinarian says that medication must be administered with food, do not use food as an aid to giving medications, as it may cause aversion and reduce your cat’s food intake.

  • Warm canned food to your cat’s body temperature by gently heating the food in the microwave (remove the food from the can first) or by adding warm water and stirring well. Additions of chicken broth or tuna juice may enhance taste.

  • Forcing your cat to accept medication is stressful for both you and your cat. Do not forcibly remove your cat from a hiding place or interrupt eating, grooming, or elimination for purposes of administering medication. Ask your veterinarian for a demonstration of how to administer the medication prescribed for your cat.

  • Stay calm. Cats can sense our anxiety or frustrations, which may cause them to become fearful or anxious.

  • Attend all follow up appointments with your veterinary practice. Alert the veterinary practice if you observe any signs of sickness or changes in your cat’s behavior, as well as changes in food or fluid intake, or if you experience difficulty administering medications.

 

Those are the highlights as I see them, but if you find it difficult to provide your cat with the veterinary/nursing care he or she needs, it is definitely worth downloading the entire PDF to your computer.

 

 

Dr. Jennifer Coates

 

Image: Shasta by Graham Ballantyne / via Flickr

 

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COMMENTS (5)
1
Nursing Notes
by TheOldBroad on 01/09/2013 06:27am

I keep a small notebook for a kitty on medications where all things are noted. This helps tremendously when trying to remember everything to tell the vet.

I note medications, dosage and time given. I note appetite and what is eaten. I note any behavioral changes as well as any vomiting/regurgitation. For diabetics, I note time and blood glucose level.

2
Sick kitties
by Shellie on 01/09/2013 11:06am

Sabrina, my hyperthyroid cat who also has early renal failure, waits by the fridge twice a day for her 1/4 pill (methimazole), which I put into a small ball of her favorite canned food and hand feed it to her...she snaps it up with no problem. (I don't use this food for feedings, only for meds, so she regards it as a treat).

Bandit, my immunosuppressed kitty with chronic upper respiratory infections as well as skin issues, has been intermittently on steroids for her dermatitis. She also takes her prednisolone in a "treat" canned food with no problem. Unfortunately, steroids usually clear the skin, but further suppress her immune system and she ends up with upper respiratory symptoms...sneezing, nasal discharge, and at times a cough. Then begins the "quarantine"; she moves into a downstairs bathroom which is pretty much a private hospital room....bed, litterbox, toys, and a radio to keep her calm while confined. (It also has a permanent hook on the door for when I need to give sub-q fluids). She no longer responds to Clavamox, so is usually on azithromycin for her URIs. I get it in liquid form which I give orally with a small syringe...
just squirt the flavored med into the corner of her mouth and she swallows with no problem.
When she get URIs, she gets the stinkiest canned foods I can find (usually fish flavors) and I warm them a bit to enhance the odor for her stuffy nose. I also clean her nose area several times a day with a warm wet cloth to remove any crusty discharge.
At the times when she refuses food, I do give sub-q fluids as needed, sometimes as often as 2 or 3 times a day to prevent dehydration until she begins to eat again.

I also have a calendar devoted only to pet meds...who gets what med on what day, since I also have elderly arthritic dogs on medication. I simply cross off the meds as I give them so I don't get confused as to who I medicated and when.

3
Our 4 Housecats...
by Olivers mama on 01/09/2013 12:16pm

...are totally different - 1 is, I think, unique.
Hannah, age 6, Tortie DLH: She's our screamer in the carrier & most of the tips shown are somewhat useful with her (ie, covering carrier). If she ever needs oral meds, tho, we'll probably have to use a dart gun. :)
Sam, age 8, black DLH: Once he's in the carrier, he's fine. Nervous, but quiet.
Edgar, age 14, Tuxedo DSH: Diagnosed a few months ago with Lymphocytis Leukemia. Dumped by his regular vet, we took him elsewhere for accurate diagnosis & treatment. He's on Pred, Thyroid, & Leukeran (chemo). Travels well. Gets his pills in pill pockets.
Oliver, age 16, DLH: No carrier. Too big for his mama's womb, he was born crippled. (cauda equina + bilateral hip dysplasia) He travels in a large wicker basket-other cats &/or dogs approach him & he doesn't move (other than to give the dogs a dirty look when they slobber on him). Splendid traveler! He's also been dumped by his regular vet - due to cancer. He has squamous cell cancer of lower jaw. We meet with an oncologist next week to see if radiation may help. He gets his liquid antibiotic via syringe, his thyroid & steroid mixed in warmed canned food.

As an aside - how can a vet who's followed a cat for 15 years, say he has cancer (never doing a diagnostic) & then say, take him home & feed him until he stops eating. Then bring him back for euthanasia. He'll be dead in 1-2 months. (Told us this about Edgar 5 months ago & Oliver just a month ago.) ??????

by oh holland on 01/09/2013 03:00pm

Hoping for the best for your Oliver. He has a great Mama.

by Azar Attura on 01/11/2013 12:38pm

I sure hope you switch to another vet! My (Former) vet told me to "take Princess home, show her around the apartment and then bring her back in 2 weeks to be put down". I switched vets in a heartbeat. PS- Princess, who had cancer and was being treated holistically (by me) and allopathically (by the OTHER vet, who was eager to hear about the other modalities I had been sucessfully using on Princess) lived for another 3 months and then passed peacefully.

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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