if you pour yourself out for the hungry and satisfy the desire of the afflicted, then shall your...
TRANSCRIPT
If you pour yourself out for the hungry and satisfy the desire of the afflicted, then shall your light rise in the darkness and your gloom be as the noonday.
~ Isaiah 58:10 ESV
Neonatal Support Program
Preface
PAWS needs you! The KITTENS need you!
YOU can make the difference!
Life-Saving Goal: 250 Kittens
Traits needed to become a neonatal foster:
commitment, dedication, reliability, motivation, passion, loyalty
Program Synopsis
• 5-7 Team Members will be attached to 1 Team Leader
• Kittens come in from ACC:
• Initial Physical
• Care Plan will be established
• Matched up with a Team by the Team Leader
• “The Library System” - Pick up at 4-6PM. Drop off 3-5PM At PAWS
• PAWS will provide supplies and are expected to be exclusively used.
• When the kittens become 6 weeks of age, PAWS will process the kittens for adoption
Team Members
*Dedication, Reliability, Dependability Motivated Loyalty Passionate
*Team player
*Caring
*Follow directions
Team Leader*PLUS…
*Team spokesperson for their litter
*Coordinator
*Team scheduler
*Assure kittens are picked up EVERYDAY!
*Emergency Contact
*Roles and Responsibilities
RECOMMENDATIONS: *Exchange contact info * Communicate Everyday!!!- changing situation
*The Library System
*The Check-out Process
*Pick up at 4-6PM Drop off 3-5 PM Next Day At PAWS
*Pick up in Volunteer office
*Go through checklist (notebook)*Check your kittens
*Log weight
*supply bag Re-stocked
*Off you go…
*Supplies- Baby Bag
*Carrier/ Cover blanket/Heating pad
*Notebook:
*Take home list
*Calendar
* Age/Development Goals
*Kitten Development Log
*Weight/Eating/Elimination
* KMR/RC Baby Cat- canned/dry
* 3 Bottles/Syringe feeding
* Karo Syrup
*Q-tips
*Towels/Absorption pads
*Thermometer
*+/- litter pan-Cat litter
*Cleaning and Disinfection
* Very important!!!
Disease Transmission
* Bottle care
* Rinse in Hot running water after every use
* Kitten care
* Clean mouth/front paws/ elimination
* Rinse (no soap) ONLY if you can 100% dry (blow dry)
* Housing care- Carrier
* frequent changes of absorption pads – cut the soiled out?
* Wash hands between before and after handling
* Use good sanitation practices
* No Harsh Chemicals-
* Use Dish Detergent and Water
* Avoid Mixing Litters/Pets
* A Tiny Head’s - Necessities
*WARMTH- Housing
*0-2 weeks ~96-99 F
*2-4 weeks ~ 98-100 F
*4-6 weeks ~100-101 F
*SUGAR- Nutrition
*Sleep
*Elimination
Click icon to add picture*Carrier covered with a blanket in
a Quiet non-drafty area.
*Heating pad (w/o auto shut-off) LOW
Secured under towels
Absorbance pads top layer
½ the Den (Cool side/Warm side)
Temperature control
86-90 F first week
80-85 F second-third week
74-79 F fourth week
*MAKE IT EASY!!!= Isolation is THE SECRET!!
*Hypothermia = WARMTH!
*Housing 101
Do’s
*Supplement with hair dryer after bath
*Bean bag microwave warmers (rice socks) during return phase
*Keep Carrier COVERED
*Store in a warm room of the house
*Take Temp as often as needed!! (Lube)
Do NOT
*Attempt to warm them with your body heat
*Heat
*Feeding
*Mixing KMR
*Mix 1 Part(tablespoon) to 2 parts H20
*Mix up in closeable container
*Shake well
*Pour into bottle
*No need to blend
*Heat bottle under running hot tap water
*Mixed enough for your 24 hours
*Refrigerate excess for next feeding
*Do Not Give other “milks” including
* Cow’s milk!
*Other Kitten Milk Replacers
*KMR
Age In Weeks
Average Weight
mL of KMR per Day
Feedings per Day
1 4 Oz (112g) 32 6
2 7 Oz (196g) 56 4
3 10 Oz (280g) 80 3
4 13 Oz 104 3
5 1 lbs 128 3
Stomach Capacity in Neonates ( 4ml/100g)
Weigh daily @ Newborn ~2-3.5 ouncesDaily weight gain
0-2 weeks ~0.35 ounce/day2-4 weeks ~0.5 ounce/day
1teaspoon= 5mLs 1tablespoon= 15mLs
1ounce= 28 grams
Stomach Capacity per Feeding
4 mLs
8 mLs
11.2 mLs
14.5 mLs
18 mLs
YOUR TARGET
*Bottle Feeding Techniques
*Warm milk – Hot Running Water/Microwave
*Wash your hands- Create a “Nest”
*Open mouth with tip of finger- slip nipple in
*Hold kitten vertical/slightly sternal with head between thumb and index finger
*Very lightly squeeze to allow the kitten to “taste” the milk.
*Eventually kitten will latch on, continue with light pressure on the bottle to help suckle reflex.
*Will stop when full – “Pear-shaped”
*Burp the baby
Do*Rubbing forehead or
stroking back to mimic mom’s stimulation
*Try changing nipple sizes
*Try rewarming bottle
*Give 2nd and 3rd chances
Do NOT*Feed kitten “like a baby”
*Force feed-Pressure wash kitten
*Rely on Syringe feeding. =starvation + aspiration
*Feeding Tips
*Gruel Babies
*4.5-5 weeks(1 month old)*Biting/chewing the nipple- extreme milk
consumption
*½ teaspoon RC canned + ½ formulated KMR per kitten in a shallow bowl
*Offer syringe tasting before milk
*To start – at feedings
*Offer warm gruel 3-5 min before bottle.
*Offer shallow litter pan in carrier
*Offer dry kibble in carrier
*Allow for exploration.
*Eventually offer only kibble.
Do*Be Patient!!!
*RC + KMR in applesauce form
*Entice with syringe tasting; Offer when kittens are hungry.
*Warm gruel in microwave stir with your finger.
Do NOT
*Maintain kittens on Baby Food(chicken or turkey ONLY no additives)
*Use canned kitten food other than PAWS supplied food =Diarrhea
*Leave Gruel out
*Making a Gruel
*Elimination
*1-4 weeks*Needs to be done till eating solid food
*Rub anal/genital area with warm cotton ball/Q-tip in a back and forth motion
*Rub till results
*Defecation once a day/ Urination every time
* Take note of Frequency/Quality and report any abnormalities
*Medical Guide
*Any Medical condition should be brought to the attention *1st TREAT THE KITTEN >Fading Kitten Syndrome Protocol* Get Temperature- Warming Procedure
* Raise Blood Glucose- Karo Syrup (Every 2 Hrs)
* Call Team leader
* Alert PAWS Staff Next day.
*Maintain Fading Kitten Syndrome Protocol WATCH CLOSELY- not an emergency
AtaxiaLoss of AppetiteHeavy Abdominal Breathing/ PantingDiarrheaCoughing; Wheezing or SneezingLack of Urination or Defecation–
in 24 Hours
Notify Clinic/Team Members Next Day
URGENT issues: Profuse Bleeding= Not Good
Extreme Lethargy/Depression MentationSudden Unconsciousness; Breathing heavily, gasping, breath interval is low Head slumped in food/water bowl and can’t wake up: Vocalization; Circling Staggering; Body is completely limp and non-responsive:
FADING KITTEN SYNDROME PROTOCOL
*Troubleshooting
*Aspiration
*FKS
*URI
*Ringworm
*Kitten Diarrhea
*Other Stuff*Hypoglycemia
*Hypothermia
*Diaper Rash
*Prepucial Nursing
*Aspiration
* Formula in the Lungs*Forcing Syringe Feedings
*Squeezing Nursing Milk Bottle
Firmly Pat kitten’s back until you hear a cough
If no coughing, turn baby upside down (tail over head) and shake
GENTLY, then pat back againNotify Clinic/Team Members
*Fading Kitten Syndrome
*Viral, Bacterial, Dehydration, Hypoglycemia, Hypothermia
*Clinical Signs
*Sudden obtunded
*Vomit/spit-up
*Found unconscious
*Vocalization
*Ataxia/Falling over
*“This kitten doesn’t look right?” Fading Kitten Syndrome Protocol
*Fading Kitten Syndrome
*Treatment
*HEAT, SUGAR, FLUIDS
*Wrap kitten in heating source/pad, protected with a blanket, like a burrito
*Take Temp every 1hr
*Karo syrup on the gums/under tongue every hour
*Call team Leader for support
*Notify Clinic/Team Members
*URI
Clinical signs:Ophthalmic
Sinus Congestion
Oral Ulceration
Calici/Herpes.Ect
Treatment:
Notify Clinic/Team MembersWipe eyes with warm cotton ball.
Opht ointment/Oral Abx
Viral Characteristics:
Persist in the EnvironmentLive on hands/clothes
Vaccination
*Ringworm
*Dermatophytosis
ZoonoticRound Dry Scaly Hairless lesionsExtremely Pruritic
Viral Characteristics:
Extremely persistent in the environment. Fomites
Treatment:
Notify Clinic /Team MembersOral Anti-fungalBetadine 10% spot treatment
*Kitten Diarrhea
Zoonotic; Salmonella, E.Coli
Dehydration
Diaper Rash
Electrolyte Imbalance
Sepsis/Hypoglycemia
Disruption of Digestive Microflora Viral, Bacteria Disease Characteristics:
Source of Secondary Infection Sepsis
Treatment:
Notify Clinic/Team MembersPossible SQ FluidsDigestive Enzymes+/- Oral Abx
*Other Stuff
*Hypothermia
*Hypoglycemia
*Diaper Rash
*Notify Clinic/Team Members
*Desitin
*Umbilical/Prepucial Nursing
*Notify Clinic/Team Members
*Generally Harmless
*Check frequently for tissue damage
*YouTube
*Instructional Videos- Watch Later
* Youtube Video on how to feed and care for bottle babies:http://www.youtube.com/watch?v=Lifzi3oOVo4&feature=relmfu
* Youtube video on how to feed and care for gruel babies:http://www.youtube.com/watch?v=nFNcs3mCCUQ