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Chapter 10  Management of Hospitalized and Boarding Pets   171


                                                                warming device (Figure 10.2). There are many differ-
                                                                ent types available. Some will not need blankets on top
                                                                of the pad and some suggest blankets on top. Whatever
                                                                type is used always make sure the animal can move off
                                                                the warming pad if they don’t need it any more. At
                                                                that point remove the warming device from the ken-
                                                                nel or run. If they cannot move, make sure to shift
                                                                them every 15–20 minutes. Never use a human heating
                                                                pad to warm a  recumbent patient. They get too hot
                                                                and will cause not only devastating burns, but could
                                                                result in a lawsuit for the clinic. Some surgical patients
                                                                may need assistance to move from position to position
                                                                or walking to relieve themselves. Don’t attempt this
                                                                without permission from the veterinarian or techni-
                                                                cian.  With  big  dogs,  always  have  another  person
                                                                helping to move them or walk them. A sling or long
                                                                towel is passed under their abdomen, close to the
                                                                flank, with a person on each side of the dog taking an
             FIGURE 10.1  Cat kennel perch.                     end and lifting. Lift just to provide support but allow
                                                                the dog to move under its own power. Care must be
                                                                taken when moving surgical patients so that they are
             box which is tucked under the perch (Figure 10.1). Food   not jostled excessively. Extra padding for them to lay
             and water dishes are placed just inside the door close to   upon is also a way to offer comfort. Be careful with
             the hinge side. This allows the cat room enough to jump   these patients as pain may make them bite if you inad-
             off the perch and access the litter box without tipping   vertently hurt them. Surgical and ill patients will often
             over the dishes. By placing the dishes to the hinge side   have an IV catheter and care must be taken not to dis-
             you can open the door to remove the cat without working   lodge this from the vein. Always handle these patients
             around the dishes.                                 with care and if they are to be taken outside to relieve
               Cats often become depressed or anxious when      themselves you may need another person the help
             boarding. Hiding under towels, crouching in litter   hold the IV bag or to lift and carry them if unable to
             boxes, and not eating or drinking can indicate there is a   walk very far. Record the reason for any handling done
             problem. They may also become aggressive and not want   and at what times. If the handling was for elimination,
             you to touch them or clean their kennel. The phero-  record what happened, how much, and description as
             mone spray may help, as well as offering tasty food treats   appropriate for feces or urine.
             or allowing them to stroll around the ward a bit can help
             alleviate some of this stress. Offer a paper bag as a toy
             when out of the kennel. Playing with a toy or feather on
             a rope is always a welcome relief from the boredom of   Reflection
             being kenneled. Make sure there are signs on the doors
             indicating a loose cat so that it doesn’t inadvertently   Describe some of the ways that caring for a surgi-
             escape.                                               cal patient is different from caring for a boarding

                                                                   patient.

               Reflection

               Why would pets that are boarding at a hospital   Recumbent Patient Care
               become sick or depressed? What can you do to
               alleviate these afflictions?
                                                                Recumbent patients require extra attention, so they do
                                                                not develop  decubitus ulcers, urine scalds, and fecal
                                                                matting. Decubitus ulcers are caused from the weight of
             Surgical Patients                                  the body putting pressure on the bony parts of the body
                                                                that are against the floor. To avoid these sores from
             Pre‐surgical patients should not be fed on the morn-  developing, extra padding under the hips and shoulders
             ing of surgery but can have water available. Post‐   will help as well as changing the position of the body
             surgical patients are often cold and may need a    every 3–4 hours. Alert the veterinarian if you see any
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