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Chapter 10  Management of Hospitalized and Boarding Pets   173




































             FIGURE 10.3  Premixed enema and enema can.



             patient to let liquid flow in with gravity. When it stops   Feral and Quarantine Animal
             flowing the colon is full. Clamp the hose shut and remove   Housing
             the tip from the rectum.
               Release the patient, step out, and close the run door.
             Check back in 10–15 minutes to see if the patient has   On occasion,  feral domestic animals and domestic ani-
                                                                mals with no prior medical history of vaccinations may be
             defecated. If not give it another 15 minutes. If still   brought to the hospital for quarantine and observation.
             nothing, alert the veterinarian for further instructions.
                                                                One such reason for quarantine is a rabies suspect. If a
                                                                domestic animal has bitten someone, even with vaccina-
                                                                tions on records, for legal reasons, they may be quarantined
               Learning Exercise                                for observation for up to 10 days. Non‐aggressive care in
                                                                handling these patients is important but you should wear
               What personal protection equipment (PPE) would   gloves and goggles. Feral animals require the use of gaunt-
               be required for administering an enema?          lets (see Figure 8.54) and capture poles (see Figure 8.44)
                                                                when having to handle them. This will reduce the possi-
                                                                bility of bites and exposure of staff to rabies or other zoo-
                                                                notic diseases. Stringent isolation handling and care as
             Contagious Patients                                described in Chapter 4 is required to reduce the potential
                                                                for zoonotic disease transmission and must be in the fore-
             If patients have a contagious disease it is important to   front of everyone one’s mind. Skunks, raccoons, and bats
             care for them last. This prevents the spread of contagious   are natural carriers of rabies. If they have bitten someone
             agents through the other wards. It is to be hoped that   they  should  never  be  quarantined.  They  should  be
             there is a quarantine ward that is separated from the   humanely euthanized, and the brains of the animal sent
             other wards. Overshoes or booties, a lab coat or apron,   to a diagnostic lab for testing. The person bitten must
             gloves, mask, and goggles are all appropriate PPE when   receive immediate medical attention to start post‐exposure
             caring for these animals. These items are left inside the   vaccinations against rabies. Rabies is almost always fatal
             quarantine room upon exiting; you don’t wear the items   and is a horrible way to die.
             around the clinic as that can spread contagious agents.   Remember that zoonotic diseases may be passed
             Refer to Chapter 4 for a refresher on cleaning isolation   through fecal waste, bites, scratches, and fomites. Feral
             or quarantine rooms.                               animals often harbor ectoparasites and  endoparasites
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