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198    Tasks for the Veterinary Assistant


                     (a)                                (b)





















          FIGURE 11.16  Administering oral medications.



          the medium. Tablets and capsules are usually accepted if
          hidden in cheese, peanut butter, a piece of meat, or a
          “pill pocket.” These are specially made treats to accom-
          modate pills. However, some medications cannot be
          given with food and so must be forced down the throat
          deep enough that the animal can’t cough it out.
            If you are restraining for oral medications, a sitting or
          standing restraint works well. If you are giving the medi-
          cation, there are several methods to use. The following is
          one method but you may be shown others by experi-
          enced personnel.
            Hold the pill or capsule in your dominant hand, bet-
          ween the index finger and thumb (Figure 11.16). With
          the other hand reach over the top of the mouth and curl
          the lips in over the teeth as you lift the upper jaw. With
          the pill between your fingers, quickly reach into the
          mouth at the commissure of the lips and go down the
          throat as far past the base of the tongue as possible.
          Release the pill and, if necessary, push it further down
          with your index finger. Shut and hold the mouth closed,
          raise the head a bit, and stroke the throat to induce swal-
          lowing. If the pill stayed down, a word of encouragement
          and a treat for the patient is in order.
            If the patient wants to bite you may have to resort to a
          pill gun (Figure 11.17). A pill gun has a split rubber tip
          that will hold a pill in place on one end; the other end
          looks like the plunger part of a syringe. The restraint is
          the same, or you may have to wrap the patient in a towel
          or place it in a cat bag to control the feet. Tilt the head   FIGURE 11.17  Pill gun.
          back as far as possible with your non‐dominant hand.
          Direct the pill gun centrally as far down the throat as pos-  the size of your patient. Record the medication given in
          sible, depress the plunger, and quickly withdraw the pill   the patient’s file, date, time, and your initials.
          gun out of the mouth. Hold the mouth shut and stroke   Oral liquid medication and water are given with a
          the throat to induce swallowing.                   syringe (Figure 11.16). Locate the patient’s file, draw up
            After you have given any pill, either with your fingers   the prescribed medication, and then retrieve the patient.
          or a pill gun, follow it with water to help the pill move   Sitting or standing restraint works for small animals.
          down the esophagus; 2–4 mL is adequate depending on   Have the restrainer tilt the head up slightly. Gently lift
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