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Neonatal Support Program

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Presentation on theme: "Neonatal Support Program"— Presentation transcript:

1 Neonatal Support Program
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

2 PAWS needs you. The KITTENS need you. YOU can make the difference
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 You are these kittens super hero! 2014 Goal is to save 250 kittens: This is roughly ½ of what is guestimated as what is euthanized at AC. SAVING ONE IS MAKING A DIFFERENCE!!! To be a bottle feeder these are some of the characteristics. We don’t need experience; or extremist mentality Realize these kittens come from many backgrounds therefore any of these disease can/will occur at some point this year If you do this for long enough you will have mortality. At that instant YOU are these kittens best chance at survival. This program makes every effort to offer a safety net of support. Cornerstone of the Program: Don’t place blame: PAWS will not blame you for kitten death/Don’t blame you teamates, Don’t blame PAWS Some mortality WILL occur regardless of medical treatment.= you gave them a chance! Preface

3 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. The “team MOM” premise Up to 7 members in a Team: Team leader is the most experience and the coordinator/spokesman for the team Rudi will contact team leader- who will contact the members to coordinate care Care plan will be established based on age/weight/health assessment Notebook -calender set up feeding/meds “The Library system” check in -check out When the kittens become 6 weeks of age, PAWS will process the kittens for adoption

4 Roles and Responsibilities
Team Members Team Leader Dedication, Reliability, Dependability Motivated Loyalty Passionate Team player Caring Follow directions PLUS… Team spokesperson for their litter Coordinator Team scheduler Assure kittens are picked up EVERYDAY! Emergency Contact RECOMMENDATIONS: *Exchange contact info * Communicate Everyday!!!- changing situation Roles and Responsibilities

5 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… “The Library system” Where will drop off be? Where will Supplies will be? in volunteer room The Library System

6 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 Supplies- Baby Bag

7 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 Cleaning and Disinfection

8 A Tiny Head’s - Necessities
WARMTH- Housing 0-2 weeks ~96-99 F 2-4 weeks ~ F 4-6 weeks ~ F SUGAR- Nutrition Sleep Elimination

9 Housing 101 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

10 Heat Do’s Do NOT 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) Attempt to warm them with your body heat Heat

11 Feeding

12 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 Mixing KMR

13 KMR Stomach Capacity in Neonates ( 4ml/100g)
YOUR TARGET Stomach Capacity per Feeding 4 mLs 8 mLs 11.2 mLs 14.5 mLs 18 mLs 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 13 Oz 104 5 1 lbs 128 1ounce= 28 grams 1teaspoon= 5mLs 1tablespoon= 15mLs Weigh Newborn ~2-3.5 ounces Daily weight gain 0-2 weeks ~0.35 ounce/day 2-4 weeks ~0.5 ounce/day KMR

14 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 Bottle Feeding Techniques

15 Do Do NOT Rubbing forehead or stroking back to mimic mom’s stimulation Try changing nipple sizes Try rewarming bottle Give 2nd and 3rd chances Feed kitten “like a baby” Force feed-Pressure wash kitten Rely on Syringe feeding. =starvation + aspiration Feeding Tips

16 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. Gruel Babies

17 Making a Gruel Do Do NOT Be Patient!!!
RC + KMR in applesauce form Entice with syringe tasting; Offer when kittens are hungry. Warm gruel in microwave stir with your finger. 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

18 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 Elimination

19 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 Ataxia Loss of Appetite Heavy Abdominal Breathing/ Panting Diarrhea Coughing; Wheezing or Sneezing Lack of Urination or Defecation– in 24 Hours Notify Clinic/Team Members Next Day URGENT issues: Profuse Bleeding= Not Good Extreme Lethargy/Depression Mentation Sudden 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 Medical Guide

20 Troubleshooting Aspiration FKS URI Ringworm Kitten Diarrhea
Other Stuff Hypoglycemia Hypothermia Diaper Rash Prepucial Nursing Troubleshooting

21 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 again Notify Clinic/Team Members Aspiration

22 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

23 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 Fading Kitten Syndrome

24 URI Calici/Herpes.Ect Clinical signs: Viral Characteristics:
Persist in the Environment Live on hands/clothes Vaccination Clinical signs: Ophthalmic Sinus Congestion Oral Ulceration Treatment: Notify Clinic/Team Members Wipe eyes with warm cotton ball. Opht ointment/Oral Abx URI

25 Ringworm Dermatophytosis Zoonotic Viral Characteristics:
Round Dry Scaly Hairless lesions Extremely Pruritic Viral Characteristics: Extremely persistent in the environment. Fomites Treatment: Notify Clinic /Team Members Oral Anti-fungal Betadine 10% spot treatment Ringworm

26 Kitten Diarrhea Disruption of Digestive Microflora Viral, Bacteria
Disease Characteristics: Source of Secondary Infection Sepsis Zoonotic; Salmonella, E.Coli Dehydration Diaper Rash Electrolyte Imbalance Sepsis/Hypoglycemia Treatment: Notify Clinic/Team Members Possible SQ Fluids Digestive Enzymes +/- Oral Abx Kitten Diarrhea

27 Other Stuff Hypothermia Hypoglycemia Diaper Rash
Notify Clinic/Team Members Desitin Umbilical/Prepucial Nursing Generally Harmless Check frequently for tissue damage Other Stuff

28 YouTube Instructional Videos- Watch Later
Youtube Video on how to feed and care for bottle babies: Youtube video on how to feed and care for gruel babies: YouTube

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