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Cosmo Update

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glsummer@neptunelink.com - 27 Feb 2005 18:24 GMT
Thursday we did Cosmo's fluids, and it was a disaster.  I must have
been sloppy with the needle or something, because he tried really hard
to get away from DH's hold, and was growling at us.  And it took
forever, so there must have been a crimp in the line I didn't notice.
I cried and thought "I can't do this!"  But of course, I have to.

Yesterday, I had gotten new supplies from the drugstore (they're a lot
closer than the vet's office; not much cheaper, but I can walk there
if I really, really have to).  I tried one of their needles, and
actually looked at it first.  Decided to put the open end up when I
inserted it.  I also took a very deep breath, and determined I was NOT
going to be tense about this, since I did not want poor Cosmo to be
stressed.  I got the needle in perfectly in one move!  And he (mostly)
sat still, and the fluids went quickly, and voila!  It went perfectly
for the first time.  And Cosmo got his treats (and everybody else, too
-- how're ya gonna give a couple of treats to one cat, while seven
others are glaring at you?!  lol!) and seemed quite happy.

I truly hope this keeps getting easier!

Ginger-lyn
Hopeful

Home Pages:
 http://www.spiritrealm.com/summer/
 http://www.angelfire.com/folk/glsummer (homepage & cats)
 http://freepages.genealogy.rootsweb.com/~summer/index.htm (genealogy)
 http://www.i-love-cats.com/meow/glsummer/ (The Violence Against
                        Animals in Movies Website)
Howard Berkowitz - 27 Feb 2005 20:14 GMT
> Thursday we did Cosmo's fluids, and it was a disaster.  I must have
> been sloppy with the needle or something, because he tried really hard
[quoted text clipped - 7 lines]
> actually looked at it first.  Decided to put the open end up when I
> inserted it.  

Ouch!  If anyone didn't tell you that it makes a difference to have the
open end up (i.e., bevel pointing forwards), rather than the other way,
they should be ashamed to call themselves teachers. You want to start
entry with the very point, making the smallest initial opening and
smoothly spreading it as you insert. If you do open end down, it's
almost impossible to go in smoothly, because you don't have the body of
the needle keeping it stright.

>I also took a very deep breath, and determined I was NOT
> going to be tense about this, since I did not want poor Cosmo to be
[quoted text clipped - 15 lines]
>   http://www.i-love-cats.com/meow/glsummer/ (The Violence Against
>                         Animals in Movies Website)
glsummer@neptunelink.com - 28 Feb 2005 16:42 GMT
>Ouch!  If anyone didn't tell you that it makes a difference to have the
>open end up (i.e., bevel pointing forwards), rather than the other way,
[quoted text clipped - 3 lines]
>almost impossible to go in smoothly, because you don't have the body of
>the needle keeping it stright.

Now I feel bad :-(  No, no one told me, and I don't recall it in the
lit I downloaded from the Internet.  At least I figured it out before
it went on too long!  Thanks for the info, Howard.

Ginger-lyn

>> Home Pages:
>>   http://www.spiritrealm.com/summer/
>>   http://www.angelfire.com/folk/glsummer (homepage & cats)
>>   http://freepages.genealogy.rootsweb.com/~summer/index.htm (genealogy)
>>   http://www.i-love-cats.com/meow/glsummer/ (The Violence Against
>>                         Animals in Movies Website)

Home Pages:
 http://www.spiritrealm.com/summer/
 http://www.angelfire.com/folk/glsummer (homepage & cats)
 http://freepages.genealogy.rootsweb.com/~summer/index.htm (genealogy)
 http://www.i-love-cats.com/meow/glsummer/ (The Violence Against
                        Animals in Movies Website)
Howard Berkowitz - 28 Feb 2005 18:10 GMT
> >Ouch!  If anyone didn't tell you that it makes a difference to have the
> >open end up (i.e., bevel pointing forwards), rather than the other way,
[quoted text clipped - 7 lines]
> lit I downloaded from the Internet.  At least I figured it out before
> it went on too long!  Thanks for the info, Howard.

If it's any help, the realistic skin and body part models for medical
training (different injection types including IV, intubation, and even
more invasive procedures) are fairly recent. Medical students and nurses
used to learn to do injections starting with oranges, and then, on one
fine day, they would be told to practice on each other. The clinical lab
at Georgetown would usually get advance warning and watch the
white-faced students. A few would faint.

Seriously, I wonder if some vets might invest in the training aids for
injection, for teaching their patients. Failing that, I'm trying to
think of something to improvise practicing a subcutaneous injection as
you do for fluids.  

Oranges aren't bad for learning IVs, but they deal with taut skin. One
of the tricks of drawing blood or starting an IV is expecting the skin
resistance, and then the "pop" as you get through the skin and into the
vein. IVs are harder than SCs, because the vein can roll from side to
side, collapse, or you can go through it.  Still, I'd recommend you try
practicing with an orange, or perhaps a tomato, to get a little feel for
the technique.

Incidentally, the technique of giving cats fluids this way was once
widely used with people. For an assortment of reasons, IVs weren't
routine until roughly WWII and afterwards. IVs are more efficient with
people, but take more skill.  The technique used for subcutaneous fluids
is called hypodermoclysis, and may be almost as efficient for furpeople
with loose skin.  Still, you need an IV in a cat if you need to get
controlled amounts of fluid in quickly.
Steve Touchstone - 08 Mar 2005 07:55 GMT
>If it's any help, the realistic skin and body part models for medical
>training (different injection types including IV, intubation, and even
[quoted text clipped - 3 lines]
>at Georgetown would usually get advance warning and watch the
>white-faced students. A few would faint.

Off topic here, but your post reminds me of how I became an Army
pharmacy tech instead of a Medic as I had originally intended. I was
going through the medic training one day when our class was asked if
any of us who had had algebra in high school would like to switch to
the Pharmacy class, which had several openings. Well, we had spent the
last couple days doing the orange thing, but were scheduled to start
sticking each other the next day.

Hmmm, for some reason they got more volunteers to switch than there
were openings, so we ended up taking a math quiz and they took those
with the top scores.

Back on topic:
Don't fret too much, Ginger Lynn. Like Howard said, there are little
tricks that make it go much easier. With practice you'll get much
better and learn all the little tricks, and hopefully Cosmo will learn
that the fluid makes him feel better and put up with the procedure.
Signature

Steve Touchstone,
faithful servant of Sammy and Little Bit

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
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Karen - 27 Feb 2005 20:57 GMT
in article do3421129d732p8tmtqau7146s5ptmitdt@4ax.com,
glsummer@neptunelink.com at glsummer@neptunelink.com wrote on 2/27/05 12:24
PM:

> Thursday we did Cosmo's fluids, and it was a disaster.  I must have
> been sloppy with the needle or something, because he tried really hard
[quoted text clipped - 18 lines]
> Ginger-lyn
> Hopeful

That's great! I'm quite sure it will continue to get better. Practice makes
perfect.
O J - 27 Feb 2005 21:50 GMT
Ginger-lyn wrote:

---------------------<snip>----------------------
> I got the needle in perfectly in one move!  And he (mostly)
>sat still, and the fluids went quickly, and voila!  It went perfectly
[quoted text clipped - 3 lines]
>
>I truly hope this keeps getting easier!

Awwww!!  I think, make that "I know", that I'd rather stick a needle
in myself than stick one in one of my kitties.  Purrs and hugs to all
of you.  As you say, "I truly hope this keeps getting easier!"

Regards and Purrs,
O J
Christine Burel - 28 Feb 2005 02:18 GMT
Good for you Ginger-lyn!  You know, even as many years as I gave fluids to
my cats there were times I had "disasters," too, for one reason or another.
Sounds like you're making progress quickly.  I also gave my other kitties
treats, too, after someone got fluids -- what I found interesting is that I
also had cats who kept each other company during the procedure -- when Frodo
got fluids, Shetra always laid near him and kept him company, and when Frodo
passed away and Shetra was the one getting the fluids, it was always
Midnight who stayed near Shetra.
Christine
> Thursday we did Cosmo's fluids, and it was a disaster.  I must have
> been sloppy with the needle or something, because he tried really hard
[quoted text clipped - 25 lines]
>   http://www.i-love-cats.com/meow/glsummer/ (The Violence Against
>      Animals in Movies Website)
Dan M - 28 Feb 2005 03:59 GMT
> I truly hope this keeps getting easier!

Excellent, excellent, excellent! It will keep getting easier,
Ginger-lyn. And it will help Cosmo feel *so* much better.
Gabey8 - 28 Feb 2005 10:26 GMT
[[> I truly hope this keeps getting easier!

Excellent, excellent, excellent! It will keep getting easier,
Ginger-lyn. And it will help Cosmo feel *so* much better.]]

I think if Cosmo makes the connection between "I got fluids" and "I feel
better", things will DEFINITELY get easier.

Back before rec.pets.cats split into subgroups, I remember an older cat
named Spike. I think he was 19 or 20 when he was getting fluids. He
figured it out, all right... his Meowmy was late giving him his dose one
day, and he stood there complaining at her until he got his fluids. :o)

I'm glad to see that practice is making perfect. Keep up the good work,
both of you. :o)

Donna, Captain, and Stanley
Marina - 28 Feb 2005 04:55 GMT
> I truly hope this keeps getting easier!

So do I, Ginger-lyn! Sounds like you are getting into the routine. Purrs
for you, DH and Cosmo. I stick a needle into myself five times a day,
but I don't know if I could bear sticking one into a cat. :o/

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zuzu22@webtv.net - 28 Feb 2005 21:53 GMT
>Yesterday, I had gotten new supplies
>from the drugstore (they're a lot closer
>than the vet's office; not much cheaper,
>but I can walk there if I really, really have
>to).

You don't have to walk anywhere if you get your supplies here:
http://www.bricomedicalsupplies.com/CRFpage.html

I can get a case (12 1000 ml bags) of Abbott LRS. 6 McGaw IV sets (15
drops per ml - I use one set for every two bags and am just very careful
about handling when I switch to a new bag) and a box of 100 18 gauge
Terumo needles (the best) delivered to my door for about $55.
There is absolutely no reason to pay vet or pharmacy prices when there
are options such as this one.

Megan

                                   
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Adrian - 01 Mar 2005 10:32 GMT
> Thursday we did Cosmo's fluids, and it was a disaster.  I must have
> been sloppy with the needle or something, because he tried really hard
[quoted text clipped - 18 lines]
> Ginger-lyn
> Hopeful

Purrs for you and Cosmo. It will get easier.
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Adrian (Owned by Snoopy & Bagheera)
A house is not a home, without a cat.

 
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