CASHEW – 22166
Safe - 3-8-2018 Manhattan
SAFE 3/8/18 NOT ON LIST TONIGHT BUT NEEDS PLACEMENT BY TOMORROW 3/6/18 — Cashew the bottle kitten has a wound and needs you now! @MACC Meet Cashew: This little kitten has a big wound on his neck, but that’s not slowing him down! We closed the wound and are keeping a close eye on him, but as he is only 2 weeks old he will need somebody who can offer him a lot of supportive care as he grows big and strong! Cashew has a strong rooting and suckling reflex and is clearly a feisty little tot! Cashew can stay overnight in the care center tonight, 3/5, but will need to leave by the end of the day tomorrow, 3/6.
Cashew 22166 2W White/Black DSH 7 oz
Stray intake: 3/5/18
Vet Notes: 5:34 PM
Hx: Brought to BxACC, arrived at MACC this afternoon. Finder says he thinks the kitten’s mother injured it but he wasn’t sure.
S: Mewing, good rooting and suckle reflexes, attempts to crawl
O: BAR-H, BCS 4.5/9, MMs pink and moist, CRT <2 sec
EENT: Eyes open. No discharge OU, AU, nose. No teeth.
PLNs: Not significantly enlarged.
H/L: NSR, NMA. Eupnic, quiet lung sounds.
Abd: Soft, no pain on palpation, no masses palpated
M/S/I: 5-10 cm full-thickness laceration around the neck – extends from the left jugular furrow, around the back of the neck, and to the right lateral aspect of the neck. The wound is clean and neat, with smooth edges and very little bleeding. The SQ tissues and muscles are visible – including the left jugular vein – and the skin can be pushed so that the cranium is visible. There is no sign of infection, or of desiccation of the SQ tissues. No other wounds or injuries are noted.
UG: Male intact kitten
Neuro: Alert and appropriate, no sign neurological deficiencies
A: Large full-thickness laceration encompassing about 70% of a full circle around the neck.
Short-term prognosis: Grave without surgical closure. Good if pt makes it through the anesthesia.
P: Surgical repair
Morphine 0.005 ml, ketamine 0.01 ml, and midazolam 0.01 ml administered IM at 1:20pm.
Blow-by oxygen was provided throughout the procedure.
Pt kept on heated dry towel.
The wound was filled with sterile lube, and the fur around the neck wound was clipped. The wound was lavaged with warmed sterile saline, and the skin surrounding the wound was cleaned with chlorhexidine scrub.
Using 4-0 Monocryl, cruciate sutures were placed approximately every 1 cm along the wound to hold the skin at the right point. A simple continuous suture pattern (4-0 Monocryl) was used to close the skin.
Pt was monitored during recovery and was bottle-fed Fox Valley milk replacer as soon as he was alert.
1. Buprenorphine 0.005 ml (half a unit) SQ q8 hours starting this evening at 5pm (5pm, 1am, 9am) x2 days
2. Clavamox drops 62.5 mg/ml, 0.05 ml PO BID x7 days
3. Nursing care as needed for a kitten
L V T Notes: 3:08 PM
Sedated at 1:20pm with Midazolam, Ketamine, and Morphine.
Midazolam- 5mg/mL, bottle #7, 0.01mL, IM
Ketamine- 100mg/mL, bottle #16, 0.01mL, IM
Morphine- 25mg/mL, bottle #2, 0.005, IM
Wound closed by 1088
1/2 hour post op, temp 101.4 F.
resting on heat support, HR fast and strong (not able to count). Lung sounds normal.
Vet Notes: 1:29 PM
DVM Intake Exam
Estimated age: approx 1 week
Microchip noted on Intake? neg
Microchip Number (If Applicable):
History : newborn stray, wound on neck
Subjective: Q-BAR, mobile, vocalizing, pushing head in my hand as if wanting to nurse.
Observed Behavior –
Evidence of Cruelty seen – n
Evidence of Trauma seen – n
P = wnl
R = wnl
EENT: Eyes open and clear, no nasal or ocular discharge noted
Oral Exam: nsf
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Non painful, no masses palpated
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Large approx 5cm full thickness laceration on left side of neck, with deep cranial pocketing, skull visible. No bleeding and no visible signs of infection.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally.
severe laceration with deep pocketing
sedated wound treatment, attempt to clean wound and primary closure.
Temporary waiver due to young age.
**** PLEASE NOTE **** KITTENS under the age of 8 weeks or weighing 2 pounds or less CAN ONLY be PULLED by a RESCUE!!!! IF INTERESTED, PLEASE contact a RESCUE ASAP!!!
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected] Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
View all entries in: Safe Cats 2018-03