MEDICATIONS

PLEASE BE SURE TO CHECK IN AT THE VOLUNTEER TABLE IN THE HALLWAY INSIDE. GLOVES MUST BE WORN AT ALL TIMES.

The responsibilities of the Medications station are:
1. to administer vaccines against FVRCP and rabies virus
2. to drain any abscesses or clean any wounds as noted on the paw tag
3. to administer SQ fluids only as noted on the paw tag
4. to administer Frontline topically on the back of the cat's neck
5. to monitor the cats for respiration, pulse and color
6. to remove the hemostat from the left ear and place in a bucket of soapy water
7. to check to be sure the cotton ball that is placed in the opening of the left ear canal
has been removed (this is placed there by the ear tip station prior to prepping and removing the ear tip to keep moisture out of the ear; they should remove the cotton
ball before the cat leaves their station, but check to be sure they did!)
8. to administer yohimbine for anesthetic reversal (dose is 0.5 ml per cat IV or IM; for kittens 3-4 months of age weighing 3-4 pounds, half the dose)

Make a bucket of soapy water to put dirty hemostats in as soon as you arrive. Use the instrument soap provided. Remove the Frontline from the packages as soon as you arrive. Also, draw up the vaccinations and yohimbine an as soon as you arrive, according to the instructions below:

Yohimbine: Use 1 cc syringes with 23 ga needles. The dose is 0.5 ml per cat. For kittens 3-4 months of age weighing 3-4 lbs, half the dose.

Vaccinations: Use 3 ml syringes and 23 ga needles. Be careful that the needle and cap are on tight and there is no air left in the syringe. Place the syringes containing the vaccines on top of ice. Be certain to keep the rabies and FRVCP vaccines IN SEPARATE LABELED ICE BOWLS BECAUSE THEY ARE IMPOSSIBLE TO TELL APART. Draw up approximately 12 of each vaccine (i.e., FVRCP and rabies) to start.

Cats will be brought to the Medications station by the Medications Transport volunteer. MONITOR the cats carefully for normal respiration (>6/minute), heartbeat (>100/minute), and gum color (pink). If the cat is not breathing well or its gums are blue, pull firmly on the tongue, press a fingernail on the nose leather and call for assistance from a veterinarian.

ADMINISTER the rabies vaccine subcutaneously in the right thigh and the FVRCP vaccine subcutaneously in the scruff of the neck.

CHECK the paw tag and carry out any special instructions (such as cleaning ears or an abscess or administering SQ fluids). If fluids are ordered by a veterinarian, administer 150 ml of lactated Ringer's solution subcutaneously. Liter bags of fluids, drip sets, and 18 gauge needles are available for administering fluids. Be sure to change the needle after EACH cat to avoid transmitting any blood-borne diseases. Change the drip set if blood backs up into the line. Use a new drip set for each bag of fluids

ADMINISTER Frontline topically on the skin of the back of the neck.

REMOVE the hemostat from the cat's ear and place it in the soapy water. Check for and remove the cotton ball if present. The instrument detail station will pick up the dirty hemostats.

CHECK all incisions carefully. DO NOT saturate incision as this will result in infection. Use hydrogen peroxide to clean AROUND (NOT ON) incision. Use tissue glue if needed ON incision (NOT IN INCISION).

ALL PREGNANT CATS should receive 150 cc LRS SQ.

Clean any blood, urine or feces from the cat's fur. Peroxide works well for blood.

ADMINISTER yohimbine when you have completely finished everything else. It is best to give it IV, but if you can not get a vein after two attempts, administer it IM. You can use the clippers to clip the fur from over the vein to help visualize it. Be sure to clean the clippers with the brush and clipper spray in between every few cats. Use the medial saphenous veins for yohimbine administration. These veins will not have been used for other venopuncture during the clinic. IMMEDIATELY CALL for the Recovery Transporter to take the cat to the Recovery station. The cat should be placed into the proper trap right after the yohimbine is administered, not on the floor or a table to wake up. The yohimbine works very fast in some cats, so do not delay getting the cat to the Recovery Transport volunteer. The Recovery Transporter will remove the paw tag which will be keep as the cat's record.

At the end of the clinic, clean up your station and dispose of trash. As you repack your kit, verify that all of the supplies that belong in your kit are there. (See Inventory Sheet included in your kit.)

PLEASE TURN IN THIS INSTRUCTION SHEET WITH YOUR STATION KIT AT THE END OF THE DAY