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Ferret EmergenciesFortunately emergencies are uncommon, but when they happen, you need to be prepared in order to handle the situation effectively.
GENERAL INFORMATIONRemember these five things when dealing with an emergency:
1) Stay calm – becoming overly emotional will only upset your pet and render you incapable of making accurate observations and handling the situation in your pet’s best interest.
2) Get the animal out of danger – move him/her to a secure, comfortable location while protecting yourself against injuries from bites. Use towels to pick up and move an injured, frightened ferret.
3) Check the vital signs and record your results which will help your veterinarian to determine the nature of the problem and urgency of care.
4) Check the environment for any signs of what might have caused the emergency (poisons, evidence of trauma, pieces of materials that might have been eaten, etc).
5) Call your veterinarian and follow the instructions given.
EMERGENCY NUMBERSPlease be prepared BEFORE an emergency strikes with the phone numbers of emergency veterinarians. Place emergency numbers in a prominent place such as your refrigerator or near the phone. Many veterinarians use after-hours emergency clinics that are open all night and on weekends so that the pets can be monitored continuously. Please ask your veterinarian how they handle after-hours emergencies.
COMMUNICATION WITH YOUR VETERINARIANTell the veterinary office when you call that you feel this is an emergency. It can be difficult for the veterinary receptionist or technician to know that the situation is an emergency if you are unclear on basic information or if you don’t specifically say that you think it is an emergency. Be clear and concise with pertinent information, which includes:
o The condition of the ferret at this moment (be as precise as possible) o How long the condition has been present o Ideas you have on why you think your pet is ill
It is helpful to jot down some notes regarding this information about your pet before calling the veterinary office so you don’t forget important information.
TRANSPORTING YOUR PETYou probably already have some type of small carrier in which to transport your pet when you take it out of the house. This will be suitable for emergency situations. If you do not already have a carrier, then purchase one now before you need it. Cat sized carriers work well. You can use it as a daily play or sleep area for your pet. In this way your ferret will get used to the sight and smell of the carrier and will not be frightened when it is used for a trip to the vet! If you are transporting your pet by yourself, it is imperative to keep him/her confined because a pet that is loose in the car can cause injury to itself by falling off a seat or getting wedged in a tight area, or to you if it gets near the accelerator or brake pedals or startles you while you are driving. If you have another person with you it is possible for the other person to hold the ferret during the trip, however many veterinary offices will still require that you confine your pet in a carrier while you are in the reception area waiting for the doctor. This rule is to protect your pet as well as others in the exam room from injury or disease. In addition, consider if the pet is injured or in pain, he/she will probably lie in its most comfortable position when left on its own in a carrier. If a person is holding an injured ferret in the car, the position they choose for the ferret because it looks comfortable to them may not be the most comfortable for the pet. The carrier should have a smooth interior, a solid floor and a securely latching door. When transporting an ill pet, line the bottom of the carrier with several layers of thick towels to pad the surface and absorb any vomit or urine. Place another small towel for the ferret to snuggle under during the trip. We do not prefer that an ill, and particularly, injured, pet be allowed access to a ferret cloth “tube”. If the pet doesn’t want to come out or can’t come out it might be further injured when it is forcibly removed from the tube. If the outside temperature is below 40 degrees F warm the car before transporting an ill pet. If the outside temperature is above 85 degrees F please cool the inside of the car before transporting your pet.
HOME SUPPLIESHere are a few basic supplies that we suggest keeping in your home:
VITAL SIGNSIt is important to know what is normal in your pet in order to determine when something is wrong. Observation of your pet’s daily activities such as eating, sleeping, playing, breathing, defecating and urinating is critical to the detection of illness. If you know your pet’s normal routine you will be able to quickly detect when that routine changes. There are obvious signs of illness such as loss of consciousness, weakness, slow or no response to stimulus, lameness, diarrhea, vomiting, choking and unusual breathing patterns which will be easy to spot. In addition, there are also some vital signs that you can observe to help determine the severity of the illness. Please examine the following areas of your pet now while he/she is healthy so you will know what is normal.
MOUTH - If you look in healthy ferret's mouth you should observe that the tongue and gums are dark pink and moist. There should be no foul odor to the breath If you press your finger firmly onto the upper gum near the canine tooth and then take it away you should observe the gum tissue "blanching" (turning white) where you have pressed the blood 0 t of the area. Within 1 to 2 seconds the area should then become pink again. This is called the capillary refill time (CRT). The CRT in a normal ferret should be about 1 to 2 seconds. A CRT of 3 seconds or longer can indicate shock, a toxic condition, and cardiovascular disease or blood loss. If the gums or tongue look blue, gray or are "muddy" colored it can indicate a lack of oxygen, cardiovascular disease, a toxic condition or shock. Very light pink or white gums can indicate a loss of blood or shock. Yellowish gums can indicate liver disease. Foul smelling breath can be caused by kidney, liver, dental, intestinal or other metabolic disease. A loss of moisture in the mouth where the gums and saliva become dry and “sticky”, can indicate dehydration.
EYES - A normal ferret's eyes should be fully open, moist and the sclera (white part of the eye) should be white with very small dark pink to red blood vessels. The conjunctiva, which is the part of the eye under the lid, easiest to see if you gently pull the lower lid down, should also be dark pink. Ferrets squint their eyes when they are experiencing pain, weakness or dehydration. If the eyes lose their shiny appearance it may indicate dehydration. A "glassy" or "far-away" look to the eyes can indicate low blood sugar, pain, shock or central nervous system disease. A yellow cast to the white part of the eye can mean liver disease. A loss of color in the blood vessels of the sclera as well as the appearance of light pink or white conjunctiva can indicate shock, loss of blood or cardiovascular disease. Excessive tear production can indicate generalized pain, foreign material or infection of the eye, corneal ulcers, blocked tear duct, environmental irritant or dental pain.
HYDRATION - Hydration relates to the fluid content of the tissues. When an animal is dehydrated, body tissues are losing fluid more rapidly than they are being replaced. The visible result of dehydration includes a loss of elasticity of the skin and loss of moisture in mucous membranes such as the gums, and conjunctiva. To test for dehydration use the skin over the shoulders or back. Don't use the skin over the neck because it is thicker than other areas of the body and has a tendency to be less elastic naturally and therefore may give a false reading of dehydration. To test for dehydration, grab a piece of skin firmly between your thumb and forefinger and pull it upwards away from the ferret's body. This procedure is called "tenting the skin" because the piece of skin now looks like a little tent. This should not be painful to your pet and you do not need to pull hard. When you release the skin it should immediately return to its normal position. Practice this on your ferret before he/she becomes ill so you can have a sense of what is normal. You can also practice on yourself by pulling up the skin on the back of your hand and then releasing it to get the same effect. If the pet is dehydrated, the skin will return more slowly to its normal position. The more dehydrated the pet, the more slowly the "tent" will return to a flat position. You can time how long it takes for the skin to return to its normal shape by seconds and report that to your veterinarian. Other signs of dehydration, as mentioned under EYES and MOUTH, include dry, "sticky" gums and dry -looking eyes.
PAIN - Ferrets are tough little creatures that tend to hide pain as much as possible and go about their daily life. However there are some specific signs of pain that you should be aware of.
o Squinting - Ferrets squint their eyes either in response to a specific painful eye problem or in response to generalized pain. General debilitation and weakness and moderate to severe dehydration can also cause squinting. If your ferret is squinting constantly and doesn't stop when it plays or in response to handling, then there is a problem. o Lameness - Lameness can indicate pain or loss of neurological function in a specific limb. If you touch the affected leg and your pet winces, pulls away quickly, or cries, then it is painful. Ferrets can also exhibit generalized hind limb weakness for a variety of reasons. The most common cause for a hind limb weakness, which is not painful, is when the whole ferret is weak from a systemic disease. For some reason ferrets show generalized weakness in their hind quarters first. o Aggression - A normally docile ferret that suddenly becomes aggressive should be suspected of having a painful condition. This is particularly true if the aggression is associated with touching any part of the body, you should suspect a possible painful condition.
o Tense abdomen - Ferrets normally have relaxed abdomens that are easy to palpate. If your ferret is walking around with a tense abdomen or hunched posture, seems touchy or cries when you pick him/her up under the abdomen, it is very likely your pet is feeling some abdominal pain and this could be a serious problem.
o Rapid breathing - Ferrets in pain can breathe more rapidly, usually shallow breaths. Rapid breathing, however, can also be a sign of other disease. (See section on Difficult Breathing or Rapid Breathing)
FEVER - Although it is not essential for you to learn to take you ferret's temperature, it is not a difficult procedure to learn if you have an assistant to help. As mentioned previously, ask your veterinarian for assistance in learning the proper technique. The normal body temperature of a ferret ranges somewhere between 100.5 degrees F and 102.5 degrees F. We consider it a fever if the temperature goes over 103 and a serious situation if it goes over 104.5 degrees F.
EMERGENCY SITUATIONS
BLEEDING -The total blood supply of a ferret is about 10% of it body weight. Therefore a ferret that weighs 1000 grams (2.2 lbs.) has about 100 cc (6 tablespoons) of blood. Healthy ferrets can safely lose up to 10% of this volume (10cc or 2 teaspoons) without serious consequence. People often panic when they see blood and they frequently overestimate the volume of the loss. Blood may be soaked into cage papers, bedding or towels and has a tendency to spread out making the actual blood loss appear greater than it is. This does not mean that blood loss is not a serious situation, but if you understand the volume of "safe loss" than it is easier to calmly evaluate the actual severity of the problem.
A ferret that loses more than the "safe" volume of blood will gradually become weak and the mucous membranes including the gums and conjunctiva will become pale. The heart rate becomes very rapid and the pet can also exhibit rapid breathing.
o Cause - Blood loss is commonly related to trauma to the skin or nails. However, blood can also be lost through the intestinal tract or respiratory tract due to infection, ulcers, cancer, and trauma or poisoning via vomiting, diarrhea or coughing. Consider internal blood loss an emergency. Ulcers, cancer or trauma to the urinary or reproductive tract can cause blood in the urine. Other types of internal bleeding such as rupture of the spleen or liver can only be seen externally as weakness and pale mucous membranes If the ferret is suffering from a disease that prevents the blood from clotting such as liver disease, hyperestrogenism (females being in "heat" too long) or poisoning, then bleeding can occur from any orifice of the body or small tear in the skin.
o Action o The first thing to do with any blood loss is to determine from where it is coming and try to stop it. If it is external and the wound is small, it may be possible to apply pressure to the area to stop the flow of blood. It is difficult to bandage ferrets unless they are very weak. If your pet is fighting your efforts to bandage a wound, don't persist because the increase in blood pressure caused by the struggle may renew or increase the bleeding. Avoid washing the area if the bleeding has stopped, because a clot may already have formed and removing it will start new bleeding. Use undiluted hydrogen peroxide to clean the wound because it not only is an antiseptic, but it can help slow the flow of blood. If a nail is bleeding, apply styptic powder. Do not apply styptic powder to skin wounds because it can contaminate the wound and will have to be cleaned out at a later date. The presence of blood clots is a good sign because it means the body has the ability to stop the bleeding. o Next evaluate your pet for excessive blood loss by checking the color of the mucous membranes. Call your veterinarian as soon as you have evaluated the situation. Obtain immediate veterinary attention if the bleeding cannot be stopped, the pet is showing signs of anemia or the bleeding is coming from an internal source. If possible, bring in materials that contain blood such as cage papers or towels. These items are helpful in determining the amount of blood loss.
CHOKING - Ferrets normally make a "choking" or "reverse snee ze" sound that is a cross between a sneeze and a cough. It is quite loud and is often mistaken for a serious problem. This is the ferret's way of clearing foreign material out of its throat. This normal behavior will stop within a few seconds and occurs occasionally on a daily basis. Another situation that is often mistaken for choking is when ferrets drool and paw at their mouths. This behavior is caused by such conditions as hypoglycemia (low blood sugar), nausea or foreign material in the mouth. None of these conditions will cause a ferret to suddenly collapse. However, a ferret that is choking because of an obstruction to the trachea (windpipe) will become very weak and collapse in a matter of seconds to minutes. The gums and tongue will be muddy to blue in color and the breathing will be erratic and then cease. This is a dire emergency.
Ferrets that are active and alert but still cough or choke excessively need to be examined as well, but it may not be an emergency. You can try to look in the mouth to see if there is a problem being careful to keep your fingers away from the sharp teeth. We had case of a ferret that swallowed a human hair about 12 inches long and part of the hair was still stuck in the ferret's mouth while the rest was in the stomach. It caused the little guy to cough and gag for some time until we removed it. It was not an emergency, but was certainly annoying to the patient!
DIFFICULTY BREATHING OR RAPID BREATHING - A ferret can have difficulty breathing or rapid breathing but not exhibit any choking or coughing. The breathing may either be shallow or deep. The color of the gums, tongue or conjunctiva is pale pink, muddy or blue. The ferret is usually lethargic and may also have lost its appetite.
DROOLING and/or PAWING AT THE MOUTH - Ferrets can exhibit excessive salivation and paw aggressively at their mouths. The saliva may bubble out of the mouth and coat the chin and lower neck.
EATING A FOREIGN OBJECT - Ferrets, particularly under the age of one, enjoy eating a number of materials around the house, which can potentially lead to an intestinal obstruction.
SUDDEN WEAKNESS/UNCONSCIOUSNESS - Sudden weakness or unconsciousness is a serious situation. Weakness can be exhibited as a complete lethargy an inability or reluctance to move or can be exhibited as a loss of balance or unsteady gait.
SEIZURES - A seizure is caused by abnormal brain activity that leads to unconsciousness followed by varying ranges of body movements. Seizures can range from mild and rapid and almost imperceptible to severe with prominent movement of the extremities and loud vocalizations. Most seizures last only a few seconds, even though it seems like hour when you are watching one, and are not immediately life threatening. However, seizures that persist for several minutes are considered an emergency situation.
VOMITING/DIARRHEA - Ferrets have a very short digestive tract and food moves through in about 3 to 4 hours from the stomach to the large intestine. Ferrets do have the ability to vomit, but don't tend to do so as regularly as dogs and cats when they eat something disagreeable. You should seek veterinary attention if the ferret is vomiting or passing diarrhea multiple times over two to three hours, passes blood in the vomit or stool or is exhibiting sudden or increasing weakness along with the vomiting or diarrhea.
STRAINING TO URINATE - Straining to urinate is a serious situation most often caused by a partial or complete blockage of the bladder or urethra. A bladder that can not be emptied is not only extremely painful, but will ultimately rupture. The ferret will go to the litter box frequently and stand for an abnormally long time trying to urinate with little or no urine being produced. Some ferrets will cry loudly while trying to urinate. The urine passed may be blood tinged, or thick with mucous. This condition can be confused with straining to defecate because ferrets stand in the litter box in a similar stance to either urinate or defecate, and they often perform both functions almost simultaneously. In addition, ferrets that are straining to urinate may actually pass small pieces of soft feces because they are straining so hard, further adding to the confusion. Ferrets are rarely constipated and by far the most common reason to see a ferret, particularly a male, in the litter box straining, is because of an inability to urinate.
BROKEN BONES. Broken bones are not common in ferrets compared to other emergencies. Bones are most often broken in the extremities. Spinal and pelvic fractures are uncommon. The ferret will not use the affected limb and may either drag it or hold it up. The ferret will exhibit pain when the fractured area is touched by pulling away, crying out or attempting to bite the handler.
(By Susan Brown, DVM, Midwest Bird & Exotic Animal Hospital. Reprinted courtesy of Veterinary Information Network, Inc) |
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