[{"data":1,"prerenderedAt":1189},["ShallowReactive",2],{"item:\u002Fpet-health\u002Fgiving-a-cat-subcutaneous-fluids":3,"platform:site":618},{"id":4,"title":5,"authors":6,"body":11,"canonical":550,"category":551,"categorySlugs":559,"cid":560,"cover":561,"description":564,"extension":565,"featured":566,"language":567,"meta":568,"navigation":569,"noindex":566,"ogImage":570,"path":571,"publishedAt":572,"recipe":550,"related":573,"revisedAt":550,"seo":600,"seoDescription":564,"seoTitle":5,"sortKey":550,"sources":601,"stem":605,"tagSlugs":606,"tags":609,"translations":614,"type":615,"url":616,"__hash__":617},"platformItems\u002Fplatform\u002Fitems\u002F1755.md","Administering Subcutaneous Fluids to Your Cat: A Home Guide",[7],{"name":8,"slug":9,"role":10},"Hayden Scott","hayden-scott","author",{"type":12,"value":13,"toc":522},"minimark",[14,25,34,40,43,48,51,55,58,62,65,81,87,92,96,99,104,109,112,115,120,125,129,155,160,165,173,177,188,193,198,212,219,224,228,236,241,246,250,267,272,277,291,296,301,315,320,323,341,346,351,362,366,369,374,379,396,400,405,410,414,417,420,423,427,430,433,436,439,442,445,449,452,456,459,463,466,469,472,475,479,484,487,491,494,497,500,503,507,512,517],[15,16,17,21,24],"p",{},[18,19,20],"strong",{},"REVIEWED BY",[18,22,23],{},"Dr. Mark",", U of Missouri Veterinary Medicine grad and 40+ years working with dogs, exotics and livestock",[15,26,27],{},[28,29],"img",{"alt":30,"height":31,"src":32,"width":33},"",1067,"\u002Fpics\u002F154fafeb101e63da3481.webp",1600,[15,35,36],{},[37,38,39],"em",{},"Older cats may experience kidney problems, leading to dehydration. Here is a guide to providing subcutaneous fluids to your friend.",[15,41,42],{},"Noah Moquin\u002FUnsplash",[44,45,47],"h2",{"id":46},"how-to-give-subcutaneous-fluids-to-a-cat","How to Give Subcutaneous Fluids to a Cat",[15,49,50],{},"If your older cat has kidney issues, or is recovering from surgery or illness, your vet may recommend subcutaneous fluids—possibly for the rest of your cat's life. You then have to decide whether to learn how to give the fluids yourself or pay an animal hospital to do it. After giving fluids to our cat Babe every other day for about five years, I suggest doing it yourself. Once you get the hang of it, it's quick and fairly easy. Your cat avoids the stress of frequent vet trips, and you save money. Over the long term, your pet may even come to see it as an act of love.",[44,52,54],{"id":53},"what-are-subcutaneous-fluids","What Are Subcutaneous Fluids?",[15,56,57],{},"Subcutaneous (or \"sub-Q\") means \"under the skin.\" Subcutaneous fluids are a mix of sodium, potassium, calcium, and other electrolytes injected beneath a cat's or dog's coat to rehydrate them—similar to how Gatorade rehydrates an athlete. These fluids come in the same clear plastic bags and with the same tubing used for human IVs, but you place them under your cat's skin, not into a vein.",[44,59,61],{"id":60},"getting-started","Getting Started",[15,63,64],{},"So you've decided to do it yourself, and it's your first time. You'll need four things to begin:",[66,67,68,72,75,78],"ul",{},[69,70,71],"li",{},"A 1000 ml bag of subcutaneous fluids (often labeled \"Lactated Ringer's\" or similar, with numbers 1 through 9 on the bag)",[69,73,74],{},"An \"administration set\"—the flexible tubing that carries fluid from the bag",[69,76,77],{},"A supply of small needles that you push onto the end of the tubing. The size (e.g., 18 x 1A) is printed on the needle cap",[69,79,80],{},"A coat hanger with a hook that can be rotated, so you can hang it on a door top, shower curtain rod, or other high spot",[15,82,83],{},[28,84],{"alt":30,"height":85,"src":86,"width":33},1200,"\u002Fpics\u002F0a559e275f43d8ca6fdf.webp",[15,88,89],{},[37,90,91],{},"A bag of fluid connected to an administration set, needles, and a coat hanger is all you need.",[44,93,95],{"id":94},"setting-up-the-bag-and-line","Setting Up the Bag and Line",[15,97,98],{},"Unwrap the bag of fluid. Warm it by placing it in a large bowl—a salad bowl works well—of warm water. The water should be comfortable to your fingers; if it's too hot, let it cool. Warming takes at most 5 minutes. Take the bag out and pat it dry.",[15,100,101],{},[28,102],{"alt":30,"height":85,"src":103,"width":33},"\u002Fpics\u002Fae157cafd59cb8d6ee50.webp",[15,105,106],{},[37,107,108],{},"A 1000 ml bag of subcutaneous fluids labeled Lactated Ringer’s",[15,110,111],{},"Remove the fluid line from its plastic packaging. You'll notice a small flow-control box on the line that regulates how fast fluid leaves the bag. Slide that box down the line until it's about 12 inches from the needle end, so it's within reach when you need to adjust the flow.",[15,113,114],{},"Make sure the little wheel that controls the flow is pushed tightly to the narrow end of the box so the line is closed. If you haven't closed it, fluid will start dripping from the line—even if it's capped—once you connect it to the bag.",[15,116,117],{},[28,118],{"alt":30,"height":85,"src":119,"width":33},"\u002Fpics\u002Fd2ad43a7af4463bf4c78.webp",[15,121,122],{},[37,123,124],{},"Make sure the little wheel on the flow-control box is pushed all the way to the narrow end (closed position) before you connect the fluid line to the bag.",[44,126,128],{"id":127},"how-to-do-it","How to Do It",[66,130,131,134,137,140,143,146,149,152],{},[69,132,133],{},"Hold the bag of fluid in one hand. At the bottom of the bag is a tube-like protrusion. On the bottom of this tube is a small rubber seal with a flap.",[69,135,136],{},"Remove this seal with the flap. It's just a cover protecting the sterile seal inside.",[69,138,139],{},"Take the cap off the sharp plastic point on the end of the fluid line, being careful not to let it touch anything (to avoid contamination). Slowly but firmly push the point through the seal until it goes into the tube and can't go farther.",[69,141,142],{},"You'll see the point entering the bag. Make sure it's all the way in and doesn't puncture the bag. Twisting it as you push helps.",[69,144,145],{},"Once the point is in, turn the bag upright. Just below where you inserted the line is a small see-through chamber where fluid drips out.",[69,147,148],{},"Gently squeeze this chamber until it's about one-third full of liquid.",[69,150,151],{},"Hold the end of the fluid line over the sink and push the little flow-control wheel back to open the line and drain any air bubbles (you'll see them in the line). This should take just a few seconds.",[69,153,154],{},"Stop the flow. Remember to keep the exposed end of the line from touching anything.",[15,156,157],{},[28,158],{"alt":30,"height":85,"src":159,"width":33},"\u002Fpics\u002Fa38ad92fc170f11d3dce.webp",[15,161,162],{},[37,163,164],{},"Remove the seal with the flap at the bottom of the bag while the bag is facing upward.",[66,166,167,170],{},[69,168,169],{},"Next, press one of the small needles onto the end of the exposed fluid line.",[69,171,172],{},"Finally, massage the bag to make sure any cold or hot spots are mixed, then test the temperature of the fluid by running some over your wrist, as you would with a baby bottle. It should be warm, but not hot. Your bag is now ready.",[44,174,176],{"id":175},"hanging-the-bag-correctly","Hanging the Bag Correctly",[66,178,179,182,185],{},[69,180,181],{},"You need a way to hang it, and a wire coat hanger works great.",[69,183,184],{},"Bend the hook of the hanger so it's perpendicular to the rest of the hanger.",[69,186,187],{},"Slip the hanger's hook through the open slit at the top of the fluid bag and turn the bag so the side with the numbers faces out (you'll need to see these numbers to know when to stop).",[15,189,190],{},[28,191],{"alt":30,"height":33,"src":192,"width":85},"\u002Fpics\u002F121c9dcdedd88384b84d.webp",[15,194,195],{},[37,196,197],{},"Hang the bag on a hanger with the hook bent so that it is perpendicular to the rest of the hanger.",[66,199,200,203,206,209],{},[69,201,202],{},"You also need an elevated place to hang the bag so fluid can drip down into the cat.",[69,204,205],{},"Some suggest buying an IV stand from a medical supply company, but that's not really necessary. If your chair or couch is next to a closet, you can open the closet door and hang the bag there, numbers facing you. Or hang it from a nearby door frame or wall shelf and position the bag to face you. One cat owner puts a towel in the bathroom sink, places her cat there, and gives fluids from a bag hanging on the shower curtain rod.",[69,207,208],{},"As long as the fluid line is at least two feet higher than the cat and reaches without being pulled tight, it will work.",[69,210,211],{},"Position it so the bag and your cat can be together, and you can clearly see the bag and its numbers as you give the fluid.",[15,213,214],{},[28,215],{"alt":30,"height":216,"src":217,"width":218},1489,"\u002Fpics\u002Fd1b01bca3af591c224f2.webp",907,[15,220,221],{},[37,222,223],{},"Hang the bag off of the top of a door or somewhere else where it will be at least two feet above the cat.",[44,225,227],{"id":226},"cat-meets-fluid-bag","Cat Meets Fluid Bag",[66,229,230,233],{},[69,231,232],{},"Placing the cat on the couch or a large chair just below an armrest helps keep them in place. The key is to place the cat parallel to the length of the couch or chair, facing the armrest so it creates a barrier to escape (using the sink also works).",[69,234,235],{},"Then squeeze yourself alongside or just behind the cat. This gives them nowhere to go once the fluid starts. I learned this the hard way when I began giving Babe fluids—she'd jump up and walk away, giving my couch and me a saline solution shower.",[15,237,238],{},[28,239],{"alt":30,"height":85,"src":240,"width":33},"\u002Fpics\u002Fbc6b32a2ca531f140f25.webp",[15,242,243],{},[37,244,245],{},"Cat and bag must be arranged so they can connect without pulling the line tight.",[44,247,249],{"id":248},"making-the-stick","Making the Stick",[66,251,252,255,258,261,264],{},[69,253,254],{},"You've got your cat in position and your bag ready.",[69,256,257],{},"Take the cap off the needle and twist it so the underside (the side with the hole) faces upward. This seems odd, but it lets the needle penetrate the cat's coat more easily.",[69,259,260],{},"Keep the needle cap nearby; you'll need it later.",[69,262,263],{},"Pet your cat and talk reassuringly for a moment, then casually lift the scruff of their coat between the shoulder blades with one hand—I use my thumb, index, and middle fingers—and push the needle all the way in with the other.",[69,265,266],{},"Try to stick it right in the middle of the loose scruff; too high, and it will poke out the other side; too low, and it might stick into the cat's underlying flesh. Your cat won't like this.",[15,268,269],{},[28,270],{"alt":30,"height":85,"src":271,"width":33},"\u002Fpics\u002F0f8ae59904b7630ebf55.webp",[15,273,274],{},[37,275,276],{},"Using your left hand, pull up the loose scruff above cat’s shoulder blades. Model: Babe",[66,278,279,282,285,288],{},[69,280,281],{},"I've found that sticking the needle in is much easier if you pull up the cat's scruff with your left hand and push the needle in with your right.",[69,283,284],{},"So position the cat so they're on your right when you're sitting. Otherwise, the stick will be awkward and more difficult—unless you're left-handed, in which case you're fine.",[69,286,287],{},"If your cat accepts the fluids without trying to escape, positioning doesn't matter as much.",[69,289,290],{},"I suggest wearing a glove—I use a leather garden glove—on the left hand until they get used to being stuck. I always wear the glove just in case, so I don't have to worry about being bitten.",[15,292,293],{},[28,294],{"alt":30,"height":85,"src":295,"width":33},"\u002Fpics\u002F0d5f5eeb39e334ca3b9b.webp",[15,297,298],{},[37,299,300],{},"Push the exposed needle (hole side up, remember) into the cat’s coat and gently release the scruff. This is easiest if you hold the scruff with the left hand and stick with the right.",[66,302,303,306,309,312],{},[69,304,305],{},"The first few sticks are the toughest. When I did them, I winced, certain I was hurting my cat. But it doesn't really hurt them; the scruff is loose, and there's nothing inside. They still don't like it and may yell.",[69,307,308],{},"If the needle doesn't go in, you just have to force it in. This is one of the most difficult things about giving a cat fluids. I've done this many times, and the most our cats have ever done is flinch.",[69,310,311],{},"The experience was actually harder on me than on the cat. Then I got used to doing it, and it became routine. Now that I'm on my second cat with CRF, I've discovered something about doing the stick.",[69,313,314],{},"Position the needle touching your cat's coat and gently work the tip of the needle up and down (or back and forth) while pushing it in. If you do it right, the needle will slide right in with very little resistance, and your cat will barely notice the puncture.",[316,317,319],"h3",{"id":318},"tip","Tip",[15,321,322],{},"How your cat responds to being given fluids depends a lot on their disposition and sensitivity levels. If it's their first time, you may need to wrap your cat in a towel or place them inside a cat carrier that opens from the top before you can give the fluids.",[66,324,325,332,335,338],{},[69,326,327,328,331],{},"Now you've got the needle in, and hopefully your cat hasn't scratched your face off. Next, start the fluid flowing by ",[37,329,330],{},"slowly"," sliding the little wheel on the flow-control box forward toward the wide end.",[69,333,334],{},"It's important to do it slowly because otherwise the water will shoot out in a jet, which may startle your cat.",[69,336,337],{},"You've probably seen the slow drip-drip-drip of an IV on TV or in movies. You can adjust the wheel to make it do that slow drip at first, then speed it up to a faster drip later. I've gotten to where I can give Babe fluids in about five minutes.",[69,339,340],{},"Keeping the cat calm and still can be a challenge even when they're used to getting fluids. Stroking the cat and massaging their ears while making soothing sounds helps.",[15,342,343],{},[28,344],{"alt":30,"height":85,"src":345,"width":33},"\u002Fpics\u002F7269e20a697360d6829e.webp",[15,347,348],{},[37,349,350],{},"When starting the fluid flow, watch the drip chamber to measure how fast it’s flowing. You want drops—not a steady stream.",[66,352,353,356,359],{},[69,354,355],{},"While the fluid is flowing, keep your hand lightly on the needle to hold it in place. This also lets you know if it gets loose and starts leaking.",[69,357,358],{},"A cat can somehow eject the needle with a very slight move or squeeze of their coat. You'll know this happens when you suddenly see a stream of fluid running down the side of your cat (in that case, just reinsert the needle and keep going).",[69,360,361],{},"I try to keep my cat as boxed in as possible, with my hand either over the needle or on the line close to the needle, to keep this from happening.",[316,363,365],{"id":364},"bad-needle","Bad Needle?",[15,367,368],{},"If you simply cannot get the fluid to flow, or if it only does a very slow drip, you may have a defective needle—one with a hole that is partly or mostly closed. Try replacing the needle and see if that makes a difference.",[15,370,371],{},[28,372],{"alt":30,"height":85,"src":373,"width":33},"\u002Fpics\u002F25f3ec60524ed5cd1e67.webp",[15,375,376],{},[37,377,378],{},"Gently hold the needle in place while blocking your cat in with your body (see “positioning the line” photo below).",[66,380,381,384,387,390,393],{},[69,382,383],{},"Note in the \"positioning the line\" photo below I am holding the line in position lightly with my fingers.",[69,385,386],{},"If the fluid from the bag suddenly slows to a trickle or even stops, it likely is because the fluid bulge surrounding the needle has pushed the needle to one side.",[69,388,389],{},"Look up at the little drip chamber while you gently move the needle back into alignment. You should see the fluid start flowing again.",[69,391,392],{},"If the line still isn't flowing, do the opposite and try moving the line gently from one side to the other, so the needle angles this way and that.",[69,394,395],{},"Also, make sure that neither you nor your cat is resting on the line and that the line isn't crimped or twisted.",[44,397,399],{"id":398},"positioning-the-line","Positioning the Line",[15,401,402],{},[28,403],{"alt":30,"height":85,"src":404,"width":33},"\u002Fpics\u002F598ac8c55eb08e0ed949.webp",[15,406,407],{},[37,408,409],{},"This shows me giving our cat Stormy fluids. Note how I’ve used the sofa armrest and my body to hem her in so she can’t easily escape. I’m giving Stormy an ear massage, which both relaxes and distracts her while the fluid is flowing.",[44,411,413],{"id":412},"which-size-of-needle-to-use","Which Size of Needle to Use",[15,415,416],{},"The needles you typically get from the vet aren't the best quality; some call them \"kitty harpoons.\" Make the procedure easier on your cat by requesting a higher-gauge needle (the higher the number, the smaller the hole).",[15,418,419],{},"The smaller needle size will be less intrusive and do less damage to the cat's coat long-term. The downside? It will take longer to give your cat the fluids because the flow of liquid is slower. I use 20-gauge needles, and it takes me about four minutes to administer 75 ml of fluid, Stormy's daily dose. I've found this to be a good compromise between the 18-gauge \"harpoons\" and the slow-flow 21 gauges.",[15,421,422],{},"Several commenters here have recommended Terumo needles, which are sharper and slide into your cat's coat more easily.",[44,424,426],{"id":425},"keep-your-eyes-on-the-bag","Keep Your Eyes on the Bag!",[15,428,429],{},"How much fluid do you give your cat? Your veterinarian should have told you. I give our Babe 150 ml (milliliters) every other day (see update below). The numbers on the bag indicate 100 ml increments (100 ml equals one number on the bag), so 150 ml is equal to 1.5 numbers on the bag. Make sure the bag is oriented toward where you are sitting with the cat, and there is enough light in the room so you can clearly see the numbers.",[15,431,432],{},"Keep your eye on the bag as the fluid flows, and when you've reached the recommended amount, stop the fluid by pulling back the little wheel tightly. Then slip the needle out of your cat and immediately press a few fingers over where the needle was. (Keep them there for about a minute—this keeps the fluid inside the cat.)",[15,434,435],{},"Put the cap back on the needle. Once your cat is taken care of, remove the old needle from the end of the line, moisten a cotton ball or pad with some rubbing alcohol and swab the hole at the end of the line with it. Then immediately stick a new needle on the line. This will help prevent any bacterial contamination from a used needle while the fluid bag sits unused.",[15,437,438],{},"I should note here that my cat sitter, a former longtime vet tech at a major animal hospital here in D.C., tells me there's no need to clean or sanitize the line afterward as long as you put a new needle on. I like to err on the side of safety, though.",[316,440,319],{"id":441},"tip-1",[15,443,444],{},"Make sure the fluid is completely shut off before you put the administration set away (I leave it hanging in a closet) by pushing the fluid line into the notch of that little dangling piece of plastic on the line (yes, that's what it's for!). Just remember to free the line before you begin your next fluid session. I also always position the needle so it's facing up—just in case.",[44,446,448],{"id":447},"the-juice-creature","The Juice Creature",[15,450,451],{},"Don't be alarmed when you see a large bulge on your cat's neck, back, or sides afterward—the fluid takes anywhere from six to eight hours to be completely absorbed. Don't worry, it will go away—and so will your darling little Quasimodo. Sometimes the fluid ends up down around one of the cat's legs, making your cat briefly look like a Bactrian camel. This makes for a great photo.",[316,453,455],{"id":454},"bargain-price-fluids","Bargain-Price Fluids",[15,457,458],{},"Costco's pharmacy sells a 12-bag box of subcutaneous fluids for $26.09—a little over $2 a bag. Vets typically charge $10 or more for a bag.",[44,460,462],{"id":461},"update-doctor-says-smaller-doses-more-often-work-better","Update: Doctor Says Smaller Doses More Often Work Better",[15,464,465],{},"During our Stormy's recent heart exam, the cat cardiologist asked me how often I give her fluids. \"150 ml every other day,\" I told him—that was the amount the vet had prescribed.",[15,467,468],{},"\"Why not give her 75 ml every day?\" the heart doc asked. Giving her 150 ml all at once is like when you gulp a large energy drink down after exercising, he noted: \"You just pee a lot of it away\" afterward.",[15,470,471],{},"The cardiologist is a sharp guy. I thought about this, and it made sense to me. So I began giving Stormy 75 ml every day. She seems to have responded well to this new regimen; the last trip to the vet showed a slight improvement in her kidney values.",[15,473,474],{},"I would recommend this approach to anyone who isn't already giving their cat fluids on a daily basis, in consultation with your vet, of course. It means more sticks (I downsized the needle from an 18-gauge to a 20-gauge to minimize the puncture) and a cooperative cat, so it seems especially suited for a cat who's been getting fluids for a long time and submits to the procedure without resisting.",[316,476,478],{"id":477},"note-of-caution","Note of Caution",[15,480,481],{},[18,482,483],{},"Please be aware this cardiologist's recommendation was only one professional opinion and was given for a specific case—there is actually no evidence to back this up.",[15,485,486],{},"There are reasons why you would not want to administer fluid to your cat daily. For instance, doing this could be a huge problem if your cat is fractious. Further, one reason people stop giving fluids to their cats and have them euthanized is that the animal grows to dislike the procedure.",[44,488,490],{"id":489},"postscript-please-do-your-cats-blood-work","Postscript: Please Do Your Cat's Blood Work",[15,492,493],{},"If you don't have a blood analysis done as part of your cat's annual evaluation, please, please, please do so. Cats can develop chronic renal failure (CRF) without warning and at a younger age than you might expect. And they are experts at hiding the discomfort they feel from kidney problems until their condition becomes serious. I know this, unfortunately, from personal experience.",[15,495,496],{},"While my wife and I were dealing with Babe during her last weeks and then her passing, we let her sister Stormy's annual evaluation slide. Stormy was always the intrepid hunter, full of energy, mischievous, and constantly jumping on the table looking for a treat or to swipe a bit of food. We never even imagined her coming down with CRF.",[15,498,499],{},"It wasn't until more than a year later, when Stormy began looking tired and down, that we took her in for blood work. I was shocked when the vet told us she'd lost 75 percent of her kidney function. A blood analysis of her creatinine and bunin would have flagged this much earlier. The vet pointed out that a middle-aged cat going two years without a blood analysis is like a person going eight to 10 years without one.",[15,501,502],{},"On the bright side, a regimen of fluids, a KD diet, and close monitoring have stabilized Stormy, and she lives a relatively normal, if more sedate, life now. But the thought that our precious cat needlessly lost kidney function still haunts us. So get that blood work done at least once a year!",[44,504,506],{"id":505},"more-cat-care-resources","More Cat-Care Resources",[66,508,509],{},[69,510,511],{},"Feline Chronic Renal Failure\nHow to deal with all aspects of Chronic Renal Failure (CRF) in cats.",[15,513,514],{},[37,515,516],{},"This article is accurate and true to the best of the author's knowledge. It is not meant to substitute for diagnosis, prognosis, treatment, prescription, or formal and individualized advice from a veterinary medical professional. Animals exhibiting signs and symptoms of distress should be seen by a veterinarian immediately.",[15,518,519],{},[18,520,521],{},"© 2008 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