Triple combination

Re: Triple combination

Zoe Davies RVN — Thu, 03 May 2012 08:08:29 GMT

Always drawn up ket 1st then others and in ins syringe.

Re: Triple combination

louise170388 — Wed, 02 May 2012 14:36:22 GMT

I have always done it all in one syringe but wasn't aware that drawing up the ket 1st might make it a little easier, I will prob bring that up at our next nurse meeting

Re: Triple combination

Mark Hedberg — Wed, 02 May 2012 10:24:54 GMT

[quote user="Julie-Anne Harrison"]

Not a fan of giving Dom/Torb first then ket as it just takes longer for the cat to be anaesthetised, would much rather give it all in one go. I also don't feel pulling them up in a specific order makes one bit of difference because the Ket mixes with the other almost instantly.

I pull it all up in one syringe then inject it slowly and cats don't react as much. I think the main reaction is because people inject it really quickly and yeah, that is going to hurt. I always inject cats on my own and have no problems with my method. Of course, I will have help with cats that are aggressive before you even do anything to them.

[/quote]

What you can do is draw it up with an insulin syringe (not caninsulin!) and transfer it to a 1ml syringe; put it in slowly and it layers like a layered coffee. :) Little more complicated, but I always liked it.

Re: Triple combination

Julie-Anne Wilson — Tue, 01 May 2012 22:15:35 GMT

Re: Triple combination

Catherine Raymond — Tue, 01 May 2012 19:30:45 GMT

Give the Dom and Torb first and then five minutes later the Ketamine. A lot nicer!

Re: Triple combination

Lauren Innes Bsc(hons) , RVN — Tue, 01 May 2012 19:06:16 GMT

My old school vets do it all in one syringe, ket first then torb then dom, and let us hang onto angry puus, or put open basket in front of puss to run into. My newer vets are all about dom and torb first then ket a few minutes later, and having seen it, i also prefer this method.

Re: Triple combination

Mark Hedberg — Tue, 01 May 2012 18:20:04 GMT

Yeah, ketamine has a pH of 3, so quite acidic stuff, hence the sting.

Re: Triple combination

ginny — Tue, 01 May 2012 16:58:11 GMT

I was taught to draw it up in that order for rabbits but never knew why!!

Re: Triple combination

Mark Hedberg — Tue, 01 May 2012 11:45:36 GMT

Pull up the ket first, then the dom, then the torb. Why, I hear you ask?

Torb doesn't sting, dom does a little, and ketamine REALLY STINGS. Do it this way (don't let the syringe sit for a while, the layers dissipate) and you won't get the sting reaction until the injection is safely given.

Alternatively you can give dom/torb first, then the ket (they say to do this in dogs, for instance) but still, dom drawn up first, then torb - that way torb goes in first, insulates the dom a little bit.