7.6 Cat and Dog Vet Visits


Cats and dogs might routinely visit the veterinary clinic in order to be vaccinated, have a wellness exam, and get parasite prevention. They also come to the clinic when they are experiencing health problems. This section will give an overview of some wellness visits you might encounter, as well as a couple common emergencies.

Vaccination

The purposes and benefits of vaccination are outlined in Chapter 6. Each species has its own recommended vaccine protocols that vary depending on geographic region and risk of exposure (Kustritz, 2022a).

In North America, many clinics follow the vaccinating guidelines for dogs and cats set out by the American Animal Hospital Association (AAHA) (Ellis et al., 2022; Stone et al., 2020). Generally, puppies and kittens start their first vaccine series at 6–8 weeks of age and are vaccinated every 3–4 weeks until they are about 16 weeks of age (Ellis et al., 2022; Stone et al., 2020). This can vary depending on circumstance, and it is important you refer to your clinic’s guidelines for when vaccines should occur. Puppies and kittens require a revaccination about 1 year after completion of the initial vaccine series to develop protection against disease (Kustritz, 2022b). Required frequency of rabies vaccination is regulated by province in Canada. In some provinces, it is legally required for dogs and cats to have up-to-date rabies vaccines (e.g. Ontario), while others it is not (e.g. Alberta).

Core vaccinations are the sets of vaccinations that are suggested for all dogs and cats regardless of where they live or what activities they do. The additional vaccines, termed non-core, are given depending on the lifestyle of the pet and the risks they encounter (Kustritz, 2022c).

Common Core Vaccines

Canine Diseases

  • Canine distemper
    • Viral disease that causes a respiratory infection along with neurological changes
    • Highly contagious to other dogs, can be lethal
  • Canine adenovirus (hepatitis)
    • Viral disease that causes liver disease
    • Contagious to other dogs, can be lethal
  • Canine parvovirus
    • Viral disease that causes severe vomiting and bloody diarrhea
    • Highly contagious to other dogs, can be lethal
  • Rabies
    • Viral disease that causes neurological signs and is ultimately fatal
    • Contagious to all mammals, including humans

(Root Kustritz, 2022b)

Feline Diseases

  • Feline panleukopenia
    • Viral disease causing severe vomiting and diarrhea
    • Contagious to other cats
  • Feline rhinotracheitis (herpesvirus)
    • Viral disease causing upper respiratory disease and ocular discharge
    • Contagious to other cats
  • Feline calicivirus
    • Viral disease that causes respiratory disease
    • Contagious to other cats
  • Rabies
    • Viral disease that causes neurological signs and is ultimately fatal
    • Contagious to all mammals, including humans

(Root Kustritz, 2022b)

 

Vaccines often combine multiple viruses into one vaccine. For example, the DAP or DHP vaccine contains three core canine vaccines: distemper, adenovirus/hepatitis, and parvovirus. The feline equivalent core vaccine is RCP or FRCP standing for rhinotracheitis, calicivirus and panleukopenia. The “F” stands for feline.

 

Clinical Insight

A common combination vaccine for dogs is DAPP, also called DA2PP. Like DAP, this vaccine protects against distemper, adenovirus/hepatitis, and parvovirus, as well as parainfluenza. It is commonly given via the SQ route (under the skin).

Most injectable vaccines for dogs and cats are given under the skin. The kennel cough vaccine is often given orally or intra-nasally.

Common Non-Core Vaccines

Canine Diseases

  • Kennel Cough
    • Disease characterized by a harsh cough. Often caused by the bacteria Bordetella bronchiseptica or the parainfluenza virus
    • Highly contagious, but generally animals recover quickly
  • Leptospirosis
    • Bacterial disease causing renal and hepatic disease
    • Contagious to other animals and humans

(Root Kustritz, 2022b)

Feline Diseases

  • Feline leukemia
    • Viral disease that causes elevated leukocytes and immunosuppression
    • Contagious to other cats

(Root Kustritz, 2022b)

 

Figure 7.42 Oral kennel cough vaccine ready for administration

Clinical Insight

Daycares and boarding for dogs and cats often have specific vaccination requirements. It is important that the owners are aware of what these are before coming to the clinic, so they can tell the veterinary team what their pet requires for daycare or boarding. It is also important to remember that oftentimes these centres will have a mandatory wait-time between vaccine administration and hosting pets, as it takes about a week for the vaccine to fully take effect.

Parasite Control

In dogs and cats, we generally try to prevent external parasites like lice, fleas, and ticks, and regularly treat for internal parasites like intestinal worms. Deworming for internal parasites is often a crucial part of the first few veterinary visits, because puppies and kittens tend to get worms from their dams. Different intestinal parasites require specific deworming medication, so we often run fecal tests to determine which internal parasite is present and which treatment is required (Root Kustritz, 2022d).

Another type of internal parasite we protect against is heartworm. This parasite is transmitted by mosquitoes and lives in the bloodstream, eventually going to the heart. Due to the difficulty in treating this parasite, we often aim to prevent it, rather than treat it (Root Kustritz, 2022d).

External parasites can cause intense skin irritation and itchiness, but they can also transmit diseases. For example, the deer tick can transmit Lyme disease, and fleas can transmit some intestinal worms (Root Kustritz, 2022d).

Many different anti-parasite drugs exist and they cover a varied scope of parasites. These drugs can be topical, meaning they are applied to the skin, or oral, meaning they are given by mouth. The frequency with which they are given depends on the drug, the season, and the patient. The choice of drug is very patient-specific for what they require protection against, their lifestyle, and where they live (Root Kustritz, 2022d).

 

Figure 7.43 Bravecto box: Oral flea and tick preventative for dogs >20–40 kg.

Clinical Insight

Some external parasite products made for dogs are toxic to cats! Therefore, it is important for a veterinarian to know if there are other pets in the household so they can properly advise on how to mitigate risk, or choose a different product.

Routine Visits 

  • Annual exam
    • Most pets are recommended to visit the vet yearly for check-ups and to maintain a valid veterinary-client-patient-relationship.
    • This check-up allows owners to discuss wellness procedures like flea or tick control and vaccines, and increases the probability that diseases will be caught early.
  • Spay/Neuter
    • Surgeries to remove gonads in male and female dogs and cats are very common in North America.
    • Females – ovaries and uterus removed
    • Males – testes removed
    • Age at which this is best done depends on health conditions, breed/size, and lifestyle. It should be discussed with a veterinarian.
  • Anal gland expression
    • Anal glands and sacs are paired and located on either side of the anus. They are supposed to secrete their content as fecal matter pushes against them, but not all pets are able to do this properly. Some pets come in for regular anal gland expression, which means to empty them.
  • Dentistry
    • Can be provided via routine teeth cleaning, which usually requires general anaesthesia
    • X-rays of the mouth are often taken to further visualize dental disease that is not visible during an oral exam
    • Further procedures might include extractions

Euthanasia

Euthanasia is when animals undergo a planned, humane death. This is an extremely difficult time for clients, whether it has been planned for a week or occurs in an emergency. No amount of preparation makes this easy, and it is crucial to be compassionate in these times. Many clinics will have protocols to follow for euthanasias, including when the clients pay (before vs. after vs. at pick-up of ashes), and which rooms are used.

General process:

  • Pets will often undergo an exam by a veterinarian to determine if euthanasia is warranted.
  • Clients must sign a consent form before euthanasia. In Canada, this form will include a guarantee that the animal has not bitten anyone in a certain time period. This is a rabies safety precaution.
  • Many veterinarians will use sedation to calm the pet before placing an IV catheter, which is used to administer an overdose of an anesthetic. This causes the animal to die within a few minutes.
    • There are other ways euthanasia is done, but this is one of the most common.
  • Death must be confirmed by the veterinarian, often by confirming there is no heartbeat, respiration, or corneal reflex.
  • Owners can elect to take the bodies home and bury them (each municipality has regulations on how this should be done), or they can be cremated. In this author’s experience, most owners elect to cremate their pets.
    • Different cremation options exist depending on which crematorium is used. There can be communal cremation where the pet is cremated with other animals; ashes may or may not be returned, and if they are, they are a mix of all the pets. Cremations may also be private, where the pet is cremated alone, and generally the ashes are returned to the owner. Many pet crematoriums offer memorial items such as ink paw prints and nose prints, clay paw prints, and hair clippings.
    • Oftentimes, pet crematoriums pick up bodies from the clinic, and sometimes pick-up at clients’ houses can be arranged.

Common Emergencies 

  • Hit by car (HBC)
    • Animal has been hit by a car
    • Can lead to broken bones, hemothorax, and other life-threatening conditions
    • Treatment depends on what is going on, but diagnostics to determine extent of damage are important
  • Blocked cat
    • Cat that is not peeing, or only dripping urine
    • Most common in male cats
    • This is an emergency, because the bladder can grow and burst if urine cannot be released.
    • Treatment might include passing a urinary catheter to unblock the cat, and supportive therapy moving forward. Surgery is sometimes considered.
  • Foreign body
    • Animal has eaten something they should not have that can cause a blockage in the digestive tract
    • Treatments might include inducing vomiting, depending on what the object is and how long ago it was consumed, and exploratory laparotomy to remove the object
  • Toxicities
    • It is common for dogs and cats to eat things that are toxic to them, especially around holidays
    • These might cause neurological, kidney, and/or gastrointestinal issues, among others
    • Severity depends on what was eaten, and in what quantity
    • Treatments might include inducing vomiting, giving activated charcoal, gastric lavage or supportive therapy
    • Some examples include:
      • Food like chocolate, coffee, tea, grapes, onions, garlic
      • Plants such as lilies for cats
      • Cleaning products
      • Antifreeze
      • Pesticides
      • Rat poison
Figure 7.44 Easter lilies are extremely toxic to cats
Figure 7.45 Chocolate is toxic to dogs and cats

Animal Poison Control Centre

The ASPCA (American Society for the Prevention of Cruelty to Animals) runs a poison control centre that both pet owners and veterinary teams can contact regarding potential toxicities (ASPCA, n.d.).

The ASPCA has also posted a few articles regarding toxic substances in pets

Exercises

 

References

ASPCA. (n.d.). Animal poison control. https://www.aspca.org/pet-care/animal-poison-control

Ellis, J., Marziani, E., Aziz, C., Brown, C. M., Cohn, L. A., Lea, C., Moore, G. E., & Taneja, N. (2022). 2022 AAHA canine vaccination guidelines. Journal of the American Animal Hospital Association, 58(5), 213–230. https://pubmed.ncbi.nlm.nih.gov/36049241/

Root Kustritz, M. (2022a). 4. Vaccines and vaccinations: Production animals. In Veterinary preventive medicine. University of Minnesota. https://pressbooks.umn.edu/vetprevmed/chapter/chapter-4-vaccines-and-vaccinations-production/

Root Kustritz, M. (2022b). 3. Vaccines and vaccinations: Individual animals. In Veterinary preventive medicine. University of Minnesota. https://pressbooks.umn.edu/vetprevmed/chapter/chapter-3-vaccines-and-vaccinations-individual/

Root Kustritz, M. (2022c). 2. Vaccines and vaccinations: Introduction. In Veterinary preventive medicine. University of Minnesota. https://pressbooks.umn.edu/vetprevmed/chapter/chapter-2-vaccines-and-vaccinations/

Root Kustritz, M. (2022d). 5. Parasite control. In Veterinary preventive medicine. University of Minnesota. https://pressbooks.umn.edu/vetprevmed/chapter/chapter-5-parasite-control/

Stone, A. E., Brummet, G. O., Carozza, E. M., Kass, P. H., Petersen, E. P., Sykes, J., & Westman, M. E. (2020). 2020 AAHA/AAFP feline vaccination guidelines. Journal of Feline Medicine and Surgery, 22(9), 813–830. https://pubmed.ncbi.nlm.nih.gov/32845224/

 

Image Credits
(images are listed in order of appearance)

KC Vaccination by Matea David-Steel, NorQuest College. Used with permission.

Bravecto by Matea David-Steel, NorQuest College. Used with permission.

Easter lillies in June by fishin widow, CC BY-NC-SA 2.0.

Chocolate bars on white surface by Vie Studio, Pexels licence.

 

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Introduction to Veterinary Terminology Copyright © by Kelly Robertson, RVT and Dr. Matéa David-Steel, DVM is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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