These are the
items you need:
infusion sets or extension sets
infusion set is a tube with a needle already attached and the needle is
used to inject the fluid into your cat. Some people prefer to use an
extension set (these are much cheaper), in which case you also need
separate needles which are attached to the end of the extension set and
injected into the cat.
Supplies When Using the Syringe Method
optional but many people find them helpful:
or other treats
use these to distract their cats during fluids, others use them as a
The Syringe Method
The syringe method has the advantages of speed plus precision regarding
the amount administered. This can be particularly important for a cat with
a concurrent heart condition where you need to be extremely cautious. The
main disadvantage of this method is that it can be difficult for one
person to do alone if the cat is the type to fidget.
If you are in the UK, if you are offered sub-Qs at all
(they are not routinely offered in the UK), you will probably be offered
this method of administration.
If you wish to learn how to give fluids using a giving set, please visit
How to Give Subcutaneous Fluids: Giving Set Method instead.
Some vets will ask you to give only 10ml of fluid in one
spot, then 10ml in another etc., sticking the cat anew each time. This is
not necessary. It is extra work and cost for you (since you should
inject each needle only once) and much more invasive and less comfortable
for your cat.
If your vet is recommending frequent sticks, see how we
did it below and ask about doing it this way.
International Cat Care states "Generally
around 10-20 ml/kg of fluid can be given at a single SQ injection site
(around 60-100 ml for an average sized cat)", so giving 100ml in one place
should not be a problem for a 10lb cat.
Below we show how we
gave Thomas his fluids. As you can
see, whilst it was not exactly the highlight of his day, it certainly did
not distress him in any way. Some CKD cats like the fluids so much that
they come and remind their humans if they are a little late giving them!
is a small needle used for drawing up fluids: we used a Terumo size 21.
a syringe: we always used 20ml syringes because that is what we were
originally given by our vet and we got used to them; you might prefer to use larger ones, particularly
if you are giving fluids alone, though the bigger the syringe, the harder
they are to squeeze. Thomas received 100ml of fluid at each
session so we used five of these altogether.
the opposite end of the needle to the end of the syringe.
the protective cover off the end of the Terumo needle so the needle is
the bag of fluids and find the entrance with the blue marker. Insert the
needle into the clear cellophane as far as it will go (you only need to
fluids upright and gently pull on the end of the syringe, gradually
drawing the fluids up into the syringe. Try not to pull up air - keeping
the fluids upright can minimise this.
the syringe is full, remove the needle and lay the syringe on its side on
a clean cloth, ensuring the end where the needle was attached is not
touching the cloth.
drawing up fluids in this way (it is fine to use the same Terumo needle
attached to each syringe) into syringes until you have as many syringes as
Lay all the syringes on a clean cloth where you can reach
them easily when you have your cat on your knee. Some people prefer to lay
the syringes on a heatpad to keep the fluid warm.
Put the bag of fluid to
one side until you are able to put it back where you store it - the valve on
the bag of fluids is one-way, so you do not need to worry about the fluids
spilling or leaking.
take another needle: this one is a
winged infusion set(also known as a butterfly needle), a needle with a
narrow tube attached. We used size 23, which is a very fine needle. Winged
infusion sets are more expensive than ordinary needles, so you might wish to
use a normal needle with an extension set instead.
Attach the end of the
the end of one of the syringes. Take the cap off the end of the butterfly
needle. Squeeze gently so the fluid begins to flow and clears the air out of
your cat comfortably on your knee. Pinch some of your cat's skin to form a
tent, or pouch. There is no need to apply alcohol to the cat's skin
Critical Care DVM
says "It is not necessary to “sterilize” the skin with alcohol
prior to inserting the needle. In reality, wiping a little alcohol on the
skin does not sterilize it, and the odor and feel of alcohol may aggravate
Hold the needle so the bottom
end is the longer end - the needle looked at sideways will look like
this: ______\ or this: l____ . Holding the needle
parallel to your cat's back, insert the needle smoothly into the tent you
It can be helpful not only to move the needle towards the
tent, but also to raise the skin slightly to meet the needle. Ensure you
have not pushed the needle through the other end of the tent - the
fluid will leak if so.
your cat with one hand, and squeeze steadily on the syringe with the
other. There will be slight resistance as you squeeze on the syringe, and
if it seems to going in too easily, the chances are the needle is sticking
out the other side of the tent.
Your cat may flinch
slightly when the fluids first start going in - this may be because the
fluids are too warm or too cold for the cat's liking, or as my vet says,
the sensation can be a little bit of a shock to start with. Thomas never
flinched at the needle but occasionally did at the first squeeze of
the syringe. As you can see, he did not find sub-Qs distressing.
squeeze all the fluid contents of the syringe into your cat. If there
some air at the end of the syringe, stop squeezing before you reach the
air so that you do not inject it into your cat.
you have finished, remove the needle and pinch or massage the injection area for a
minute or so - this will minimise the possibility of fluids leaking.
Occasionally you will see a little blood when you withdraw the needle -
this just means that you have nicked a small blood vessel and is usually nothing
to worry about.
the sub-Q fluid back in your storage area until the next session. Replace the
syringes in their containers - it is safe to use them again as long as the
tips have not touched anything else apart from the needle that was attached
to them. You can re-use them until they no longer run smoothly. Put the lids
back on the needles and do not use them again. You must be careful about
disposing of needles, which are clinical waste, so the safest thing is to keep them somewhere safe
away from children and your pets and ask your vet to dispose of them
permanently for you.
Please visit the
Fluids page for more tips on how to
give fluids and possible concerns that might arise during the process.