Household Toxins: Cats Beware!
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Fatal poisonings in feline patients are most frequently the result of exposure to one of three types of materials:

     1. Antifreeze
     2. Rodenticides
     3. Insecticides

It is important to be aware of the risks posed by these products and to prevent exposure. When exposure does occur, early diagnosis and treatment provide your cat with the best chance of survival.

Antifreeze
Close to 10% of all fatal animal poisonings are the result of a single chemical called ethylene glycol. This chemical is used in antifreeze. It is widely available and has a pleasant taste. Poisonings occur most often in the fall when vehicles are being prepared for winter. Cats are extremely sensitive to antifreeze and the fatal dose is about 1 teaspoon for an adult cat. Death can occur within 12 hours. Within 30-60 minutes after consuming antifreeze most cats vomit. Over the next three hours the cat will become confused, weak, depressed and may have seizures. Hypothermia appears within nine hours and those surviving 12 hours will show signs of kidney failure. The chance of survival is good only if treatment is begun within 3 hours of ingestion. Treatment requires hospitalization, the administration of the appropriate antidote at frequent intervals and supportive care.

Prevention of exposure is the only way to keep your cat safe. Antifreeze must always be stored and disposed of properly. Free roaming cats are likely to drink from puddles where radiators have been drained. This may be the only unfrozen water available on cold days. Keeping your cat inside is the only sure way to avoid antifreeze poisoning.

Rodenticides
Anticoagulant rodenticides (rat poisons) are responsible for about 9% of fatal animal poisonings. The currently available products are much more potent than earlier chemicals. Treatment requires aggressive therapy. The fatal dose for a cat may be found in as little as 3 oz of bait. Poisoning can also result from eating dead rodents.

Signs are usually evident 2-5 days after consumption of bait containing an anticoagulant rodenticide. These chemicals prevent blood from clotting and the clinical signs depend on the site where bleeding occurs. The most common clinical signs are anorexia and lethargy. Internal bleeding may cause the cat to breathe rapidly or exhibit abdominal or thoracic pain. Bleeding from the nose or mouth may also occur. If the bleeding is not stopped death results. Treatment requires the administration of Vitamin K and supportive care that may include blood transfusions. Many patients will need therapy for over three weeks.

When rodenticides must be used, they should be made inaccessible to pets. When that is not possible, other forms of rodent control should be considered.

Insecticides
In the early 1990’s insecticides were responsible for over 20% of fatal animal poisonings. Many of these fatalities resulted from the inappropriate use of flea and tick control products. The insecticides responsible for most of these poisonings contained organophosphates or permethrins.

Organophosphates are found in many products used to control household insects, as well as products used for flea control. Some of the more common products are Malathion, Diazinon and Dursban. Cats are exposed when they remove the chemicals from their feet and fur during grooming. The signs of toxicity usually appear within hours of exposure. The most commonly seen signs are hypersalivation, vomiting, depression, diarrhea, incoordination, seizures and death. Immediate treatment is important and includes the appropriate antidote, medications to control seizures and supportive care. Treatment may be needed for days or even weeks.

The best prevention is to limit the use of products containing these chemicals and to carefully follow the directions. Permethrin toxicoses are most common in cats treated with products developed for dogs. These products are available in small tubes for monthly application. They are absorbed through the skin and may cause muscle tremors, depression, seizures and death. Cats are particularly sensitive and may be adversely affected by being in close contact with a treated dog. There is no antidote for permethrin toxicosis, but prompt intensive supportive care and seizure control will usually prevent fatalities. When poisoning is suspected the product should be immediately removed from the cat by bathing and a veterinary emergency clinic contacted.

Most of these poisonings can be prevented by carefully following the manufacturer instructions. In some individuals, signs are seen when the directions are followed correctly. Never use canine products on cats without specific instructions from your veterinarian.

Fatal poisonings are preventable by following these simple guidelines:

     1. Limit your cat’s access to unknown environments.
     2. Avoid the use of poisons in your home.
     3. Follow the instructions when using any chemical.
 

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