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  • 8/7/2019 How To Do a Post-Op Anchor Bandage on a Rat - Lindsay Pulman

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    RAT HEALTH > BANDAGING RATS > How To Do a Post-Op Bandage with Anchor Tapes on a Rat

    How To Do A Post-Op Bandage wi t h Anchor Tapes on a Rat

    by Lindsay Pulman, LVT, LATg, President of Pittsburgh Rat Lovers Club

    (Hosted with permission by Lindsay Pulman, with editorial assistance provided by Gwen Lindsey.)

    View the photos from this gallery in a

    slideshow or individually.

    Why use anchor tapes?

    Wounds and incisions this bandage applies to,

    and doesn't apply to

    Notes on this type of anchor bandage

    Supplies to collect in advance

    Help your rat in advance

    What is the main trick with this bandage?

    Step One: Set up and apply two "anchor tapes"

    Step Two: Wrap the rat with 3M Vetrap

    Step Three: Apply Zonas tape strips over the

    Vetrap

    Step Four: Assess the bandage

    How the rat might fight the bandage and what to

    do about it

    Removing the bandage

    Caut ion and Disclai mer

    Betty Rat's opinion of her bandage

    Click for instructions to to download or print a

    PDF file of this webpage.

    Why use anchor t apes?

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    One method to bandage a pet rat uses anchor tapes, which will hold the bandage on the rat, as opposed to

    securing the bandage using excessive bandage material and/or tightness. Over-tight bandages may affect

    circulation or respirations, and a rat who cannot move freely may fight the bandage or stop eating or

    drinking. Anchor tapes are very useful for solving many bandaging problems.

    Back

    Wounds and incisions t his bandage appli es t o, and doesn't apply t o:

    The wounds or incision sites that lend themselves best to being wrapped are on the torso, neck, or chest.

    Alternately, if the incision is lower down, like a spay, or an inguinal (groin area) tumor removal site, you

    can use a torso wrap that does not cover the incision, but keeps the rat from bending around to get at that

    lower incision. A tail can be bandaged successfully too, with an anchor tape, and a padded wrap around the

    circumference. Hind feet can be bandaged carefully and some rats will leave the "boot" on, some will not.

    Back

    These types of woundscannot be wrapped with these instructions:

    Face, ear, or front paw would be difficult or impossible to bandage with any method.

    Back

    Notes on this t ype of anchor bandage:

    If applied correctly, and the rat is not too greasy in the area of the back, then it will probably stay on

    for the duration of healing. And, it should be comfortable for the rat.

    1.

    When the rat decides to get up and move, she may look like a polar bear, or a hermit crab with a shell

    on, with a very funny tippy-toe type of walk, but she will adapt to it.

    2.

    Many rats may sulk and complain and refuse to eat or drink. Or pout, struggle, whine, refuse to walk,

    and roll over. If this happens, wait her out while supporting her with some hand-feeding, including usinga syringe. Within about 48 hours, almost all rats will give up, accept the bandage, and learn to function

    with it.

    3.

    The rat can eat and drink normally with a torso bandage, but make sure the water bottle is within easy

    reach, and the sides of the food dish are not too high. If applied properly, with free movement of front

    and hind legs, she will even be able to climb ladders. With spays or other abdomimal cavity surgeries,

    though, it is prudent to remove ladders and other items, such as boxes that the rat might climb, for the

    first 4 or 5 days of healing. Confirm with your vet the ideal number of days to restrict your rat's

    activities.

    4.

    Back

    Suppli es t o collect in advance :

    A helper human, because restraining the rat is so important, even half the battle. The assistant uses one

    hand to hold the front end with front legs extended forward a little, and the other hand to hold the

    pelvis and hind legs. This allows you to work in the middle section. Depending on the rat's tolerance, the

    assistant might hold her in the air, suspended in front of the helper's chest. (See first photo in, Step One:

    Set up and apply two "anchor tapes".)

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    Zonas tape, 1-inch width, Johnson

    & Johnson, reorder number 5104,

    any drug store can get it for you.

    Zonas tape holds well, but is a

    little less sticky than other

    adhesive tapes, and makes

    removal easier.

    Small surgical style scissors thathave one blunt tip, or small

    standard bandage scissors) small

    width.

    Non-stick pads (or Telfa Pads)

    that can be cut to size.

    3M Vetrap, 2-inch width.

    Back

    Supplies for a Non-Spay Incision

    Bandage:

    Supplies for a Spay Incision Bandage:

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    Help your rat in advance, by teaching her to accept syringe-feeding. Practice with a variety of yummyfluids so the rat becomes accustomed to eating from a syringe. This will be helpful if, after the bandage is

    in place, the rat decides to protest it by not eating.

    Back

    What i s t he main t ri ck wit h t his bandage?

    The whole trick is to use "anchor tapes" to "anchor" the bandage to the body (the coat, not the skin). In this

    way the bandage does not have to be tight or constricting, and the rat can't slide it off. Anchor tapes are

    applied directly to the coat before the bandage is even applied. There are 2 anchor tapes appliedlengthwise along the back. A third tape holds the non-stick pad over a chest incision, or holds a non-stick

    "apron" over a spay area; it is added around the mid-chest area circumferentially.

    In the end, the bandage should not be so far down that the rat can reach it with the hind legs. The rat

    needs to be mobile and unable to reach the bandage with her hind legs or teeth, and the bandage should be

    located where it can't be soiled via her private parts.

    Back

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    St ep One:Set up and apply two

    "anchor tapes", using strips of

    Johnson & Johnson, 1-inch Zonas

    Athletic Tape (adhesive tape, reorder

    number 5104).

    The two anchors are 2 strips of

    Zonas tape, each about 4 inches

    long. Apply each one length-wise,

    on the rat's back, about a half

    inch apart on either side of the

    spine, with the first half inch -

    from the shoulder blade forward

    towards the neck - left unstuck.

    With good restraint, you can

    insure these tape ends stay loose

    until Vetrap is applied in Step

    Two.

    1.

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    Prepare the tape that holds the non-stick pad (to cover the tumor incision, or as an "apron" for a spay),

    which should be just long enough to go around the middle chest area. See examples in Supplies section

    above.) The pad for an incision on the chest should cover the whole incision, and the tape should wrap

    around, over the original 2 anchor tapes. For a spay incision, think of your Grandma's half aprons -

    corners trimmed off to curve the edges. The apron hangs down partially over the incision, keeping the

    bottom edge of the Vetrap (applied later) from sticking to or irritating it. The apron does not have to

    extend over the whole incision. The tape holding it should wrap around the mid chest, not over or near

    the spay incision. We do not want to put pressure on that incision.

    2.

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    Apply the tape with the pad covering the torso incision, laying the tape part over the original two anchor

    tapes. If this is a spay bandage, position the tape so that the apron covers about the upper half of the

    spay incision - no more than that, as the rat would then step on the apron with her back feet. Apply the

    3.

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    tape gently, no constriction, just conform it to the surface of the rat. Make sure it is stuck to the two

    first anchor tapes. These 3 pieces of tape constitute the "anchors".

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    Back

    St ep Two: Wrap t he rat wi t h 3M Vetrap. The human version of Vetrap is a lightweight, stretchy

    elastic wrap which will stick to itself but not the rat.

    Unroll the Vetrap at length, to loosen the "elasticity", and then loosely roll it back into a roll. This will

    help avoid having to pull it to get it unstuck. Never stretch Vetrap tightly around the rat. Only conform

    to the surface contour of the rat.

    1.

    Start the wrap right behind

    the elbows (over the

    shoulders, around the

    thorax), and wrap once

    around. Now comes the all-

    important anchor tape

    mechanism: Fold the two

    leftover one inch pieces of

    tape (that were higher on

    the neck) back onto the

    Vetrap before you continuewrapping, and apply the

    second layer around the

    chest. This effectively

    anchors the bandage to the

    rat. Be careful not to pull

    the Vetrap or the anchor

    tapes tight. All bandage

    material only contours to

    the rat's body.

    2.

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    ALL-IMPORTANT NOTE: THIS NEXT IMAGE SHOWS THE CRITICAL "ANCHOR" MECHANISM, IN THAT

    THE VETRAP IS ABOUT TO FOLD FORWARD ONTO TAPES THAT THEMSELVES ARE ANCHORED TO THE

    RAT' S COAT UNDER THE FIRST LAYER OF VETRAP:

    Now apply the third and last layer of Vetrap, moving slightly farther down the torso. End it at the last

    ribs, at least one inch forward of the place where hind legs join the torso. If this is a spay bandage, keep

    3.

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    the Vetrap loose enough, especially when you come near the spay incision, that you can get an index

    finger between the belly and the bandage. Be careful not to apply pressure near the incision.

    Do not place Vetrap over the spay apron. The apron should be the only part of the bandage that lays

    over the top portion of the spay incision.

    4.

    Back

    St ep Three: Apply Zonas t ape st ri ps over t he Vetr ap.

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    Cut however many strips of tape it takes to cover the Vetrap with one layer of tape. Cut in lengths that

    will go once around the body. This will stiffen the bandage a little. Apply loosely to just conform to the

    surface of the Vetrap.

    1.

    Cut two 4-inch strips of tape to finish anchoring the bandage to the body. Place one strip at the neckedge of the bandage, half on the fur at the base of the neck, half on the bandage. End by bending/

    turning each tape end back fully onto the bandage, over the ribs.

    2.

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    Apply the second 4-inch strip at the other end of the bandage edge, over the back, half on the fur, half

    on the bandage. Turn each tape end forward so it sticks to the bandage. These two 4-inch pieces do not

    3.

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    wrap around the body, just over the top half. They may loosen but are easily removed and replaced

    during the bandage time period.

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    Back

    St ep Four: Assess t he bandage.

    The back edge of the bandage should be far enough forward from the hind legs that (1) the rat cannot reach

    the edge with her hind feet, (2) the rat can move her hind legs and knees forward and backward, well

    enough to walk, and (3) the bandage will not get soiled from poops or pees.

    If its a spay bandage, look at the apron. Is it trimmed sufficiently so that the hind feet can function

    without stepping on it? Test it out. Put the rat on a carpeted floor and let her walk. If not, trim

    accordingly. The apron is just to protect the incision from the lower edge of the Vetrap, and to partially

    protect the incision from bedding, etc. It is not meant to entirely cover the incision. Air circulation is

    important.

    1.

    Look at the elbows. Is the bandage allowing movement of elbows so that the rat can walk? If not, take

    the scissors and carefully trim a little bandage back, in a half moon shape, behind the elbows, to make

    her comfortable with elbow movement.

    2.

    Insert a finger between the belly and lower Vetrap edge, it should have a finger's width space so there is

    no belly constriction.

    3.

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    Back

    How the rat might f ight t he bandage and what t o do about it :

    A few rats will spend every waking hour chewing at the forward edges, especially under the chest, and

    you will have to repair with zonas daily.

    1.

    Remove any running wheel, or small diameter cardboard tunnels, from the cage, because a few rats may(deliberately?) hook the bandage underneath the wheel or on box edges, and tear it or free themselves.2.

    A very few rats may successfully hook their feet on the back edge of the bandage, and slide themselves

    free. Some may be simply impossible to keep bandaged. Those will have to be watched. Read the story

    of one such rat, Anastasia, for an in-depth look at When a Rat Won't Leave a Bandage or Wound Alone.

    3.

    If the calm but determined rat gets the bandage off, you should put another on. Maybe your technique

    needs to be refined. Boy rats will usually give up and let the bandage alone. Girls can be so fastidious

    that they can't stand having any foreign object stuck to them. Girls may work harder at getting the

    bandage off.

    4.

    Occasionally (maybe one in a hundred), a rat will panic when you release her for the first time. He or

    she may scream, kick, flip, and just absolutely freak out. Hold the rat for awhile, and see if s/he will

    calm down and adapt. If not, the bandage will have to come off. This special problem rat will have to be

    watched as much as possible, and the incision repaired as soon as you see any removal of staples orsuture material. It is critical to address any skin closure removals done by a rat on a spay incision, as

    some rats will remove both skin and abdominal wall sutures. This unfortunately can end up as a critical,

    life or death emergency repair.

    5.

    Back

    Removing t he bandage. Removal is a little tricky and should be done carefully.

    Remove the "over the neck" and "over the back" 4-inch strips first, gently burrowing a finger between

    tape and coat to encourage release of the tape.

    1.

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    Then, use a scissors with one blunt end (blunt/sharp or blunt/blunt surgical scissors) or, a small bandage

    scissors, and gently start working the blunt end of the scissors under the bandage. Guard the body with a

    finger, if possible, from either the front or the back. Work on an area away from the incision area, and

    between or beside the two anchor tapes originally put on the back. Once you have cut through the

    bandage longitudinally, then start to remove the taped areas by "scraping" the hair gently off the taped

    areas. (Hold the taped portion of the bandgage with the other hand.) Use a motion that resembles

    grooming. Avoid pulling the tape off the body as this pulls out more hair and is more painful. Work slowly

    and have patience. Most rats will tolerate the removal but most will squeak protests during the process.

    2.

    It is common for rats to clean themselves agressively for long periods after the bandage comes off. There

    is inevitably some adhesive left on the hair, and most rats are obsessive about getting it off. If you have

    any trouble removing the bandage off, please let your veterinarian remove it.

    3.

    WARNING: Do not use scissors wi t h two point ed ends. You r isk cutt ing skin if you insert a point ed

    end under t he bandage.

    4.

    If you don't have the correct type of scissors you will be forced to unwrap the whole thing in the same

    order you wrapped it on, which can be difficult, but can be done.

    5.

    The Vetrap layer can come off first if you cut through the two forward ends of anchor tape that you

    folded back. After that, work on releasing hair from the two original anchor tapes and the

    circumferential tape that holds the apron.

    6.

    For the anchor tapes, use a finger, and in a grooming type of motion, start to release anchor tape strips

    from hair. This can be uncomfortable for the rat, and she may squeak and whine and struggle. Gogradually, and just get the tape loose.

    7.

    With skill, unwrapping the bandage can take about 5 minutes of work. This can be hard for new rat

    persons who don't know how to restrain rats appropriately (gently but well), and/or hard if you have a

    rat who bites. During bandage removal, gentle restraint is very necessary, so have your human assistant

    handy.

    8.

    Back

    CAUTION & DISCLAIMERThis set of instructions is not designed to diagnose the need for a bandage for your rat's incision or wound; it cannot be used to

    identify which bandage your rat needs; and, as described, does not include steps to adequately help you successfully apply a

    bandage on your own. Please see a Veterinarian to diagnose your pet rat, and to determine the need for a bandage. Ask a

    Veterinarian for assistance in applying a bandage properly.

    Improperly bandaged rats can suffer from immobility, difficulty breathing, inhibited appetite, fluid intake, and elimination.

    Any wrap or dressing should be changed immediately if it becomes soiled, or if drainage, foul odor, swelling, or changes in the

    rat's behavior with eating, drinking, or mobility are noted.

    JoinRats, Lindsay Pulman and associates assume no responsibility for the misuse or misunderstanding of the information here,

    and make no guarantees with respect to results that may be obtained from the uses, procedures, or recommendations listed

    within this article. The information in this gallery is strictly for educational and informational purposes only, and does not

    replace qualified care by a Veterinarian.

    Back

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    Back

    Cli ck the "Download" opt ion on t he image below and save this PDF fi le t o your computer, or cl ick

    "Print" and select "Standard Print" to print these instructions. (We recommend taking a copy with you to

    your vet prior to any surgery, to provide your vet with the means to bandage your rat with anchor tapes,

    should it be needed.)

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