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deepshreesh
06-10-2012, 06:01 AM
hello everyone,
my squirrel sikkander has got wounded. his left rear paw got between the door and the frame. as far as i see the fur and skin is all removed. i can see the bones. and its very very bad. the bleeding has stopped i gave him some combiflame and cleaned the wound but as he keeps on licking it, its of no use. the combiflame is for pain and i gave him mox 125 for infections and quick wound healing. what else can be done?? please suggest something. he's so afraid and in pain..:(
don't know what else can be done:dono
he's not coming in my hand so i cannot treat him properly. and he is eating his food.

deepshreesh
06-10-2012, 06:07 AM
people online please suggest something. some advice please. will he be alright????
:(

Jackie in Tampa
06-10-2012, 06:47 AM
:grouphug :grouphug :grouphug
most important, he must stay hydrated.
Wounds weep and thru this hydration is lost.

Calm and quiet will help to not escalate the pain.
He should be in his cage and covered.

Heat will also help with pain and comfort. Do you have a heating pad you can place half under his cage, set on low?

Can you post a pic?

I am not sure what combiflame is..I would guess something for inflammation and pain, I will look it up quickly.

Yes, he needs an anti biotic.:thumbsup
Please make sure you dose correctly...and medicine is not expired.
if you need help, please tell us what medication you have and how much the sq weighs.

Can you get insulin for human diabetes?
can you get silver sulphadene cream?
both are prescribed medications.
I have had sqs that have been degloved, I have seen miracles, skin granulation using a combination of the above mentioned medications.


Do you have a vet?

:grouphug we're going to get thru this:grouphug

Jackie in Tampa
06-10-2012, 06:50 AM
Combiflam is a combination of the over the counter medications Paracetemol (AKA Acetaminophen/AKA Tylenol) and Ibuprofen (AKA Advil). Ibuprofen is an NSAID (Non Steroidal Anti-Inflammatory Drug), and Paracetemol/Acetaminophen is a common over the counter pain relief medication.

The two drugs seem to work together in a "1+1=3" action (http://wiki.answers.com/Q/What_is_Combiflam#), making the combination more effective together than either would be separately, and seemingly more effective in combination than the drug combination should theoretically allow.

Current litrature states that Paracetemol's pain relief action lies almost exclusively within the brain, whereas Ibuprofen's pain relief action lies more heavily within the body (It's Anti-Inflammatory component). It is likely that this dual action on body and brain account for the synergistic action of the combination.

Dosage seems to be a very important key, and a key in avoiding overdose of either class of drug.

CritterMom
06-10-2012, 06:52 AM
A vet would be ideal... I am not familiar with your meds - you say he has had pain meds? When he calms somewhat you need to get ahold of him (may have to wrap him up like a little baby and expose only the hurt paw). I needs to be clean, and you need to get an antibiotic salve or cream on the wound - but it needs to be one that is NON TOXIC because he will lick and fuss.

Clean first - here in US I would suggest using diluted betadyne but I do not know what is available to you. Then medicate.

Then keep him as quiet and calm as you possibly can, make sure he is eating and drinking, and watch to make sure he is not cheewing on the wound...

Jackie in Tampa
06-10-2012, 07:02 AM
as crittermom has shared...clean the wound immediately.
Betadine (http://www.drugsupdate.com/brand/generic/Povidone-%20Iodine/2793) - Win Medicare (http://www.drugsupdate.com/brand/manufacturer/43/414) [Povidone- Iodine] (http://www.drugsupdate.com/generic/view/414) {available in India}
diluted with plain water and flush wound with a syringe a few times a day...

If he does chew the wound, you will have to get an e collar on him...
the link below has instructions how to make one.
http://ratballs.com/RatTails/Tails084.html

deepshreesh
06-10-2012, 07:31 AM
:grouphug :grouphug :grouphug
most important, he must stay hydrated.
Wounds weep and thru this hydration is lost.
he is drinking and having his food.

Calm and quiet will help to not escalate the pain.
He should be in his cage and covered.
i will put him in his cage right away and i am making sure tat he moves the minimum.

Heat will also help with pain and comfort. Do you have a heating pad you can place half under his cage, set on low?
about the heat pad, i do have it but right now in new delhi the temperature is close to 40degree and its very very hot so i dont think he'll stay on the heat pad.

Can you post a pic?
i can post the pic. will try to get it right away

I am not sure what combiflame is..I would guess something for inflammation and pain, I will look it up quickly.

Yes, he needs an anti biotic.:thumbsup
Please make sure you dose correctly...and medicine is not expired.
if you need help, please tell us what medication you have and how much the sq weighs.
i know how to find the dosage, i am a pharma student so have given the dose but the wound is bad. how will it heal up?:shakehead
Can you get insulin for human diabetes?
can you get silver sulphadene cream?
i can get both the above medicines how should they be given? what should be the combination?
both are prescribed medications.
I have had sqs that have been degloved, I have seen miracles, skin granulation using a combination of the above mentioned medications.


Do you have a vet?
i have a vet but the vets here are no good with squirrels. i did ask him though and he told me the meds that m giving him
:grouphug we're going to get thru this:grouphug

i have answered in red

deepshreesh
06-10-2012, 07:39 AM
A vet would be ideal... i can only talk to the vet. he won't be able to handle him 'cos once i took my squirrel there he got loose and ran away. the meds am giving are prescribed by the vet though
I am not familiar with your meds - you say he has had pain meds? When he calms somewhat you need to get ahold of him (may have to wrap him up like a little baby and expose only the hurt paw). I needs to be clean, and you need to get an antibiotic salve or cream on the wound - but it needs to be one that is NON TOXIC because he will lick and fuss.

Clean first - here in US I would suggest using diluted betadyne but I do not know what is available to you. Then medicate.we have betadyne. i will put that on the wound. if he licks it, it wont harm him right?

Then keep him as quiet and calm as you possibly can, make sure he is eating and drinking, and watch to make sure he is not cheewing on the wound...as of now he's just licking the wound. tell me something else that will help fill the wound quicker.

Jackie in Tampa
06-10-2012, 07:48 AM
i have answered in red
Your baby is one lucky little one if you can get the insulin and SS cream...
the ratio will need to be 1cc/ml of insulin to 1 ounce of SS.

The ounce [troy] is a second traditional unit of mass or weight. The troy ounce, traditionally used in pharmacy and jewelry, is 1/12 troy pound, 480 grains, or about 31.1035 grams. Thus the troy ounce equals 192/175 = 1.09714 avoirdupois ounces. This unit is the traditional measure for gold and other precious metals; in particular, the prices of gold and silver quoted in financial markets are the prices per troy ounce. The troy ounce is divided into 20 pennyweight or into 8 troy drams.

The combination needs to be refridgerated, apply with popsicle stick, wooden compressor 1-2 times a day, cleaning with dilute betadine in between applications. It is stable for 10 days only.
I have seen this do miracles..
I can post a link to where skin granulated using the above.
http://thesquirrelboard.com/forums/showthread.php?t=33579

I also had another case where a sq had his abdomen lacerated from hip to hip, Chef survived, Spicette is currently in treatment.

If he starts to shiver at all, vibrate, he is chilled, the body temp can drop drastically even if infection is present, this will burn too many calories..
okay for now, no heat, I think since you started the Antibiotics concurrant with the injury, you will not have infection, let's hope.

I would offer formula if he will take it..adding protien will help expedite healing...
whey isolate protien in any form you can.

Very important to keep the wound clean,
no chewing!!!!

Can you get tramadol?
:grouphug

Jackie in Tampa
06-10-2012, 07:51 AM
mix the betadine with water, dilute to tea color, flush the wound using a large syringe..
a probiotic is also advised, two hours before or after antibiotics are administered.
{acidiopholis, ben bac, YOGURT}

deepshreesh
06-10-2012, 08:46 AM
Your baby is one lucky little one if you can get the insulin and SS cream...
the ratio will need to be 1cc/ml of insulin to 1 ounce of SS.


The ounce [troy] is a second traditional unit of mass or weight. The troy ounce, traditionally used in pharmacy and jewelry, is 1/12 troy pound, 480 grains, or about 31.1035 grams. Thus the troy ounce equals 192/175 = 1.09714 avoirdupois ounces. This unit is the traditional measure for gold and other precious metals; in particular, the prices of gold and silver quoted in financial markets are the prices per troy ounce. The troy ounce is divided into 20 pennyweight or into 8 troy drams.

The combination needs to be refridgerated, apply with popsicle stick, wooden compressor 1-2 times a day, cleaning with dilute betadine in between applications. It is stable for 10 days only.
I have seen this do miracles..
I can post a link to where skin granulated using the above.
[URL="http://thesquirrelboard.com/forums/showthread.php?t=33579"]http://thesquirrelboard.com/forums/showthread.php?t=33579[/URL

I also had another case where a sq had his abdomen lacerated from hip to hip, Chef survived, Spicette is currently in treatment.

If he starts to shiver at all, vibrate, he is chilled, the body temp can drop drastically even if infection is present, this will burn too many calories..
okay for now, no heat, I think since you started the Antibiotics concurrant with the injury, you will not have infection, let's hope.

I would offer formula if he will take it..adding protien will help expedite healing...
whey isolate protien in any form you can.

Very important to keep the wound clean,
no chewing!!!!

Can you get tramadol?
:grouphug
yes i can get meds the combination meds as well as tramadol.tramadol would be for the bones right? i am leaving to get the meds. will make it and apply soon. will keep u updated. thanks all of u for helping us. its heart breaking to see sikkander like this.
hope he gets well sonn..:(

deepshreesh
06-10-2012, 08:55 AM
mix the betadine with water, dilute to tea color, flush the wound using a large syringe..
a probiotic is also advised, two hours before or after antibiotics are administered.
{acidiopholis, ben bac, YOGURT}will it harm him if he licks this medicine combination that you told me to apply??? and how do i stop him from licking away all the medicine?

Jackie in Tampa
06-10-2012, 09:01 AM
yes i can get meds the combination meds as well as tramadol.tramadol would be for the bones right? i am leaving to get the meds. will make it and apply soon. will keep u updated. thanks all of u for helping us. its heart breaking to see sikkander like this.
hope he gets well sonn..:(
WE need a weight in order to dose the meds...
do you have a scale?
if not, please get one while you are out...
tramadol is dosed at 2mg/kg BID
is using tramadol 25mg tablet, crush and add 5ml water, making the dilution 5mg/ml
0.2mg for 500grams
0.04mg for 100 gram squirrel

I know you are pharm studant...just want you to be on the same page.
Tramadol is synthetic narcotic as you know and can be overdosed.
However it is a good pain killer and will help him rest, promoting healing.

after betadine flush, you can rinse with sterile water if he is still licking the wound..
If he continues to lick, he needs pain killer asap.
If he still licks he will need the E collar.
get yogurt also

Jackie in Tampa
06-10-2012, 09:02 AM
will it harm him if he licks this medicine combination that you told me to apply??? and how do i stop him from licking away all the medicine?ecollar if he does..
I do not advise him to lick this, no.
Without this he needs an amputation.
We are trying to save his leg, so a collar is part of that cost.

https://encrypted-tbn1.google.com/images?q=tbn:ANd9GcQwTAn9pOK6yYj_n4yLSBTtHKjD1B5Gd QQUdh18YfwdWH973nhzwA

deepshreesh
06-11-2012, 10:56 AM
ecollar if he does..
I do not advise him to lick this, no.
Without this he needs an amputation.
We are trying to save his leg, so a collar is part of that cost.

https://encrypted-tbn1.google.com/images?q=tbn:ANd9GcQwTAn9pOK6yYj_n4yLSBTtHKjD1B5Gd QQUdh18YfwdWH973nhzwA
hello.. thought of giving an update. he's taking tramadol, combiflame and mox and i am giving a wash with the betadine. i got the silver x and insulin but its no use applying 'cos he licks it off. i made the collar but i couldnot get him to wear it. he's biting me really hard now if i try to put the collar. how do i go about it now??
and i have weighed him. he's close to 120g. and i gave the medicines accordingly as you told me .