Kitten

Age: <1 Year

Core Vaccines & Schedules

Vaccine

Age of 1st Dose

Doses in Primary (min interval
between doses)

Booster

Comments

CORE VACCINES

>8 weeks

1 dose

After 1-yr and then every 3-yr

None

>6 weeks

2-4 doses,
3-4 weeks apart, last vaccine no earlier than 16 weeks

After 1-yr and then every 3-yr

Included in FVRCP

>6 weeks

2-3 doses,
3-4 weeks apart, last vaccine no earlier than 16 weeks

After 1-yr and then every 3-yr

Included in FVRCP

>6 weeks

2-3 doses,
3-4 weeks apart, last vaccine no earlier than 16 weeks

After 1-yr and then every 3-yr

Included in FVRCP

Feline Leukemia Virus

6-16 weeks

2 doses,
3-4 weeks apart

Annual (if recombinant; at 1 year then every 3years if inactivated)

Home Visits Summary

VISIT # 1

6-8 WEEKS; FULL TEAM

Service Provided

Product Info

FVRCP Vaccine

PureVax Feline 3 RCP (BI)
TruFel Ultra HC2P Hybrid Vaccine (Elanco)

IDEXX Fecal Dx® Profile with Giardia (24639)

Profender for Cats and Kittens

Single dose applied

Revolution Plus for Cats*

1 dose provided

FeLV/FIV Combo ELISA Test - In House

Microchip placement

Pet Link

Add-ons

Nail Trim

BI’s PureVax Feline 3 RCP vaccine and Elanco’s TruFel Ultra HC2P Hybrid Vaccine may be administered to kittens 6 and 8 weeks (respectively) of age or older.

  • However, Merck’s Nobivav Feline 1-HCP vaccine and Zoetis’s VANGUARD Feline RCP may be administered to kittens 9 and 12 weeks (respectively) of age or older.
  • For primary FVRCP vaccination, revaccinate with a second dose 3 to 4 weeks later. Cats younger than 12 weeks of age should be revaccinated with a single dose every 3 to 4 weeks, the last dose given at or over 12 weeks of age.
  • Revolution Plus can only be administered to kittens 8 weeks of age or older.

VISIT # 2

9-11 WEEKS; TECH DRIVEN

Service Provided

Product  Info

FVRCP Vaccine

Same brand and prime

FeLV Vaccine

NOBIVAC FeLV 2 year DOI (Merck)
PUREVAX Recombinant FeLV (BI)
VANGUARD Feline FeLV (Zoetis)
TRUFEL ULTRA FeLV (ULTRA Fel-O-Vax FeLV; Elanco)

Profender for Cats and Kittens

Single dose applied

Revolution Plus for Cats

1 dose provided

Add-ons

Nail Trim

  • BI’s PUREVAX Recombinant FeLV vaccine is approved for kitten 8 weeks of age and older; Merck’s NOBIVAC FeLV and Zoetis’s VANGUARD Feline FeLV vaccines are approved for kitten9 weeks of age and older; Elanco’s TRUFEL ULTRA FeLV vaccine is approved for kittens 10weeks old and older.
  • NOTE: Merck’s NOBIVAC FeLV vaccine provides protective immunity for at least 2 years, compared to other vaccines, making it the preferred option in terms of longevity and cost-effectivity.

VISIT # 3

12-14 WEEKS; FULL TEAM

Service Provided

Product  Info

FVRCP Vaccine

Same brand as prime

FeLV Vaccine

Same brand as prime

Rabies 1-year vaccine

PUREVAX Feline Rabies 1 year (BI)
IMRAB 1 (BI)
RABVAC 1 Rabies Vaccine (Elanco)
NOBIVAC RABIES 1 (Merck)
VANGUARD RABIES 1 (Zoetis)

IDEXX Fecal Dx® Profile with Giardia (24639)

Profender for Cats and Kittens

Single dose applied

Revolution Plus for Cats

3 doses provided

Add-ons

Nail Trim

  • All rabies vaccines provide protective immunity for at least 1 year. BI’s PUREVAX Feline Rabies 1 year is based on a live canarypox vector, and is non adjuvanted. Other vaccines are adjuvanted inactivated formulations.

VISIT # 4

6 MONTHS OR OLDER; TECH-DRIVEN

Service Provided

Product Info

Young Wellness with Fecal O&P andHeartworm Antibody Select - Feline (2808)

Chem 10 with IDEXX SDMA® Test, IDEXXCBC-Select®, feline heartworm antibody by ELISA, fecal ova and parasites

Revolution Plus for Cats

6 doses provided

Add-ons

Nail Trim

Before Your Visit

  • Ahead of Tech-Driven visits, Booking Agents should call the client and (i) make sure the client is aware a tech is coming, and (ii) make sure the pet is “alright” and a vet is not required.
  • Have the technician book, in each visit, the following visit (think of commission and how to track), and flag the next visit as “Tech-Driven” or “regular” visit.
  • Booking Agents need to “Flag” the visit, ahead of time, as a “Wellness & Vaccine -Puppy/Kitten”, and confirm post each visit that (i) Technician booked the following visit, as a part of the “Plan” and that the team is aware of the “First Kitten Visit” ahead of the visit (leaving an impression, comprehensive, client education, informing that this is one visit out of 4 - series of vaccinations and so on).

Diagnostics

Prevention is without a doubt the most efficient, cost-effective therapy. Screening and early detection are crucial to minimize morbidity and future healthcare costs. Therefore, comprehensive testing is strongly recommended as a screening tool. See table below for recommended tests by The Vets Internal Medicine expert, Dr. Andrea Johnston.

Test Name

Info

Price

TIER 1

Young Wellness with Fecal O&P and Heartworm Antibody Select - Feline(2808)

Chem 10 with IDEXX SDMA® Test, IDEXX CBC-Select®, feline heartworm antibody by ELISA, fecal ova and parasites

$252

TIER 2

Young Wellness with FecalO&P (26069999)

Chem 10 with IDEXX SDMA® Test, IDEXX CBC®, fecal ova and parasites

$260

Feline Triple ELISA Test - In House

$44.78

TIER 3

IDEXX Young Wellness withFecal O&P (26069999)

Chem 10 with IDEXX SDMA® Test, IDEXX CBC®, fecal ovaand parasites

$129.58

Feline Triple ELISA Test - In House

$44.78

Parasiticides

Tier

Parasiticide

6 Mo. Supply

NexGard COMBO

Given monthly and prevents fleas (kills adult fleas,flea larvae and flea eggs), ticks, heartworm,hookworms, roundworms, lungworms, vesicalworms, tapeworms and ear mites

$125-$141

2-4 doses,
3-4 weeks apart, last vaccine no earlier than 16 weeks

After 1-yr and then every 3-yr

Included in FVRCP

  • Both NexGard COMBO and Revolution Plus can be administered to kittens 8 weeks of age and older.
  • Heartworm, fleas and tapeworms are highly common even in true ‘indoor cats’ and thus, year-round protection is recommended for all cats.
Parasiticides Comparison

COMPANION ANIMAL PARASITE COUNCIL (CAPC) DATA

Discussion Points for Pet Parents

ASPCA Animal Poison Control

https://www.aspca.org/pet-care/animal-poison-control

  • If you think your pet may have ingested a potentially poisonous substance, call (888) 426-4435.
  • List of toxic plants with images. Most dangerous toxic plants: Sago palms, azaleas, and rhododendrons.
  • List of toxic human foods. Most dangerous human foods: chocolate, grapes, raisins, onions, garlic, chives, and products containing xylitol sweetener.

Raw food diets

The AVMA and AAHA discourage the feeding of raw animal-source protein due to the high risk of illness to both pets and humans. Pathogens found in raw protein diets can be transmitted to the human population by contact with the food, pet, or environmental surfaces.

Indoor versus outdoor cat?

While many cats enjoy an outdoor lifestyle, it should be noted that indoor cats live longer than outdoor cats and have reduced risk of infectious disease [1].

Feline Sterilization

Gonadectomized cats have increased longevity and reduced risk of cancers of organs associated with reproduction [1]. The AVMA recommends sterilization of cats not being used for breeding and supports recommendations made by the American Association of Feline Practitioners (catvets.com) regarding feline sterilization. [Literature references within linked document] Additional resources, including client handouts on pet sterilization, can be found at [Elective spaying and neutering of pets | American Veterinary Medical Association (avma.org)].

Breed Associated Health Risks

Health risks by breed can be searched at (icatcare.org) under the Cat Health A-Z query. Limited large scale publications on cat breed survival risks are available [1].


Osteochondrodystrophic (Scottish fold) and achondroplasia (Munchkin) cat breeds

Cats with heritable bone and cartilage disorders may benefit from joint supplements (no supporting literature) and many will ultimately require multimodal treatment for pain. Intervertebral disk disease has been reported.

Congenital cardiovascular disease

In young cats with murmurs, ~0.14% have congenital heart disease. [2] In mixed breed cats, ventricular septal defects are the most common congenital heart disease followed by aortic stenosis and hypertrophic obstructive cardiomyopathy. Some breeds, including the Maine Coon, are predisposed to congenital heart disease. [3] A genetic screening test for Maine Coon hypertrophic cardiomyopathy is available (Hypertrophic Cardiomyopathy (HCM) in Maine Coons| Veterinary Genetics Laboratory (ucdavis.edu) but does not rule out the development of HCM.If a murmur or arrhythmia is detected on annual physical exam, a thoracic radiograph or EKG should be pursued. If these are abnormal, a cardiology referral is recommended. [4, open access with helpful diagnostic flow chart]

Congenital kidney disease

Polycystic Kidney Disease: (Cats) Persian and related cat breeds.

  • Diagnosis: cortical kidney cysts present on ultrasound in juveniles, a genetic test is available at UC Davis but is usually unnecessary for diagnosis [5].
Congenital hepatobiliary disease including vascular anomalies
  • Ductal plate malformations (polycystic liver disease, choledochal cysts): Rare in cats, usually identified in adult cats.

  o Diagnosis: cystic malformations of the liver and/or biliary tract on abdominal ultrasound.

  • Portosystemic vascular malformations (Extravascular portosystemic shunts): Uncommonly diagnosed in cats

    Clinical signs and physical exam findings include drooling, lethargy, poor appetite, polyuria/polydipsia, small size, copper colored eyes, and rarely seizures. Lower urinary tract signs may develop secondary to ammonium biurate urolithiasis. Many cats with vascular anomalies have no physical abnormalities or overt clinical signs.

    Diagnosis: Paired serum bile acids. If a paired serum bile acids test is abnormal, CT angiogram will be needed for definitive diagnosis. Protein C cannot be used to diagnose portosystemic shunts in cats.

      oTreatment: Cats with a portosystemic shunt should be started on medical management           (lactulose and gut flora modulation).  

Resources

Resources

  1. O'Neill DG, Church DB, McGreevy PD, Thomson PC, Brodbelt DC. Longevity and mortality of cats attending primary care veterinary practices in England. J Feline Med Surg. 2015 Feb;17(2):125-33. doi: 10.1177/1098612X14536176. Epub 2014 Jun 12. PMID: 24925771.
  2. Schrope DP. Prevalence of congenital heart disease in 76,301 mixed-breed dogs and 57,025
    mixed-breed cats. J Vet Cardiol. 2015 Sep;17(3):192-202. doi: 10.1016/j.jvc.2015.06.001. Epub 2015 Sep
  3. Saunders AB. Key considerations in the approach to congenital heart disease in dogs and cats. J Small Anim Pract. 2021 Aug;62(8):613-623. doi: 10.1111/jsap.13360. Epub 2021 Jun 27. PMID: 34180062.
  4. Meurs KM. Genetics of cardiac disease in the small animal patient. Vet Clin North Am Small Anim Pract. 2010 Jul;40(4):701-15. doi: 10.1016/j.cvsm.2010.03.006. PMID: 20610020.
  5. Beck C, Lavelle RB. Feline polycystic kidney disease in Persian and other cats: a prospective study using ultrasonography. Aust Vet J. 2001 Mar;79(3):181-4. doi: 10.1111/j.1751-0813.2001.tb14573.x. PMID: 11301745.

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