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First 48 hours
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Tiny Paws Guide — First 48 Hours Checklist
tinypawsguide.com
Within the first hour
- Set up a warm nest (85–90°F / 29–32°C)
- Place kittens together on a covered heating pad
- Wait until they feel warm before attempting to feed
- Locate your nearest emergency vet's phone number
Supplies to gather today
- Kitten milk replacer (KMR) powder or liquid
- Bottles + several sized nipples
- Small kitchen scale (in grams)
- Soft towels and washcloths
- Heating pad or microwavable warmer
- Cotton balls or unscented baby wipes
- Thermometer for the nest
Every feeding (every 2–4 hours)
- Warm KMR to body temperature — test on your wrist
- Feed belly-down, head level, never on the back
- Burp gently after feeding
- Stimulate to pee and poop with a warm damp cloth
- Wipe face and bottom clean
- Return to the warm nest
Every day
- Weigh each kitten before the first feeding
- Log weight (expect +10–15 g per day per kitten)
- Change bedding
- Check eyes, nose, and bottom for discharge
- Watch for: lethargy, refusing food, cold to touch, diarrhea