[7] The following month, while teething, she began refusing her bottle and became dehydrated; a catheter for the delivery of intravenous fluids was inserted with the assistance of members of the vascular access team at Cincinnati Children's Hospital.

[14] Saving Fiona, a children's book about her written by the zoo's director, Thane Maynard, was published in June 2018.

[7][21][22] A video posted on social media by the zoo went viral,[21] as did a couple's photographs of Fiona watching them get engaged in October 2017.

[25] A depiction of Fiona appeared in Cincinnati Ballet's December 2018 production of Nutcracker, played by a 6 ft 4 in (193 cm) dancer, and "stole the show".

[26][27] Fiona has been used to predict the result of the Super Bowl each year since her birth, by choosing between enrichment items with the two teams' emblems.