咨询描述:狗狗犬瘟热头顶一跳一跳的怎么办呢?狗狗一直在用抗病毒和抗生素!狗狗不拉稀,偶尔呕吐!有特效药物吗?
症状描述:狗狗有脓性眼屎,发烧,初期流泪流鼻水,食欲不佳!但每天少量进食!通过抗病毒和抗生素治疗后不流鼻水和眼屎了!体温不稳定!用了将温退烧药!头部出现一跳一跳的症状!
回复总结:狗狗得犬瘟热时建议立即带去宠物医院治疗。如果不方便去医院就诊,口服药物方面需要持续性使用抗生素,同时配服抗病毒药物,并且缓解症状的药物要一直使用。如果狗狗后续还出现发烧以及头部抽搐的症状,可能是犬瘟热已经入侵神经,还需要配服干扰素和解热退烧的药物。
问题大致一样,细节不同?
徐灿
执业兽医师
晚上好,家长,对这种情况来说,我首先需要知道了解一下所用的药,一般来说,犬瘟热不太好治疗,通常来说,需要治疗7到12天左右,这种持续性的发热,大部分都是发生了继发性的炎症,一般来说,需要持续性使用抗生素,另外,抗病毒药物,缓解症状药物一定要继续使用,对于总是在跳的这个情况,属于感染造成的发热,本来说建议使用解热镇痛药,常用的药物就是痛立定或者是氟尼辛葡甲胺,另外,能不能拍摄一段视频?我需要了解一下具体的情况。
(若您需要离开本诊室,稍后可以到微信官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
我其他5只毛孩有银狐,苏联红……,都出现不同症状,有发烧,有咳嗽的!用药后都得到减轻但是有时会反复!有个别的食欲减退
徐灿
执业兽医师
我需要问一下,已经做到确诊了吗?能不能拍摄一段视频?发过来看一下,到现在为止,用了什么药物呢,用了抗生素,干扰素以及单抗吗?请详细的说明一下,同时,有没有其他方面的异常?有没有用过解热镇痛药?有没有持续性的使用抗生素?是否已经继发了肺炎?
用了抗生素,抗病毒,解热退烧药!由于疫情影响兽医诊所药物不全!没有用干扰素和单抗!现在这种情况如果能拿到干扰素和单抗还管用吗?头部一跳一跳的症状是不是痊愈后就能恢复正常呢?最严重的旺财钻床下不出来没法拍视频!明天出来再拍
徐灿
执业兽医师
如果没有的话,那么相对来说比较危险,因为对于这种情况来说,只用缓解症状的药物和抗生素是不行的,最起码也需要使用干扰素,但是头部一跳一跳的动作,如果是抽搐癫痫,那么就和干扰素等药物关联性不大了,需要使用抗癫痫药物进行治疗。
只有头部一跳一跳的应该不是抽搐癫痫吧!他行动自如,只是没有力气!头部跳的严重时嘴里面有白色吐沫!您判断一下是否癫痫,他腿脚和身上不抽!还有问一下干扰素要使用多长时间?每天几次?
徐灿
执业兽医师
根据你新的描述来看,有可能是高热引起的,因为如果犬瘟热侵入神经了,那么,后续出现的绝大部分是浑身的抽搐,或者轻微的颤抖。所以需要测量一下他的体温,做出个初步判断。干扰素的话,一般在整个患病周期都需要使用。
解热退烧药物用什么最好!干扰素是皮下注射好还是输液好呢?由于缺药我买了*****,这个怎么使用呢?抗病毒的最好的用的药用什么呢?
徐灿
执业兽医师
一般来说,常用的就是******,或者是***,也有的用的***。******价格非常贵,但是也确实有效,常用的就是*******,我帮你开一个常用的方案,后续的话可以配合干扰素使用,如果由于疫情原因,医疗条件受到限,可以采取相同成分药物。抗病毒的一般是****或者是***用的比较多。当然还需要配合干扰素。
徐灿
执业兽医师
这种酸腐的味道,实际上更接近于呕吐出来的,或者是消化不良,胃胀气造成的,但是我需要看一下他的视频,确定一下他是如何抽动的。
狗狗头部平时就是这样一跳一跳的!您给判断一下是不是癫痫!不是一直很重!他身体并不抖动抽搐!现在也能自由行走!只是没有力气!我已经给他输液3天了!1g的头孢***2支兑150毫升盐水!昨天我又给他续点了150毫升5%葡萄糖水+1支50%20毫升葡萄糖!感觉*******有效!您给看看需要用点什么药?我另外几个毛孩子,总是反复!时而发烧时而正常!食物都有所减退!一直在用抗生素和抗病毒药!感觉一切正常了,隔几天就又流清眼泪和鼻水!怎么办呢?
忘记说了!昨天输液接近尾声时,旺财鼻子喷出星星点点的稍微有点暗红的鼻水,像是喷嚏,今早没有流鼻水!好几天没有脓性眼屎和鼻涕了,本来也少!您给分析一下是不是快好了?狗狗要多久才能产生自身抗体?需要用点什么药?
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
从视频上来看,基本能确定应该是眼部的不适以及后遗症造成的,只不过现在还有类感冒的症状,所以个人建议适当的可以增加上面我帮你开的药物,一般来说,抗体至少要七天以上才能形成,而且应该是存在着混合感染,他的鼻子的问题应该已经波及到了呼吸道。检查一下是否高热,实际上,他这种情况更接近于感染发热造成的抽搐。
是的医生,狗狗调皮左眼受外伤失明了,是冬天的事!最近天气转暖左眼有些发炎!开始喂抗生素!但是他拒绝服用!都是硬塞到喉咙里还是能吐出来!所以吃进去的很少!现在打肌肉注射和静脉输液!有高烧的情况!有打退烧药!最近摸着不是很热接近正常体温,应该有内烧!我别的狗狗流眼泪淌鼻水,是否是犬瘟热呢!现在这几个毛孩最小的一年七个月!别的毛孩子有时高烧也在用抗生素和抗病毒药
徐灿
执业兽医师
综合来看,犬瘟热的可能性不太大,因为犬瘟热死亡率很高,但是现在都没有发生死亡,而且实际上,除了一些类感冒症状,没有其他的,所以主要考虑的实际上就是犬副流感或者是支原体或者衣原体,所以个人建议是把抗生素更换一下,有可能是支原体衣原体造成的,但是头孢菌素类药物是无法治疗的。建议更换成四环素类的****。可以进行覆盖治疗,另外,使用一些增强免疫力和缓解症状的药物,比如说*****或者是***,这些都是可以的。
我那几个毛孩应该也不是犬瘟对吗?****是注射的药吗?口服喂不进去的!
徐灿
执业兽医师
更接近于犬副流感或者支原体衣原体造成的感染,因为就算是有治疗的话,犬瘟热的死亡概率也在70%到80%,而且现在的治疗也没有比较好,治疗方案非常的简陋,但是他居然没有死亡,所以基本能排除犬瘟热的可能性,替医疗条件欠缺的时候,可以使用人用药物代替,但是不是首选推荐。****按照每公斤十毫克,一天吃两次,估计得用5到7天。
我能买到****!我已经给这几个毛孩注射有一周时间了,最短的也有3天了!抗生素一直在用火腿肠裹着喂!我剩下的几个毛孩也注射***和***可以吗?
徐灿
执业兽医师
如果超过一周用药,还没有好的效果,那么就需要尽快换药,而且他们之间可能会存在相互传播,相互传染,所以一定要覆盖性的治疗,不管是有症状的还是没症状的,这窝所有的狗狗全部用药,防止相互传染,相互传播,****一般注射的或者是口服的都是可以的,不过用药时间比较长,一定要坚持治疗症状消失,以后仍然用药三天。
医生,****有针剂吗?如果买不到用人用药那种替代?****可以静脉输液吧!一公斤体重用多大量?还需要用什么别的药吗?****兑到饮用水里可以吗?受疫情影响,兽药店进货受阻,快递也绝大多数到哈市就原路返回了!所以没办法只能用人用药了
徐灿
执业兽医师
多西环素没有注射的,一般来说,人用也有多西环素,都需要口服,一天吃两次,每公斤十毫克。最好是塞入咽喉,让他吃进去,不要勾兑在水里面。
****一般都是皮下注射或者是口服不建议静脉,因为属于中药制剂,有一定的危险性,至于用量等等,取决于你买的剂型和规格。嗯
医生我连续三天给我家旺财静脉输液,每次输****1.0g含量2支用150毫升盐水,刚才我去兽医诊所取买多西环素,店主和医生不在,顾的店员找不到药和医生视频,聊了一会儿她说我给药过量,狗狗排不出去毒素!给药量太大了,狗狗现在也就剩10斤,第一次输完液后,第二天还和我出去走了好远还能跑,第二次就弱点今天更弱,都不进食了!而且不爱动不吃不喝!她给我拿了一支****缓解药毒!我买了犬瘟热试纸测试了是一条红线不是犬瘟热!应该就是外伤引起的!我该怎么办?还用头孢吗?还是给他补补液不加消炎药了?不糖还是盐水啊?我该怎么办呢?现在他又有点烧!您看看怎么办呢?****是5毫升的她说少用点,用多大量啊?是皮下注射好还是加盐水里补液啊!我上火嘴都坏了!旺财趴在凉地上一动不动的!您给出个主意!我家另外一只毛孩我也验了也是一条红线不是犬瘟热!
徐灿
执业兽医师
能否拍摄一段视频发过来看一下,****类药物相对来说安全,的确,用药量比较大,但是主要考虑的仍然是疾病问题造成的,而并非中毒,建议继续补液,抗生素类药物仍然要使用,需要降低用量,一般****的任务每公斤25到30毫克。如果发烧了,需要注射******,四环素类药物仍然要使用。
头孢****1g相当于多少毫克?狗子5公斤用多少?****注射吗?头孢注射完还需要补糖吗?
为保护用户隐私不显示图片/视频
我现在想给他用药!晚上他有点上喘了!我很害怕
医生!******只买到了可溶性粉,规格是10%,100克一袋!一公斤体重用多少?
徐灿
执业兽医师
一克相当于1000毫克,五公斤的话,一般用150毫克左右,****暂时性可以少量注射,按照每公斤0.1毫克到0.05毫克。补糖的话肯定是要补充的。
100克相当于十万毫克,这个剂量太大了,是兽药吗?前提是条件不足,一般来说,****每公斤十毫克就行。
那今天我还给狗子挂*****吗?挂多少合适?挂糖水的话是挂5%的还是加些50%的?
徐灿
执业兽医师
可以使用头孢**。按照每公斤30毫克给药。
葡萄糖实际上没有固定的量,一般来说,浓度要低于10%,一般来说,每公斤用量是50%葡萄糖两毫升,然后一天用两次。
那我如果给他挂5%的糖水150毫升就不用添加高倍的葡萄糖了是吗?150毫升5%的糖水是不是有点多?需要同时挂生理盐水吗?今晚不挂头孢的话不会严重吧?
徐灿
执业兽医师
一般来说,5%的葡萄糖注射液你可以选择100毫升,或者是150毫升,再加入3到5毫升高糖都是可以的。
实际上,葡萄糖总量的计算主要是看里面含有的葡萄糖量。每天的补液量是每公斤30到35毫升,再加上每天的排尿量。一般来说,抗生素建议使用,至于是否恶化,得看具体情况。
好的!谢谢您!我重新配下药!盐水+头孢150毫升+150毫升葡萄糖是不是有点多呢?怎样调整?
徐灿
执业兽医师
氯化钠注射液也就盐水,可以30到40毫升,然后加入150毫克的头孢,然后给他150毫升的补液葡萄糖就可以。然后续尽快的使用四环素类药物,也就是***素和一些缓解症状的。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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