咨询描述:医生您好,58天大的博美幼犬,体重0.62kg,流涕、打喷嚏、咳嗽,在医院诊断肺炎,犬瘟热细小冠状均为阴性,x光片子显示气管周围有病变(大概这个意思),医院开了***素和***,服用三天至今天,之前小狗会半夜气喘伴随呼噜声,就像喘不过气那样,后腿窝处测温37.6度,医院测耳温也不发烧。今天晚上开始突然气喘严重了,比之前更加气短、急促,且频繁,狗狗呼吸困难,腿窝测温也39度了。请问狗狗是否病情严重了,应该怎么治疗和服用哪些药物呢?另外,由于狗狗接回家不到两天发病,宠物店售后让我带狗狗去店里打消炎针、做雾化,说打三针就能好,我该带小狗去打针么?
回复总结:狗狗出现呼吸道感染的症状,建议立即将狗狗带去专业宠物医院做对症治疗。需要对狗狗进行雾化治疗,同时配合使用抗生素和止咳止喘的药物。另外,还需要给狗狗放置静脉留置针,通过留置针直接静脉滴注能量和电解质液体,这样既能给狗狗补充能量,也能避免机体脱水的问题。口服用药方面可以选择5%葡萄糖注射液和0.9%的生理盐水,每小时大约喂10毫升左右。
问题大致一样,细节不同?
魏新立
执业兽医师
主人您好,宝贝如果是刚接回家的,有肺部的炎症,呼吸急促和咳喘的症状比较严重,是会有一定的危险性的。
雾化治疗配合使用抗生素也是接下来应该要做的,但肺部的问题都是有危险性的。
昨天半夜它情况不好我带去医院了,又拍了片子做了化验,结果是全身炎症特别严重,肺部也加重了,医院给打了两针消炎针,做了雾化,打的是:****(AQMS),***** ***。然后狗狗贫血开了***补血肝精,您看一下这样是可以的吗?对于它现在的情况。此外小狗脱水,宠物店让我买葡萄糖,**********液可以吗?还是要什么葡萄糖比较好。还需要口服***么
魏新立
执业兽医师
医生的用药方向是没有问题的,就是针对呼吸道感染的问题。
我们可以给宝贝放置一个静脉留置针,然后通过留置针直接静脉滴注一些能量和电解质液体,这样既能给宝贝补充能量,也能避免机体有脱水的问题的。
如果口服的话,可以选择5%葡萄糖注射液和0.9%的生理盐水,这两个也可以皮下注射,都是等渗溶液。
医院医生说小狗血管太细了留置针扎不了,也没给静脉注射,抽血都几乎勉强抽出来的。口服的话药店能买到这些吗?宠物店让我喂******口服液,可我查了一下这里面不含葡萄糖啊?能喂给小狗吗有用吗
魏新立
执业兽医师
口服的葡萄糖和生理盐水都是可以在药店买到的,葡萄糖酸钙口服液代谢后会有葡萄糖的成份,也能给机体补充能量的。可以口服的,但是要少量多餐的喂食。
有两个月的狗狗,还是可以尝试放留置针,用26G的留置针,还是应该能放上的。
那请问一天最多摄入多少葡萄糖和生理盐水呢?现在小狗这样的情况,是不是肺炎很严重了,治好的可能性大么
为保护用户隐私不显示图片/视频
魏新立
执业兽医师
目前宝贝的症状更多地考虑上呼吸道感染,肺部的问题应该还不是很严重,主要还是咳嗽症状,如果肺部感染,会有明显的呼吸急促,宝贝甚至不想动,我认为目前宝贝积极的治疗,康复的几率是很大的。
生理盐水和葡萄糖每小时大约喂10毫升左右,可以把葡萄糖和生理盐水混合均匀之后再喂,但最重要的还是要给宝贝继续使用抗生素,同时用化痰止咳的药物。
魏新立
执业兽医师
放置一个静脉留置针,然后通过留置针直接静脉滴注一些能量和电解质液体,这样既能给宝贝补充能量,也能避免机体有脱水的问题的。
那个视频里面不是呼吸急促吗?他基本上现在也不爱动了,而且隔一会就呼吸困难气喘一次,食欲也一般了。
魏新立
执业兽医师
我看您发的视频应该是咳嗽症状比较严重,并没有肺部呼吸很急促的症状,如果有肺部的炎症,宝贝在很安静的状态下呼吸的频率也会很快,因为肺部的炎症会影响宝贝的换气功能,肺炎要比上呼吸道感染严重得多。
就是这个视频 是不是挺严重了 治好可能性还大吗
为保护用户隐私不显示图片/视频
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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50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1347,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-02 20:53:49","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable 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其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9638,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1419,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-02 17:11:04"}}}}}}
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