狗低蛋白血症怎么治疗

{"343283":{"id":343283,"case_id":39942,"user_id":1104154,"to_user_id":1840080,"type":3,"content":"您好，狗狗目前低蛋白血症主要是因为长时间饮食不当造成的，目前的主要治疗方案就是补充营养，增加蛋白摄入（静脉输注白蛋白是最快补充的渠道，已经输液一周的情况，那就主要喂食一些高蛋白食物，比如鸡胸肉、牛肉、高品质狗粮如渴望等），限制钠的摄入。狗狗当前腹围依然很大的情况，这边建议可以抽掉一些腹水（不用一次性全部抽完，避免腹压改变过快增加心脏和其他器官负担）。当前不爱运动、状态差不排除是因为腹水过多的原因。其次，限制饮水的前提是不要出现机体脱水的症状，否则脱水会影响机体正常血液循环，也会导致狗狗状态变差（建议复查一下血常规、生化和电解质，看看目前还有无脱水、白蛋白有无升高一些、有无肝损伤、有无电解质紊乱等）。\n这边看到您申请了处方，根据狗狗的情况，这边给它开一些消炎药（crp较高，提示还存在炎症，如果已经用过一段时间抗生素，那就可以不需要再喂了）、利尿剂（喂利尿剂需要多喝点水，避免脱水的情况出现）。后期饮食饮食均衡才是最重要的。\n另外，碱性磷酸酶和胆汁酸高的情况，可以给它喂一些****酸片（每公斤体重10毫克，每天一次，连用一周）。","media":{"images":{},"videos":{},"business_params":{"prescription_id":101940}},"is_doctor":1,"status":1,"created_at":"2022-01-30 15:34:04","show_rx":true,"rx_info":{"id":101940,"rx_no":2.0220130153310502e+24,"user_id":1840080,"doctor_user_id":1104154,"is_independent":0,"case_id":2598448,"pet_info":{"pet_id":268034,"pet_name":"柯基","pet_nickname":"笨笨","pet_gender":1,"pet_birth":"2-4","pet_weight":18,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁4个月"},"diagnose":"低蛋白腹水","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-30 15:33:10","updated_at":"2022-01-30 15:34:04","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":4332,"prescription_id":101940,"doctor_user_id":1104154,"product_id":709,"product_sku_id":752,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-01-30 15:33:10","updated_at":"2022-01-30 15:33:10","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺（阿莫西林克拉维酸钾片）250mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":537,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-29 09:17:18","ins":{"id":5,"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 Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染，及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、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等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重9-12kg，吃0.5片；\n体重13-15kg，吃0.75片；\n体重16-22kg，吃1片；\n体重23-30kg，吃1.5片；\n体重31-40kg，吃2片；\n体重41kg及以上请购买同品500mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":873,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":568,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-29 08:13:08"}},"1":{"id":4333,"prescription_id":101940,"doctor_user_id":1104154,"product_id":720,"product_sku_id":762,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"必要时使用","days":7,"number":1,"remark":"","created_at":"2022-01-30 15:33:10","updated_at":"2022-01-30 15:33:10","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭，非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂，联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":60,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-14 09:07:14","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性)，非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂，因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服：犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点，所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果，但可增强琥珀胆碱的作用。","approval_no":"兽药字（2016）090241179","storage_method":"遮光，密封，在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":63,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-13 18:34:06"}}},"drug_data_bak":{"0":{"id":4332,"prescription_id":101940,"doctor_user_id":1104154,"product_id":709,"product_sku_id":752,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-01-30 15:33:10","updated_at":"2022-01-30 15:33:10","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺（阿莫西林克拉维酸钾片）250mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":537,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-29 09:17:18","ins":{"id":5,"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 Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染，及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、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等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重9-12kg，吃0.5片；\n体重13-15kg，吃0.75片；\n体重16-22kg，吃1片；\n体重23-30kg，吃1.5片；\n体重31-40kg，吃2片；\n体重41kg及以上请购买同品500mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":873,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":568,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-29 08:13:08"}},"1":{"id":4333,"prescription_id":101940,"doctor_user_id":1104154,"product_id":720,"product_sku_id":762,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"必要时使用","days":7,"number":1,"remark":"","created_at":"2022-01-30 15:33:10","updated_at":"2022-01-30 15:33:10","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭，非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂，联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":60,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-14 09:07:14","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性)，非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂，因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服：犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点，所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果，但可增强琥珀胆碱的作用。","approval_no":"兽药字（2016）090241179","storage_method":"遮光，密封，在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":63,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-13 18:34:06"}}}}}}