咨询描述:线下确诊疾病为:慢性胃肠炎;
想开的药:***(阿莫西林克拉维酸钾片),***复合消化酵素;
使用过上诉药品有相关禁忌症,对上诉药品不过敏且无不良反应。麻烦医生开一下处方。
回复总结:如果狗狗是由于肠胃炎诱发不吃东西的症状,治疗方面,建议给狗狗服用含有阿莫西林克拉维酸钾成分的药物,控制消化道炎症。同时,配合服用消化酵素,促进狗狗消化。如果宝贝还是持续性不吃不喝,建议除了给予口服用药外,再进行静脉输液治疗。治疗的同时,还可以起到补充能量以及体液的效果,防止脱水以及低能量的问题。注意,一般超过24小时不吃不喝,就需要进行输液治疗。
问题大致一样,细节不同?
陈奕达
执业兽医师
开药
1.***,每公斤10毫克,一天两次,口服。
2.消化酵素,体重5kg以下,每次2.5g;5kg以上,每次5g,每日1次。
请问***可以空腹吃吗?它早上到现在不吃东西,以前都是饭后马上喂进去的
陈奕达
执业兽医师
您好,1.****可以空腹服用。2.宝贝之所以食欲不佳,跟身体不舒服有很大关系。3.如果宝贝还是持续性不吃不喝,那么个人建议除了给予口服用药基础上,再进行静脉输液治疗。因为治疗的同时,还可以起到补充能量以及体液的效果,防止脱水以及低能量的问题。
另有一个和肠胃炎不相关的。年前出现过在正常趴着,然后突然就起来像视频里那样一抽一抽的,能持续十秒左右,然后刚趴下,又起来抽达5.6下。这种情况去年夏天和11月份的时候也出现过两三次,之后再就没出现。想问下可能的原因
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,从小视频上看,以个人经验分析判断,很有可能是有鼻腔方面的问题,引发了狗狗这种症状。不过进一步的判断,就需要提供一些针对呼吸道的化验结果了。盲目的猜测可能会出现漏诊,误诊的情况,还请您理解。
理解,对呼吸道的检查,您建议做哪些呢?近期喝水或吃东西的时候也比以前容易呛到,不知道和视频里的情况相关吗
陈奕达
执业兽医师
您好,1.可以给予狗狗进行,血液常规,c反,呼吸道x光片,呼吸道病毒,支原体,衣原体等化验。2.频繁被呛,跟呼吸道有可能会有一定的关系。
一般持续性不吃不喝多长时间就应该进行输液治疗了呢?
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
{"360371":{"id":360371,"case_id":41633,"user_id":1249218,"to_user_id":1322802,"type":3,"content":"开药\n\n1.***,每公斤10毫克,一天两次,口服。\n2.消化酵素,体重5kg以下,每次2.5g;5kg以上,每次5g,每日1次。","media":{"images":{},"videos":{},"business_params":{"prescription_id":105339}},"is_doctor":1,"status":1,"created_at":"2022-03-09 10:39:29","show_rx":true,"rx_info":{"id":105339,"rx_no":2.02203091038375e+24,"user_id":1322802,"doctor_user_id":1249218,"is_independent":0,"case_id":2654040,"pet_info":{"pet_id":0,"pet_name":1,"pet_nickname":1,"pet_gender":1,"pet_birth":"0-0","pet_weight":0,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1个月内"},"diagnose":"开药","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-03-09 10:38:37","updated_at":"2022-03-09 10:39:29","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":11871,"prescription_id":105339,"doctor_user_id":1249218,"product_id":709,"product_sku_id":752,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-03-09 10:38:37","updated_at":"2022-03-09 10:38:37","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":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","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":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":11872,"prescription_id":105339,"doctor_user_id":1249218,"product_id":827,"product_sku_id":869,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":7,"number":2,"remark":"","created_at":"2022-03-09 10:38:37","updated_at":"2022-03-09 10:38:37","product_info":{"id":827,"hash_id":"LEd98jx1XJgZaNMK","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":59,"sell_point":"拜恩复合消化酵素10袋装","title":"拜恩复合消化酵素5g×10包\/拆零","recommend_reason":{"0":"犬猫胰腺外分泌不足","1":"改善犬猫肠胃肠道,改善脂肪泻"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺,肠胃,肠道,脂肪泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋装\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/5cda62f78939a8d196a9665901fe09f2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":56,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 18:09:40","updated_at":"2024-05-24 14:03:17","ins":{"id":59,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合消化酵素","trade_name":"复合消化酵素","en_name":"","brand_name":"拜恩","is_prescription":0,"cover":"\/drug\/2020\/11\/f15cf80a843bc1e9eb0315c7c7a737cd.JPG","specification":"5g×10包\/盒","reference_price":120,"component":"菠萝蛋白酶、木瓜蛋白酶、纤维素蛋白酶、淀粉酶,蛋白酶,脂肪酶,维生素B12、枯草芽孢杆菌、凝结芽孢杆菌等。","indication":"犬猫胰腺外分泌不足、改善犬猫肠胃肠道,改善脂肪泻。","usage_dosage":"1. 体重5kg以下,每次2.5g;5kg以上,每次5g。\n2. 每日1次,用不高于45℃的温水冲服,也可以拌食饲喂。\n3. 特殊情况可酌情增减用量,具体请遵遗嘱。","contraindication":"","adverse_reaction":"如果部分宠物食用后有应激反应(拉稀现象)属于正常现象,须减少酵素的食用量和次数,待动物体内慢慢适应后再增加用量。","attention":"","interaction":"","approval_no":"苏饲预(2017)13006","storage_method":"应储存在干燥,避光,通风,清洁的环境,不得与有毒有害等污染物混储。","validity":"2年","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2020-11-05 18:31:12","updated_at":"2020-11-05 18:31:12"}},"product_sku_info":{"id":869,"product_id":827,"title":"拜恩复合消化酵素5g×10包\/拆零","advword":null,"price":58,"market_price":100,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋装\/拆零"}},"cover":null,"thumb":"","sale_count":57,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 18:09:40","updated_at":"2024-05-24 14:03:17"}}},"drug_data_bak":{"0":{"id":11871,"prescription_id":105339,"doctor_user_id":1249218,"product_id":709,"product_sku_id":752,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-03-09 10:38:37","updated_at":"2022-03-09 10:38:37","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":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","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":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":11872,"prescription_id":105339,"doctor_user_id":1249218,"product_id":827,"product_sku_id":869,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":7,"number":2,"remark":"","created_at":"2022-03-09 10:38:37","updated_at":"2022-03-09 10:38:37","product_info":{"id":827,"hash_id":"LEd98jx1XJgZaNMK","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":59,"sell_point":"拜恩复合消化酵素10袋装","title":"拜恩复合消化酵素5g×10包\/拆零","recommend_reason":{"0":"犬猫胰腺外分泌不足","1":"改善犬猫肠胃肠道,改善脂肪泻"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺,肠胃,肠道,脂肪泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋装\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/5cda62f78939a8d196a9665901fe09f2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":56,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 18:09:40","updated_at":"2024-05-24 14:03:17","ins":{"id":59,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合消化酵素","trade_name":"复合消化酵素","en_name":"","brand_name":"拜恩","is_prescription":0,"cover":"\/drug\/2020\/11\/f15cf80a843bc1e9eb0315c7c7a737cd.JPG","specification":"5g×10包\/盒","reference_price":120,"component":"菠萝蛋白酶、木瓜蛋白酶、纤维素蛋白酶、淀粉酶,蛋白酶,脂肪酶,维生素B12、枯草芽孢杆菌、凝结芽孢杆菌等。","indication":"犬猫胰腺外分泌不足、改善犬猫肠胃肠道,改善脂肪泻。","usage_dosage":"1. 体重5kg以下,每次2.5g;5kg以上,每次5g。\n2. 每日1次,用不高于45℃的温水冲服,也可以拌食饲喂。\n3. 特殊情况可酌情增减用量,具体请遵遗嘱。","contraindication":"","adverse_reaction":"如果部分宠物食用后有应激反应(拉稀现象)属于正常现象,须减少酵素的食用量和次数,待动物体内慢慢适应后再增加用量。","attention":"","interaction":"","approval_no":"苏饲预(2017)13006","storage_method":"应储存在干燥,避光,通风,清洁的环境,不得与有毒有害等污染物混储。","validity":"2年","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2020-11-05 18:31:12","updated_at":"2020-11-05 18:31:12"}},"product_sku_info":{"id":869,"product_id":827,"title":"拜恩复合消化酵素5g×10包\/拆零","advword":null,"price":58,"market_price":100,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋装\/拆零"}},"cover":null,"thumb":"","sale_count":57,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 18:09:40","updated_at":"2024-05-24 14:03:17"}}}}}}
微信扫一扫
立即问宠医