咨询描述:小猫咪腹泻,我以为是猫瘟,昨天给吃了抗生素,现在精神不好,食欲不振,是不是抗生素过量,我该怎么补救
回复总结:猫咪拉肚子且猫瘟弱阳性,很有可能是由于猫瘟病毒引发的病毒性胃肠炎。处理办法上,建议使用猫瘟病毒pcr或者荧光检测的方式,再次给猫咪进行化验猫瘟病毒,确保是否有病毒感染问题。进一步确诊之后,对猫咪进行针对性输液打针治疗。以猫咪这种疾病程度,建议进行静脉输液治疗的。在猫咪有肝肾损伤的情况下,还需要再针对肝肾来进行治疗,保守治疗意义不大,很有可能会耽误猫咪的治疗时机。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的猫咪腹泻,精神萎靡,我初步分析猫咪是由于身体难受不舒服导致的,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1. 猫咪您养了多久?发病多久了?
2. 猫咪您昨天给的是什么抗生素(什么成分),给了多少?猫咪体重是多少?
3. 猫咪发病之前,都喂了什么食物?是否有换粮,或者喂了以前没有吃过的食物?;
4. 猫咪平时饲养在哪里?生活环境温度能达到多少度?是否有昼夜温差?;
5.猫咪的疫苗,以及驱虫情况如何?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外,把您家爱宠具体的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
猫咪是捡来的,快两个月了,昨天前天刚才广东托运到合肥,接回家之后就拉肚子,我带它去宠物医院检查,医生说没有虫,测试纸显示弱阳性,但是血常规的白细胞是正常的。医生给它吃了止泻药,还开了***,说先止泻观察两天看看,但是由于我不懂,被医生这样说疑似猫瘟,我昨天就很捉急,病急乱投医买了抗生素和头孢。抗生素是利福昔明干混悬剂,头孢是头孢克肟。按照小孩子的用量,两个药中间间隔了几个小时。吃了以后睡一晚上都没有拉肚子了。但是今天却食欲不振,精神也不好。昨天虽然拉肚子但是食欲好的。不知道是不是头孢和抗生素过量导致的,听说会肾衰竭,甚至死亡。我想知道接下来该怎么办,如果真的是抗生素头孢这些过量了。还有几天中午之前拉了一次,还是稀,但是没有昨天的稀。昨天只拉水,今天没有那么水了。
接到猫咪的时候我喂了鸡胸肉和火腿肠,昨天晚上鸡胸肉没有消化,吐过一次。后面我就喂的猫条和葡萄糖水。今天早上喂过益生菌,本来昨天一晚上没有拉,不知道是不是益生菌所以今天又拉了一次。
陈奕达
执业兽医师
您好,非常感谢您的回复,谢谢。根据您的描述,如果猫咪已经检测了有猫瘟弱阳性的问题,那么以猫咪现在这一系列的症状,个人认为是由于猫瘟病毒引发的病毒性胃肠炎,从而导致了现在的疾病情况。(猫咪肚子难受,不舒服,所以才出现了精神萎靡,食欲不振的问题)。然后您需要告诉我,猫咪吃的药物剂量是多少?猫咪的体重是多少?我可以帮您初步的计算一下,猫咪是否有药物中毒或者是药物影响的问题。
是试纸测试,并不准确,测试的很弱的弱阳性,血常规的白细胞是23,没有下降。猫咪才一斤多。我喂了猫咪0.1g抗生素(利福昔明干混悬剂),喂了头孢克肟0.1g。就是宠物医生说疑似猫瘟,说一天治疗一千,没有任何药物治疗,所以才导致我着急乱买药,其实猫就是腹泻,昨天还吃东西的,就喂了它这些药以后就食欲不好了,虽然也吃,但是不是主动的。
陈奕达
执业兽医师
您好,感谢您的回复,谢谢。1.根据您的描述,如果猫咪是使用试纸检查,确实可能会有假阳性的结果。而且没有白细胞下降的症状。但是也不能完全的排除是否有猫瘟病毒感染的问题。所以个人建议使用猫瘟病毒pcr或者荧光检测的方式,再次给予猫咪进行化验一次猫瘟病毒,确保是否有病毒感染问题。2.猫瘟的治疗一般平均每天也就***-***左右,使用最好的药物也就800左右,除非猫咪需要特殊治疗方式,例如输血,才有可能达到****左右。3.如果您给予猫咪用药达到0.1克,那么确实有一些多,建议给予猫咪检测病毒的同时,再化验一下猫咪肝脏肾脏是否有功能异常问题。4.综合我们所有的沟通信息来讲,①我们需要进一步再给予猫咪进行猫瘟病毒的化验,检查肝脏肾脏是否有功能异常。②进一步确诊之后,对猫咪进行针对性输液打针治疗。③找一个靠谱的宠物医院进行诊治。
检查肝脏肾脏怎么检查,痛苦吗,这几天太折腾它了。好可怜。它还没有两个月大。
陈奕达
执业兽医师
您好,1.检测肝脏肾脏需要抽血化验,并不痛苦,也不遭罪。2.猫咪患病之后,确实很难受,很可怜。不过我们只要尽快的解决猫咪的病痛,那么就可以解决猫咪的痛苦,这样猫咪就不用持续的遭罪了。
如果肝脏确实受到影响了,那治疗一定要打针输液吗?没有药物治疗吗?保守一点的方式,输液经济根本不允许而且带跑来跑去猫咪都被折腾出其他病了。有药物治疗吗?在宠物医院医生会开药物吗?如果医生强制在医院输液不开药我去哪里弄药。
陈奕达
执业兽医师
您好,1.不论是否有肝脏肾脏损伤,以猫咪这种疾病程度,都是建议进行静脉输液治疗的。只不过有肝肾损伤的情况下,需要再针对肝肾来进行治疗。2.以猫咪现在这种程度,再保守治疗意义不大,很有可能会耽误猫咪的治疗时机。3.如果来回去宠物专用太过于折腾,那么可以考虑住院治疗。4.然后根据宝贝的情况,我给宝贝开个处方,供您采纳参考。
处方里面的
1. ***,宠物专用广谱消炎,控制消化道炎症
2. ***,提供消化道营养,促进消化道粘膜恢复,减轻消化道炎症
3. ***,宠物专用吸附性止泻,大便成型之后立刻停药,吃多了容易便秘。
4.***,保护胃肠道粘膜,治疗消化道溃疡。
5.***,宠物专用补血保肝用药,维护猫咪肝脏。
您可以根据需求自行选择购买。
可以先用药2-3天,如果3天后效果非常好的情况下,可以持续用药1-2周左右。
可是它昨天和今天乱七八糟吃了宠物医院的止泻药,又吃了宠舒宝,又吃了抗生素和头孢,还吃了益生菌。如果再去配你建议的药,是今天直接吃,还是间隔一段时间?
陈奕达
执业兽医师
您好,如果实在不方便就诊,考虑在家继续保守治疗,您可以今天晚上给予猫咪服用上述用药。
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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