咨询描述:猫无端发烧40.8度,经过4天治疗和输液只好了一些,今晚测量肛温又达到了39.7度,且今晚在家静息呼吸也比较快。今晚从医院回家后也比较想睡觉。
精神食欲没出现太大问题,吃饭欲望强烈。附诊疗单和用药情况。
视频是今晚的呼吸情况。
问题大致一样,细节不同?
闻晓敏
执业兽医师
家长您好,感谢您的信任。
猫咪肛温39.7可以理解为正常的体温。从视频里看猫咪呼吸状态整体均匀。
看到您使用441了,但是就目前的情况来看我个人是不太怀疑是传腹的。
相反它SDMA偏高,需要怀疑有肾脏方便的原因(虽然生化中肌酐尿素氮目前来说还正常),SDMA是比肌酐尿素氮更敏感的检测指标。
目前精神食欲没有太大问题,建议先对症治疗,如果发烧,可以先行物理降温。家里可以准备一些冰块以备不时之需。
若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。
这边宠物医生说的是可能是病毒性的问题,然后和我这边商量了采取送检实验室查说是血液寄生虫和其他原因的东西,暂时还没出结果,然后就是说先用着441口服药+输液+保肝保肾药吃着+冰块物理降温。我也就是拿着报告问问看其他医生的看法,现在反正就是,精神食欲没有问题,心脏没有问题,腹腔只说有一个肠淋巴结肿了,然后就是肾的sdma值高
闻晓敏
执业兽医师
肾的SDMA高要注意,它是测量肾脏指标的一个数,一般25的肾脏受损这个SDMA 就会检测出来,而肌酐尿素氮需要等到75%肾单位受损才体现出来。它现在20多,多引起注意,可以吃点护肾的,两周后去复查。
好的,谢谢医生,那我家猫现在的这个情况还是按这边宠医的诊断接着给他用着441口服和输液嘛?有没有其他能改善问题的,或者做其他检查
闻晓敏
执业兽医师
我个人的建议是先对症治疗,使用一些保护肾脏方便的药物,暂时不用441.3-5天后复查一下各项指标,尤其是之前异常的指标。
好的,请问可能有什么方面的原因会造成猫突然间就高烧呢,上周五早上都还正常,下午我下班回家就抱起来想和他玩一下,结果就摸着浑身滚烫,他趴着的地方也是很热。后续如果还是不能很好的控制体温,比如控制到39度以内,最好采取什么措施
闻晓敏
执业兽医师
发烧只是一个症状,不是病,它是机体表现出来的一个征兆。常见的引起发烧的情况比如体内炎症,受凉,病毒感染等,可能会导致猫咪发烧。
您家里先准备一些冰块,75%酒精,万一猫咪再发烧(腋下体温超过39.2)可以在家进行物理降温:冰块用毛巾包裹着,放置在大腿根部内侧,前肢腋下,或者如果发烧得比较厉害,可以用酒精擦四肢脚垫行物理降温。
当然,您家里还需要准备水银体温计(比较准确),可以监测猫咪体温:甩在35度以下,放置在前肢腋下或大腿根部内侧贴紧皮肤,3-5分钟后读数,超过39.2算发烧。
闻晓敏
执业兽医师
我给他开个处方,处方里面主要是:
1,**,一天两次,一次一片,连用一个月。
2,****,一天两次,一次一袋,连用12天。
一个似肾脏方面的药,一个是提高机体免疫力的药,您可以通过处方自主选择购买。
好的,谢谢医生,那之前我这边的药单里那个***可以一起吃还是停了吃这个***的药呢
闻晓敏
执业兽医师
可以二选一。但是***我没有用过不知道效果如何,***的用过,反馈还可以。
好的,那我就先按您的处方买药回来给他吃着,不过***我看他的信息介绍是10公斤才1-2片,我家猫5.5公斤也是按1片1次,每天两次来吃吗
闻晓敏
执业兽医师
10公斤按照2片计算的话,就是5公斤一片了。
推荐是一天三次,它可一天两次,吃半个月后复查
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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