猫咪从楼梯上摔下来,鼻子出血好像呛到了,现在应该怎么处理
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咨询描述:猫咪从楼梯上摔下来,鼻子出血好像呛到了,现在应该怎么处理
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的猫咪的情况,我初步判断需要及时去医院检查治疗并吸氧观察,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你核实一下:
1. 猫咪的基本信息可以说一下吗?品种,年龄,性别,体重,有没有打疫苗?驱虫?有没有做绝育手术?之前有没有什么疾病史?
2. 他是什么时候从高空坠落的?是从几楼摔下来的呢?摔在什么地方?
3. 他目前精神状态怎么样?一分钟的呼吸频率是多少,可以把它目前的状态拍个视频过来我看一下吗?
4. 除了鼻子出血,他身上其他地方有没有明显的外伤?还能不能走路?
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,把您家爱宠的信息补充完整,特别是『年龄、体重』,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。(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。)
金渐层 出生满月多几天 300多斤将近400应该 是从公寓那种一层摔下去的,摔在什么地方具体不清楚,但是看到的时候鼻子出血一直张嘴呼吸咳嗽,我帮它吸氧了,喂了奶,里面加了补血肝精,添赐力。第二次喂奶家了前两葡萄糖。他目前睡觉的时候不张嘴呼吸,醒了之后会咳嗽并且张嘴呼吸,咳嗽的时候鼻子偶尔还会有轻微血水。一分钟大概呼吸32次。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
它摔下去到现在有多久了?
这是目前的视频状态吗?一直都这种状态?能不能站起来?能不能走路?
目前体温多少?扒开它的口腔,看看目前牙龈是什么颜色?按压一下牙龈,看按压后血色过多久恢复?
可以爬起来,现在他在睡觉,家里没有体温计没给他量,给他吃了8分之一片的速诺,牙龈粉色的,摁压没啥太大变化,还能趴着走路,总往后仰脑袋,鼻子总是发出噗噗的声音,擦一下会有一点血,视频纸上的那种
郭秋萍
执业兽医师
如果还能爬起来,那说明目前还没有休克。
你需要24小时吸氧,持续观察。另外,最好给它注射止血针,防止体内有出血,能够帮助控制。
它的头处于角弓反张姿势,多半是有大脑损伤,这个就必须要做核磁确诊的。可以给它注射地塞米松减轻脑内的炎性反应。
就目前状态来看,还是比较危险的,不建议在家里处理,最好去医院icu 观察。
另外,我这边还可以给你开一点辅助治疗口服药物。
根据猫咪的情况,我给它开个处方。处方里面的
1.******,止疼消炎,一天一次,第一次0.1毫升,之后剂量减半,连用7天。
2. ******,帮助调理神经,一天一次1毫升,连用30天。
3.***,一天一次,一次1毫升,增强抵抗力。
您可以根据需求自行选择购买。
我现在把他放在自制的吸氧箱里他有些排斥一直往外拱,感觉是缺氧的状态,为什么它还拱出来。它的另一个弟弟也摔下来了,但是没有摔到出血,有没有可能他是因为摔到鼻子呛到呼吸道了,所以没办法好好呼吸?他摔下来已经有6个小时了大概
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
你这个自制的吸氧箱不太合格,空间太小,而且你需要留一两个孔,要不然二氧化碳排不出来,而且长期这样吸氧也很容易醉氧,它需要的氧气浓度目前大概80%就够了,而且随着呼吸功能的恢复,浓度需要逐渐降低……
不排除鼻腔受损有血凝块或者炎症或者组织损伤等导致堵塞,出现呼吸困难。你可以给它鼻腔滴地塞米松滴眼液,一次一滴,一天三次,连用四五天。
好的大夫,刚才看他状态不好打了0.03的利尿…,如果现在给他滴***会不会更容易呛到?
大夫我刚才给他打了0.06的利尿一个小时后准备给他打*********和阿******可以么?我觉得他有点像吸入性肺炎,我想打一次试一下看有没有好转,副作用很大么大夫
郭秋萍
执业兽医师
你这两种都是抗生素,打一个就行了,你就打******就可以。******副作用很大,不建议打!
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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