三个月边牧呕吐，黄色+泡沫，软便不成形

{"508441":{"id":508441,"case_id":56729,"user_id":1401608,"to_user_id":2406213,"type":3,"content":"你好，我看到你描述的情况了，如果说确定三针疫苗全都免疫完全的话那么相对来说传染病的概率很低了。像现在这种一方面考虑就是一个单纯的急性胃肠炎，可能这种饮食还有就是消化原因导致。另一方面的话有吃羊蹄之类的，你要考虑有没有把这个骨头吃进去导致一个异物梗阻。目前这个状态，如果说在家暂时观察的话，考虑是在最后一次呕吐之后停食停水六个小时，后续少量多次喂食，给他吃一些西米替丁加上益生菌来调理肠道，观察它的恢复情况。根据宝贝的情况，我给它开个处方。处方里面的1.益生菌，调理肠道，每天一次，每次2包。2.****，止吐针对胃肠炎，每天三次，每次1片。你可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":151987}},"is_doctor":1,"status":1,"created_at":"2023-09-05 15:13:41","show_rx":true,"rx_info":{"id":151987,"rx_no":2.0230905151309502e+24,"user_id":2406213,"doctor_user_id":1401608,"is_independent":0,"case_id":3160284,"pet_info":{"pet_id":400907,"pet_name":"边境牧羊犬","pet_nickname":"贝塔","pet_gender":1,"pet_birth":"0-3","pet_weight":14,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3个月"},"diagnose":"拟胃肠炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-05 15:13:09","updated_at":"2023-09-05 15:13:41","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":113174,"prescription_id":151987,"doctor_user_id":1401608,"product_id":926,"product_sku_id":967,"dose":2,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":3,"number":1,"remark":"","created_at":"2023-09-05 15:13:09","updated_at":"2023-09-05 15:13:09","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡，增强胃消化功能","1":"缓解队伍应激反应，提高免疫力及存活率","2":"净化肠道内环境，提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":291,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-16 17:18:04","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g，水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用，也可混入食物中饲喂。每天食用1次，5天为1个周期。\n1.体重2kg以下的宠物每次1袋；\n2.体重2-10kq的宠物每次2袋；\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物；\n2.用水冲食时，请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":96,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":305,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-16 16:23:33"}},"1":{"id":113175,"prescription_id":151987,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2023-09-05 15:13:09","updated_at":"2023-09-05 15:13:09","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}},"drug_data_bak":{"0":{"id":113174,"prescription_id":151987,"doctor_user_id":1401608,"product_id":926,"product_sku_id":967,"dose":2,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":3,"number":1,"remark":"","created_at":"2023-09-05 15:13:09","updated_at":"2023-09-05 15:13:09","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡，增强胃消化功能","1":"缓解队伍应激反应，提高免疫力及存活率","2":"净化肠道内环境，提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":291,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-16 17:18:04","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g，水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用，也可混入食物中饲喂。每天食用1次，5天为1个周期。\n1.体重2kg以下的宠物每次1袋；\n2.体重2-10kq的宠物每次2袋；\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物；\n2.用水冲食时，请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":96,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":305,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-16 16:23:33"}},"1":{"id":113175,"prescription_id":151987,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2023-09-05 15:13:09","updated_at":"2023-09-05 15:13:09","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}