咨询描述:13号一两个小时咳嗽一次,喘的很严重,送到医院拍片说是肺炎肺水肿,输液住院到27号,期间咳嗽好转 断断续续咳嗽,28号接回来不咳嗽了,这两天换了一家诊所做了两项检查说是没有,医生说流感肺炎打了针,完全不咳嗽现在,只是坐车去医院路上和跑过之后会喘,现在想在家治疗,我自己打针的话要配什么药,想皮下注射,现在每天喂着小儿**霉素和念慈庵***,我还想打消炎针,怎么配比呢?抗生素需不需要呢,怎么配药呢?还需要喂其他的药吗,利尿的消炎的什么的?图一二是13号拍的片,图三是27号的验血报告。
问题大致一样,细节不同?
闻晓敏
执业兽医师
如果现在咳嗽症状已经控制住了,说明已经好了很多了。现在血液检查还有一些炎症,需要吃消炎药就可以了。你可以选择打针或者选择口服消炎药。你自己可以给它进行皮下注射吗?
皮下注射我看视频在网上学的,消炎药吃什么呢,如果自己注射怎么配药呢?不用注射或者吃其他药了吗,抗生素之类的
闻晓敏
执业兽医师
注射吃药二选一。如果你能够进行皮下注射,我可以告诉你买什么药怎么配,但是也有更简便的方法,就是选择口服用药,选择口服用药的话,我给你开处方。
闻晓敏
执业兽医师
药给到位,吃喝精神好,打针吃药都可以!选择一个自己方便操作的。
它现在的症状没有咳嗽了,其实就是喘,今天相当于做了血常规炎症值,估计是因为之前严重的肺部疾病已经好的差不多了,检查结果有一点炎症。今天其实应该重新拍片看看肺部影像改善情况。
现在继续巩固治疗用消炎药就好了(因为不清楚肺水肿好转情况,因此不推荐利尿的药)。口服药可以选择**,12.5-25mg/kg,一天两次。注射针剂可以选择**噻肟,10-20mg/kg,一天两次。口服药注射针剂二选一即可。
闻晓敏
执业兽医师
宝贝4kg,可以选择50mg规格**,一天两次,一次一片,连吃一周。
如果选择针剂,购买500mg规格的**噻肟,用2ml0.9%***稀释,它这个体重一次打0.32ml,一天两次
闻晓敏
执业兽医师
我给他开个处方,处方里面主要是:
1,口服**抗菌消炎
2,口服***提高免疫力
可以按照处方说明的用法用量使用。你可通过处方自主选择购买。咱们药品从成都发货,快递时效,一般三天到,具体看你所在地区。
如果要选择注射的,那么需要你自己去购买药物以及0.9%***(平台没有针剂)
用药1周后可以来复诊(购买咨询服务包咨询更优惠),届时根据宝贝恢复情况来调整治疗方案,有问题可随时在线联系。
如果你还有什么疑问可以继续提问,我看到会及时回复。
好的谢谢您,我明天带他去拍个片还能继续找您诊治吗,怎么续上问诊呢
闻晓敏
执业兽医师
咨询24小时内有效,截止明天咨询结束之前把片子发给我可以继续追问,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。
如果时间结束了,可以考虑重新下单,选择我定向咨询(选择复诊会有优惠哦)
为了节约咨询次数,这一次可以不用再回复了
这是我今天带他去拍的片子
为保护用户隐私不显示图片/视频
闻晓敏
执业兽医师
拍了正位片,这次没有排侧位片。从正位片看起来肺部还是没有完全恢复的。如果现在没有咳嗽症状那么根据之前的血检结果对症可以吃消炎药,可以继续巩固吃**霉素5天。
如果后续又出现咳嗽,建议搭配雾化进行治疗,效果才会更好。雾化可以使用1ml****+5ml0.9%***,早晚各一次,连续一周。
闻晓敏
执业兽医师
**的用量是5-10mg/kg,一天一次,看资料大福4kg,一天用40mg就可以了。0.1g规格的**是100mg,你一天一袋使用太多了,可以一天一次,一次半袋。
希望我的建议可以帮到你哦,非常感谢你对蘑菇宠医及我的信任。如果我的回答能帮助到你,请在咨询结束后留下5星好评哦,后续宠物有其他问题,可以到“蘑菇宠医”官方微信公众号继续向我提问
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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