咨询描述:金毛10个月,前期呕吐食欲减退,9月6日验血中度炎症+天安冬氨***转移酶特别高,肌酐在持续上升也很高。输液后来无尿转院血透2次,第一次透完呕吐有血,夜里输血,第二次没输血也没吐。肌酐血透时下降第二天又升了,还是无尿。决定回家,到家后排尿,尿越来越多。9月21日复查,突然血钾很高,医生输液***,无用,回家。到家当天呕吐严重,多半在凌晨12点到早晨6点间。突然站不起来了。站起来走就摔倒
问题大致一样,细节不同?
吕健
执业兽医师
根据你的描述,结合化验单,小家伙已经是严重的尿毒症,现在没什么特别好的办法。
1.定期做血液透析,也就是体外循环将体内毒毒素排出去。
2.就是大量输液,通过尿液将体内毒素排除体外。
3.高血钾,也需要排尿降低血钾,高血钾很容易继发心脏问题,导致狗狗死亡。
请医生帮我看看它现在吃的药是否可以
为保护用户隐私不显示图片/视频
吕健
执业兽医师
1.线下医生开的药已经很全面了。
2.可以将狗粮换成肾脏处方粮或罐头。
尤益菌里面也含钾,它本来血钾高能吃吗?饭前还是饭后吃好。它现在突然站不起来是怎么回事,没输***之前还挺好的
吕健
执业兽医师
1.狗狗进入无尿期,血钾突然升高。
2.使用***后,血钾是会降低的,但是降低的没有升高的多。
3.血钾升高后,毒素也会增多。
4.狗狗无尿性肾衰是一种严重的临床综合症,主要是由于各种原因导致肾脏排泄功能在短期内迅速减退,氮质化合物的一些代谢废物堆积,水电解质酸碱平衡失调,血肌酐和尿素氮呈进行性升高。
5.无尿期是肾衰竭比较严重的阶段,狗狗除了走路不稳,还可能会出现口腔溃疡、舌头溃烂、口臭等现象。
吕健
执业兽医师
此外,含有少了钾的药物是可以吃的,可以随着狗粮一起吃,含钾量跟狗粮差不多。
吕健
执业兽医师
1.现阶段是,狗狗排尿量不够或肾脏代谢不足,血液毒素不能完全排除体外,所以血钾等指标会生高。
2.注射了***,可能会导致血糖下降,这也是一个可能的原因。
吕医生,它现在有尿,一天3-4次一次20秒这样。已您的专业角度看,目前就给它吃这些药还有恢复的可能吗
狗粮里加了活肾的和***,里面还可以加尿毒清一起喂它吗?药与药之间会不会有冲突或刺激胃,因为它一天不定时一直呕,有时能吐出东西有时吐不出。它现在插着食管,我都是从食管喂它
吕健
执业兽医师
1.如果已经发展成慢性肾病,那么就不会恢复了,需要长期吃药,并做血液透析。
2.不同的药物,可以分开喂,建议问一下线下的主治医师,间隔半个小时左右。
3.呕吐大概率还是肾毒素引起的。
吕医生,它呕吐这您有更好的办法或药物推荐吗?它为什么白天状态还行,可到了夜里12点到第二天早起晨5:30这期间它就很难受,您有什么办法教我吗🙏
吕健
执业兽医师
1.呕吐,可以吃****或***。
2.除非呕吐比较频繁,否则不建议是使用。
3.夜里环境比较安静,狗狗很难受是因为无法分散注意力,所以表现的明显。
吕健
执业兽医师
非常感谢您对蘑菇宠医的信任。如果我的回答能够帮助到您,请您在咨询结束后留下 5 星评价,您的评价是我工作最大的支持,感谢。 后续宠物有其它问题,您可以到“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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