咨询描述:于大夫好,我家流浪猫收养三年了,年龄大概7、8岁,去年得过杯状病毒口炎,最近不爱吃饭,体重下降,吐过几次,有口水,以为是口炎犯了,喂了口炎药,时好时坏的,上周六医院检查,肌酐、尿素氮都高,淀粉酶也高,后做了胰腺化验,排除,白细胞也高,贫血,输了三天液,有的指标降了下来,肌酐和尿素氮都没降,医生说在家保守治疗,我现在喂***、***,还有中药治肾衰的,**维、VB这些,我想问您,吃这些可以吗,消炎药**用吃吗?还有一种肾衰的药**用加上吗,效果会更好吗?谢谢
问题大致一样,细节不同?
于博
执业兽医师
好的,目前猫咪精神状态喝食欲怎么样呢?
有多饮多尿的情况吗?还有呕吐吗?
看检查的指标是在持续升高的。不适合出院。30号指标比28号指标豆是升高、而且贫血加重,血磷升高。属于慢性肾衰了。
肾衰听和渗透应该是同一个作用的选择一个就可以
精神一般吧,食欲下降,以前喂的都怎么吃了,猫条这些还愿意吃。吃很少,没有多尿,喝水还行吧,出院后这两天都没吐,医院的意思大概是输液见效不大,比较严重了,回家保守治疗吧。我看那个***的**还挺贵的,我也没有什么治疗经验,以为效果会更好一些。
于博
执业兽医师
如果是治疗的角度。指标没有下降或者维持恒定。是不适合出院的。需要爱继续输液加口服药物。目前有贫血目前红细胞压积需要每周打三次***维持,使压积升到35以上。
如果治疗一周还是不下降而且持续上升,那就只能考虑透析才有可能存活。但是死亡率很高,少数能存活有效果
于博
执业兽医师
1.** 一天两次 一次一勺
2.*** 一天两次 一次一毫升
如果您考虑渗透费用就用这个代替一下
于博
执业兽医师
消炎药也要继续用的,白细胞还是持续升高的。
输液效果比口服药号。建议还是继续输液治疗。如果再治疗5-7天,指标还是控制不住或者没有一点好转。那也没有太好办法了。经济允许的情况下只能试试透析了。
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
{"573901":{"id":573901,"case_id":63748,"user_id":1734397,"to_user_id":1071474,"type":3,"content":"1.** 一天两次 一次一勺\n2.*** 一天两次 一次一毫升\n如果您考虑渗透费用就用这个代替一下","media":{"images":{},"videos":{},"business_params":{"prescription_id":157400}},"is_doctor":1,"status":1,"created_at":"2023-10-31 17:59:27","show_rx":true,"rx_info":{"id":157400,"rx_no":2.02310311758035e+24,"user_id":1071474,"doctor_user_id":1734397,"is_independent":0,"case_id":3189034,"pet_info":{"pet_id":412908,"pet_name":"橘猫","pet_nickname":"五福","pet_gender":3,"pet_birth":"7-1","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"7岁1个月"},"diagnose":"慢性肾衰","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-31 17:58:03","updated_at":"2023-10-31 17:59:27","deleted_at":null,"from_source":"online","template_id":271,"drug_data":{"0":{"id":125286,"prescription_id":157400,"doctor_user_id":1734397,"product_id":773,"product_sku_id":815,"dose":1,"dose_unit":"勺","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-31 17:58:03","updated_at":"2023-10-31 17:58:03","product_info":{"id":773,"hash_id":"7REJ0W4AzngPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":195,"sell_point":"肾康宠物营养补充剂","title":"摩登狗肾康宠物营养补充剂 50g\/瓶","recommend_reason":{"0":"用于防治犬猫肾衰","1":"改善犬猫肾脏功能,清除附磷、尿毒素等有害物质","2":"降低胆固醇、防止贫血、改善食欲、增强体质等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,胆固醇,贫血,改善食欲,尿毒症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/202d025a70a9c3a586fbfbfa7e213a87.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":31,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:19:21","updated_at":"2024-09-23 14:37:24","ins":{"id":195,"hash_id":"3a0E6Qpj3Z42b9Rk","class_ids":"[1,2]","title":"肾康宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"肾康","en_name":"Nephrowell","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/92e0e5e84ed312b18e26b0475b88a61d.jpg","specification":"50g\/瓶","reference_price":180,"component":"聚氨基葡萄糖、碳酸钙、乳糖","indication":"主要用于治疗和预防犬猫肾衰,针对犬猫的肾衰有很好的效果。\n可以改善犬猫肾脏功能,清除附磷、尿毒素等有害物质。从而降低小肠对这些物质的吸收,降低体内磷水平,起到保护肾脏,恢复肾功能的作用。此外,还能降低胆固醇,防止贫血,改善食欲,增强体质等作用。","usage_dosage":"按照犬猫的体重,每天2次。\n每5公斤体重用1克(约1勺),每天2次,可单独给药,也可与食物混在一起饲喂,与干食物混饲时,可以放少许水将食物弄湿后与本品混合,本品可以长期饲喂","contraindication":"","adverse_reaction":"","attention":"请勿让儿童触摸本品。","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"温室,密闭保存。","validity":"2年","manufacturer":"秦皇带莱银生物科技有限公司","status":1,"created_at":"2021-12-22 18:20:51","updated_at":"2024-07-04 14:07:38"}},"product_sku_info":{"id":815,"product_id":773,"title":"摩登狗肾康宠物营养补充剂 50g\/瓶","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":69,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50g"}},"cover":null,"thumb":"","sale_count":31,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:19:21","updated_at":"2024-09-23 14:30:52"}},"1":{"id":125287,"prescription_id":157400,"doctor_user_id":1734397,"product_id":757,"product_sku_id":799,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-31 17:58:03","updated_at":"2023-10-31 17:58:03","product_info":{"id":757,"hash_id":"EqNmov45JEgnJ5yO","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":168,"sell_point":"宠圣康 宠物添加剂预混合饲料(RD-130)","title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","recommend_reason":{"0":"宠物肾脏疾病相关的氮血症期","1":"高磷血症期、低钾血症期等","2":"宠物肾脏疾病相关的贫血期、血液及尿酸碱值异常期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"贫血,高磷血,低钾血,氮血症,尿酸","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c9f71557f932d319ee0abedf27135bd1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":24,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 09:54:38","ins":{"id":168,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料(RD-100)","common_name":"宠物添加剂预混合饲料(RD-100)","trade_name":"宠圣康","en_name":"Pet additive premixed feed(RD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/dd456360aad2ff5e44d54f1913df7aad.jpg","specification":"60ml\/瓶","reference_price":118,"component":"维生素A、维生素C、维生素E、维生素B,、维生素B。、维生素B,、烟酰胺、叶酸、赖氨酸、牛磺酸、蛋氨酸、柠檬酸钾、硫酸亚铁等","indication":"1.宠物肾脏疾病相关的氮血症期\n2.高磷血症期、低钾血症期等\n3.宠物肾脏疾病相关的贫血期\n4.宠物肾脏疾病相关的血液及尿酸碱值异常期","usage_dosage":"犬猫每4kg体重1ml,以此类推。混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768336","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-17 18:18:13","updated_at":"2024-06-01 18:22:09"}},"product_sku_info":{"id":799,"product_id":757,"title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":75,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/8ba5ea825479f6909eff96c71a6d3c78.jpg","thumb":"","sale_count":25,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 08:37:00"}}},"drug_data_bak":{"0":{"id":125286,"prescription_id":157400,"doctor_user_id":1734397,"product_id":773,"product_sku_id":815,"dose":1,"dose_unit":"勺","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-31 17:58:03","updated_at":"2023-10-31 17:58:03","product_info":{"id":773,"hash_id":"7REJ0W4AzngPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":195,"sell_point":"肾康宠物营养补充剂","title":"摩登狗肾康宠物营养补充剂 50g\/瓶","recommend_reason":{"0":"用于防治犬猫肾衰","1":"改善犬猫肾脏功能,清除附磷、尿毒素等有害物质","2":"降低胆固醇、防止贫血、改善食欲、增强体质等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,胆固醇,贫血,改善食欲,尿毒症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/202d025a70a9c3a586fbfbfa7e213a87.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":31,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:19:21","updated_at":"2024-09-23 14:37:24","ins":{"id":195,"hash_id":"3a0E6Qpj3Z42b9Rk","class_ids":"[1,2]","title":"肾康宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"肾康","en_name":"Nephrowell","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/92e0e5e84ed312b18e26b0475b88a61d.jpg","specification":"50g\/瓶","reference_price":180,"component":"聚氨基葡萄糖、碳酸钙、乳糖","indication":"主要用于治疗和预防犬猫肾衰,针对犬猫的肾衰有很好的效果。\n可以改善犬猫肾脏功能,清除附磷、尿毒素等有害物质。从而降低小肠对这些物质的吸收,降低体内磷水平,起到保护肾脏,恢复肾功能的作用。此外,还能降低胆固醇,防止贫血,改善食欲,增强体质等作用。","usage_dosage":"按照犬猫的体重,每天2次。\n每5公斤体重用1克(约1勺),每天2次,可单独给药,也可与食物混在一起饲喂,与干食物混饲时,可以放少许水将食物弄湿后与本品混合,本品可以长期饲喂","contraindication":"","adverse_reaction":"","attention":"请勿让儿童触摸本品。","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"温室,密闭保存。","validity":"2年","manufacturer":"秦皇带莱银生物科技有限公司","status":1,"created_at":"2021-12-22 18:20:51","updated_at":"2024-07-04 14:07:38"}},"product_sku_info":{"id":815,"product_id":773,"title":"摩登狗肾康宠物营养补充剂 50g\/瓶","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":69,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50g"}},"cover":null,"thumb":"","sale_count":31,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:19:21","updated_at":"2024-09-23 14:30:52"}},"1":{"id":125287,"prescription_id":157400,"doctor_user_id":1734397,"product_id":757,"product_sku_id":799,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-31 17:58:03","updated_at":"2023-10-31 17:58:03","product_info":{"id":757,"hash_id":"EqNmov45JEgnJ5yO","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":168,"sell_point":"宠圣康 宠物添加剂预混合饲料(RD-130)","title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","recommend_reason":{"0":"宠物肾脏疾病相关的氮血症期","1":"高磷血症期、低钾血症期等","2":"宠物肾脏疾病相关的贫血期、血液及尿酸碱值异常期"},"baike_guide_text":"","baike_article_hash_id":"","advword":"贫血,高磷血,低钾血,氮血症,尿酸","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c9f71557f932d319ee0abedf27135bd1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":24,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 09:54:38","ins":{"id":168,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料(RD-100)","common_name":"宠物添加剂预混合饲料(RD-100)","trade_name":"宠圣康","en_name":"Pet additive premixed feed(RD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/dd456360aad2ff5e44d54f1913df7aad.jpg","specification":"60ml\/瓶","reference_price":118,"component":"维生素A、维生素C、维生素E、维生素B,、维生素B。、维生素B,、烟酰胺、叶酸、赖氨酸、牛磺酸、蛋氨酸、柠檬酸钾、硫酸亚铁等","indication":"1.宠物肾脏疾病相关的氮血症期\n2.高磷血症期、低钾血症期等\n3.宠物肾脏疾病相关的贫血期\n4.宠物肾脏疾病相关的血液及尿酸碱值异常期","usage_dosage":"犬猫每4kg体重1ml,以此类推。混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预字(2018)768336","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-17 18:18:13","updated_at":"2024-06-01 18:22:09"}},"product_sku_info":{"id":799,"product_id":757,"title":"蓝特斯宠圣康 宠物添加剂预混合饲料(RD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":75,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/8ba5ea825479f6909eff96c71a6d3c78.jpg","thumb":"","sale_count":25,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:56:43","updated_at":"2024-06-16 08:37:00"}}}}}}
微信扫一扫
立即问宠医