狗狗从沙发上摔下来十字韧带撕裂肾衰怎么办
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咨询描述:狗狗周三、五从沙发上摔下来(未摔倒脑袋,摔倒后脚),周五发现右脚走路打飘并且小狗精神状态不好,周五晚去医院拍片,医生说右脚十字韧带撕裂,回家静养,周六给狗狗喂了***。周天发现狗狗精神愈加的不太好,并伴随全身发抖,后脚也无法走路。周天中午去医院抽血拍片,医生判定是肾衰竭(诊断结果见图片1、2),周天下午开始吊水(用药情况见图片3),今早血气结果(见图片4)。现在血钾降下来了,但是钠和氯也将很多。想问下医生 根据第一次拍片结果狗狗是否是肾衰以及后续用药情况是否没问题。
问题大致一样,细节不同?
于博
执业兽医师
好的,结果提示是有肾衰竭的情况,用药没有问题。低血氯和低血钠,后续用生理盐水输液就可以。应该是之前使用利尿剂排尿引起流失情况
好的,谢谢医生。狗狗现在指标情况还算是很危险状态吗?
于博
执业兽医师
指标如果陆续好转,临床症状也逐渐好转,应该就没有问题,还有后续看肾脏指标,是否形成慢性肾病还是回复正常的情况。之前钾大于9是很危险的
好的,谢谢医生。之后好转后,对于日常的护理有什么需要注意的地方吗
于博
执业兽医师
因为有过肾衰竭,如果指标都恢复正常,需要一个月后复查一下指标。之后每年体检1次。如果转为慢性肾衰就需要常年吃药控制,需要前期每半个月复查一次指标。
另外之前说髌骨韧带有问题,如果是偶尔三条腿走路可以暂时不手术,保持日常维护,不要蹦跳,两条腿站立。上下楼需要抱着,每天饲喂***维护,控制体重不要过胖。
后续如果三条腿走路或者点脚特别频繁考虑手术治疗康复。
于博
执业兽医师
*** 一天一次 一次一片 降肌酐,尿素氮,降血磷,指标正常不需使用
于博
执业兽医师
不客气非常感谢您对蘑菇宠医的信任。如果我的回答能够帮到您,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。后续宠物有其他问题,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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