咨询描述:陈医生,我家狗狗肾腺癌,术后八个月转移至肺部,之前找您看过,因多发,没法手术,且化疗宠物比较受罪,所以目前药物保守治疗。您帮我看下,目前用药情况如下:***的两种药和***应该属于保健品,我个人觉得长期吃问题不大。主要就是止咳药Baytril和***康,每天都有吃可行?会不会加重肾脏负担?请求指导。另外这几种您帮我开个处方,谢谢。
问题大致一样,细节不同?
陈奕达
执业兽医师
你好,感谢信任,谢谢。根据您的描述,
上述几个药物中,***以及***康确实不能长期服用,如果需要使用的情况下,建议按照疗程服用,一般1周一个疗程。然后如果状态平稳(炎症以及疼痛感),那么一个疗程之后,建议停药观察。
其它几个药物,可以长期服用,这个是没有问题的。
然后根据图片药物,我给宝贝开个处方(药物有一定优化)。供你采纳参考,以备不时之需。
处方里面的
1. ***,提高免疫力,增加肿瘤抗性。
2. ***,宠物专用广谱消炎用药,控制炎症问题。
3. ***,宠物专用抗炎用药,能够起到抗炎,止疼效果。(可以替代***康,副作用此***康更低)
可以根据需求自行选择购买。
***以及丰兹益平台没有货,暂时无法帮您开具,可以去附近靠谱宠物医院购买。
依据什么停药呢?小家伙目前症状:不喜动,咳嗽频率比之前高,体重下降两斤,食欲不是太好,我如何判断她疼还是不疼?所以止疼和止咳一直在用药……
陈奕达
执业兽医师
停药标准就是症状缓解,例如咳嗽症状频率降低,复查血液炎症治疗恢复正常数值。
如果疼痛,狗狗会出现嚎叫,不让碰,食物全无,精神状态极度萎靡。
如果狗狗的状态一直不好,那么就只能考虑进行维持性用药,这个确实没有太好的方法。
那倒还没有不让碰,咳嗽多在清晨起床这个时段,那我停一段时间吧,也就说有必要再去做个血检,对吧
陈奕达
执业兽医师
早上咳嗽,有可能是因为空气冷,或者干燥导致的。
可以尝试保温,并且使用空气加湿器,观察一下。
血液常规检查,还是很有必要定期复查一下的。
好的,谢谢您。怕进医院,怕毛孩子遭罪,所以10月份复查至今,没再去过医院。毛孩子以前一周洗一次澡,现在天冷,加之身体状况,一个月洗一次了
陈奕达
执业兽医师
降低洗澡频率是对的,因为现在天气因素,容易着凉。
进行血液常规抽血还行,并不是跟遭罪的检查。抽血量也不是很多。
谢谢陈医生,饮食上有什么好的办法吗?狗粮基本上不吃了,买的鸡胸肉,吃了一段时间也不要吃了😓
陈奕达
执业兽医师
饮食上可以尝试一些易消化的罐头,例如康复期专用的处方罐头。不要多买,先购买一个两个,试一下狗狗是否喜欢吃。
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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