咨询描述:5岁多的猫猫,2月9日因为右后腿有点瘸 ,到医院拍了片子,说是韧带拉伤,开了止痛药和消炎药,10日晚开始到今天凌晨呕吐3次,开始是食物,今天是粘液,里面有少量血块
问题大致一样,细节不同?
于博
执业兽医师
好的,猫咪目前精神状态喝食欲怎么样呢?
食物有变化吗?有饲喂新的食物吗?
排便排尿正常吗?
目前精神状态还可以,白天饮食排尿排便正常!昨天晚上9点到今天凌晨4点,呕吐3次,凌晨呕吐透明粘液,里面有小血块
于博
执业兽医师
好的,那首先考虑吧是应激性胃溃疡胃炎,建议可以再禁食禁水观察5小时,没有呕吐再少吃多餐给予软的食物
医生你好,猫猫早上禁食,下午分两次吃了个猫条,又吃了20g罐头,没再呕吐,接下来怎么处理,需要吃药吗?
于博
执业兽医师
好的,继续少吃多餐饲喂48小时,饲喂***和西米**修复一下胃黏膜,稍后给您开个处方
于博
执业兽医师
1.*** 一天两次 一次半片
2.西米** 一天三次 一次四分之一片
饲喂一周
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
{"633326":{"id":633326,"case_id":69911,"user_id":1734397,"to_user_id":2493296,"type":3,"content":"1.*** 一天两次 一次半片\n2.西米** 一天三次 一次四分之一片\n饲喂一周","media":{"images":{},"videos":{},"business_params":{"prescription_id":167418}},"is_doctor":1,"status":1,"created_at":"2024-02-11 19:50:20","show_rx":true,"rx_info":{"id":167418,"rx_no":2.02402111948475e+24,"user_id":2493296,"doctor_user_id":1734397,"is_independent":0,"case_id":3235591,"pet_info":{"pet_id":436378,"pet_name":"加菲猫","pet_nickname":"松子","pet_gender":3,"pet_birth":"5-9","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"5岁9个月"},"diagnose":"拟应激性胃炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-02-11 19:48:47","updated_at":"2024-02-11 19:50:20","deleted_at":null,"from_source":"online","template_id":271,"drug_data":{"0":{"id":147151,"prescription_id":167418,"doctor_user_id":1734397,"product_id":728,"product_sku_id":770,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-02-11 19:48:47","updated_at":"2024-02-11 19:48:47","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":293,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-20 13:34:38","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":543,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":307,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-21 22:49:09"}},"1":{"id":147152,"prescription_id":167418,"doctor_user_id":1734397,"product_id":1138,"product_sku_id":1197,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2024-02-11 19:48:47","updated_at":"2024-02-11 19:48:47","product_info":{"id":1138,"hash_id":"bEoKq1xnRaxMNkRy","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g×32片\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":100,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:42:29","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":1197,"product_id":1138,"title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","advword":null,"price":78,"market_price":108,"cost_price":0,"stock":890,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g×32片\/拆零"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/4a970be94fb113f1c8dd0f985ecd3dae.jpg","thumb":"","sale_count":110,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:20:24"}}},"drug_data_bak":{"0":{"id":147151,"prescription_id":167418,"doctor_user_id":1734397,"product_id":728,"product_sku_id":770,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-02-11 19:48:47","updated_at":"2024-02-11 19:48:47","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":293,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-20 13:34:38","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":543,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":307,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-21 22:49:09"}},"1":{"id":147152,"prescription_id":167418,"doctor_user_id":1734397,"product_id":1138,"product_sku_id":1197,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2024-02-11 19:48:47","updated_at":"2024-02-11 19:48:47","product_info":{"id":1138,"hash_id":"bEoKq1xnRaxMNkRy","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g×32片\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":100,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:42:29","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":1197,"product_id":1138,"title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","advword":null,"price":78,"market_price":108,"cost_price":0,"stock":890,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g×32片\/拆零"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/4a970be94fb113f1c8dd0f985ecd3dae.jpg","thumb":"","sale_count":110,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:20:24"}}}}}}
微信扫一扫
立即问宠医