狗狗输液后肌酐和尿素氮指标还是升高

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患宠信息:拉布拉多/妹妹/10岁10个月

咨询描述:于医生您好,我家狗狗一个月前出现呕吐的症状,呕吐物主要是狗粮,这期间我们给他喂食了***,但是没有得到缓解,然后到了宠物医院输液查了血液生化指标才发现它的肌酐指标还有尿素氮的指标都比较高,这几天都在宠物医院连续输液,但是输了三天以后今天复查肌酐和尿素氮的指标仍然在继续升高,所以想咨询一下您的治疗建议 狗狗是10岁的拉布拉多,母狗,未做绝育,曾经生育过小狗 医院检查:然后我分别上传一下这三次的检验,结果这三次分别是在3月9号、3月11号和3月13号进行的检查

问题大致一样,细节不同?

点击获取针对性解答

于博

执业兽医师

好的,目前狗狗状态怎么样呢?饮食、精神;有哪些临床症状吗? 有做超声好和拍片子看一下肾脏大小和结构吗? 都用了什么药物呢?只输液有用口服药物吗?有饲喂肾脏处方粮吗? 血气电解质有做吗?

1、狗狗状态:自从开始输液,以后精神状态就急转直下,本来最开始只是呕吐,但是他会吃东西也要喝水,输液之后也开始不吃不喝了;2.除了输液之外,医生没有给其他的口服药物;3.目前狗狗他不吃狗粮,然后我给他购买了肾脏的处方罐头,但是现在还没到不确定他吃不吃;4.血气电解质的检查,就在我发给您的第四张图片就是,麻烦您帮忙看看

这个是狗狗的X光片,然后当时有做B超看他的肾脏,医生说肾脏从形态上来看没有什么大问题

为保护用户隐私不显示图片/视频

于博

执业兽医师

好的,片子上肾脏大小形状无异常,还需要进一步做个超声看一下内部髓质皮质是否正常。 另外红圈表记横隔位置有异常怀疑是肿瘤。 需要输液同时口服肾脏药物,稍后给您开个处方参考降肌酐和尿素氮。如果罐头自己不主动吃需要人工强饲,要满足每天的营养需求。 电解质看是有代谢性酸中毒,状态不好和输液没有关系还是疾病持续发展

为保护用户隐私不显示图片/视频

于博

执业兽医师

1.*** 一天一次 一次2片 2.** 一天两次 一次6勺 先继续治疗一周看情况

好的,谢谢医生,那请问我们可以就让狗狗在家根据您开的这个药物口服药物观察情况吗?因为狗狗去宠物医院输液太遭罪了,输了一天下来他就会不吃不喝,感觉这样也撑不了多久。

这两种药请问是都可以随餐服用吗?

作为狗狗的主人,因为自己也并不是这个专业领域的工作者,所以说只能根据宠物医生的建议进行治疗,但是狗狗现在的情况就好像家里的老人突然得了重病,如果让他继续呆在医院,他会很痛苦,虽然说能延长寿命,但是这个时间他也是很难受的,但如果放弃治疗的话,他生活的周期短一点,可是他在家再怎么都会要快乐一些,狗狗已经10岁了,确实感觉整个身体机能突然都在下降,可能不止这一个点有问题,所以我想问一问在这个基础之上,我们在家还可以做一些什么努力,尽可能减轻狗狗的痛苦,我们就想着通过服用药物和我们的控制饮食来照顾她

于博

执业兽医师

好的,如果您就是想让狗狗能舒服一些,无所谓无力存活 那可以在家口服药物和进食,一定保证饮食混合 口服药饲喂 每周去做个血常规和生化检查看一下指标情况 如果目前狗狗排尿很少建议还是再输两天把水分补充一下并且调节一下酸中毒的情况

好的,谢谢于医生,请问肉类的鸡胸肉和鸭胸肉可以喂给她吗?

于博

执业兽医师

好的,最好不要饲喂,肉类都是高蛋白食物,只饲喂处方罐头或者粮食

请问还有什么方式可以通过药物调解酸中毒吗?确实狗狗感觉折腾不了医院了,前前后后花了也有几大千了。

于博

执业兽医师

那您就让医生教您操作在家皮下补液也可以的

医生建议及处方根据当前病情给出,仅适用于本次问诊

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罗斌伟

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您好,家长,感谢您对我的信任!问题我已经看到,正在进行分析,并编辑文字回复您的问题。为了更多了解病情,我需要知道 除了尿素氮和肌酐指标,还有做过肾脏其他检查吗?比如形态学B超检查?现在还有没有检查报告

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