临床药师参与1例肝衰竭患者糖皮质激素治疗的分析与药学监护
投稿时间:2018-01-30  修订日期:2018-04-13  点此下载全文
引用本文:范梦瑶,宋琳,田泾.临床药师参与1例肝衰竭患者糖皮质激素治疗的分析与药学监护[J].药学实践杂志,2018,36(5):464~467
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作者单位E-mail
范梦瑶 第二军医大学附属长海医院药学部, 上海 200433
南京医科大学附属无锡第二医院药学部, 江苏 无锡 214002 
 
宋琳 海军机关门诊部耳鼻喉科, 北京 100841  
田泾 第二军医大学附属长海医院药学部, 上海 200433 50956881@qq.com 
中文摘要:目的 探讨临床药师参与患者药物治疗方案的制订和药学监护的方法。方法 结合1例乙型肝炎相关慢加急性肝功能衰竭患者的糖皮质激素治疗方案,分析糖皮质激素治疗的机制、应用时机、剂量疗程,并对相关不良反应进行药学监护。结果 临床药师的意见被采纳,患者经治疗后病情趋于好转。结论 临床药师参与患者治疗及药学监护,协助医生进行给药方案的调整,有助于药物治疗的安全性和有效性。
中文关键词:肝衰竭  糖皮质激素  药学监护
 
Case study and clinical pharmacists participated pharmaceutical care in glucocorticoids treatment for a patient with liver failure
Abstract:Objective To explore how clinical pharmacists participating in medication regimen design and carrying out pharmaceutical care. Methods The clinical pharmacist participated in the therapy for a patient with acute-to-chronic liver failure associated with hepatitis B and adjusted the glucocorticoid administration time and dosage based on the mechanism of glucocorticoid action. Results Physicians accepted clinical pharmacist's suggestion and the patient recovered well after the treatment. Conclusion The clinical pharmacist's participation in the treatment and the optimization of medication regimen improved the safety and efficacy of drug treatment.
keywords:liver failure  glucocorticoids  pharmaceutical care
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