摘要
目的:探讨临床药师在面对心力衰竭合并低钠血症患者时应如何进行药学监护。方法:临床药师从低钠血症的形成机制、高危诱发因素等方面对低钠血症的用药进行分析和讨论,并实施药学监护。结果:在心力衰竭合并低钠血症患者的药学监护中,临床药师可通过合理使用利尿药,制订个体化限盐方案、补盐措施,监测并纠正低蛋白血症及低钾血症等方式,实现对低钠血症的有效防护及纠正。结论:应深入了解低钠血症的形成机制、危险诱发因素及预防措施,结合患者具体情况,开展个体化的低钠血症药学监护。
OBJECTIVE： To explore the way to provide pharmaceutical care for patients with heart failure complicating with hy- ponatremia by clinical pharmacists. METHODS： The medication of hyponatremia was analyzed and discussed in respect of patho- genesis and risk factors, and the key points of pharmaceutical care were provided. RESULTS： In the clinical pharmaceutical care, rational use of diuretics, appropriate salt intake and the correcting of hypoalbuminemia or low potassium were found effectively on the control of hyponatremia in patients with heart failure. CONCLUSIONS： Individual pharmaceutical care should be provided on the base of the patient＇ s individual characteristics in addition with deeply learning about the pathogenesis, risk factors and precau- tion of hyponatremia.
出处
《中国药房》
CAS
CSCD
2014年第14期1331-1333,共3页
China Pharmacy
关键词
心力衰竭
低钠血症
药学监护
Heart failure
Hyponatremia
Pharmaceutical care
