摘要
本文探讨了首都医科大学附属北京朝阳医院精准用药门诊对老年多重用药患者实施药物治疗管理(medication therapy management, MTM)的工作模式。精准用药门诊药师对1例多重用药并出现咳嗽、失眠、下肢水肿、肌酸激酶升高临床表现的老年患者实施全程MTM,对患者进行治疗药物回顾,药物重整,结合药物基因检测结果制定个体化用药方案并跟踪随访。1个月后患者门诊随访,咳嗽、失眠、下肢水肿等症状明显改善,肌酸激酶正常,整体情况良好。药师凭借药学专业知识,借助基因检测等辅助手段,为老年患者提供MTM服务,解决治疗药物问题,提升药师作用和价值。
This paper explored the working mode of medication therapy management for elderly patients using multiple drugs in precision pharmacy clinic of Chaoyang Hospital,Capital Medical University.The pharmacists in precision pharmacy clinic implemented medication therapy management(MTM) in one patient using multiple drugs with cough,insomnia,lower extremity edema,and elevation of creatine kinase,including medication therapy review,medication reconciliation,developing individualized medication regimen considering the results of gene polymorphism testing,and follow-up. After one month of follow-up,the patient was in good condition with significantly improved symptoms of cough,insomnia,lower extremity edema and normal creatinine kinase. Pharmacists can provide MTM for elderly patients and solve drug-related problems by relying on professional knowledge and genetic testing so as to enhance the roles and value of pharmacists.
作者
马卓
张彩霞
崔向丽
刘丽宏
MA Zhuo;ZHANG Cai-xia;CUI Xiang-li;LIU Li-hong(Department of Pharmaceutical Affairs,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Pharmacy ,Civil Aviation General Hospital,Beijing 100123,China)
出处
《临床药物治疗杂志》
2018年第11期86-89,共4页
Clinical Medication Journal
关键词
精准用药门诊
老年患者
多重用药
药物不良反应
precision pharmacy clinic
elderly patients
polypharmacy
adverse drug reaction
