期刊文献+

某综合医院重症医学科住院患者经管饲给药的合理性分析 被引量:9

Analysis for Rational Medication through Enteral Feeding Tube in Intensive Care Unit of A General Hospital
下载PDF
导出
摘要 目的评价本院入住重症医学科患者管饲给药的合理性及影响因素。方法采用回顾性分析方法,调查2012-10-10~2012-11-09期间入住本院重症医学科包括外科重症监护室(SICU)、内科重症监护室(MICU)、神经科重症监护室(NICU)40例患者的管饲给药情况,对患者的用药合理性进行评价分析。结果 40例患者均采用经鼻饲管给药,通过鼻饲管给药的药物共有79个品种,共使用3 182次,平均每人使用80次,同一时间给药品种最高可达11种。剂型包括普通片、缓控释片、胶囊、肠溶片、口服液等,不合理应用合计253例次。主要存在问题包括将肠溶片(27例次)经研磨后注入胃管造成药物在胃内失活,缓控释片(80例次)研碎后管饲给药造成药物峰浓度偏高,软胶囊(31例次)胃管给药造成剂量定量不准确等。结论由于医护人员药物专业知识的不足,临床管饲给药存在不合理情况,临床药师应发挥药学专业知识进一步规范合理化管饲给药。 OBJECTIVE To evaluate the rationality of medication through enteral feeding tube in intensive care unit and its influencing factors. METHODS A total of 40 patients administered drugs through enteral feeding tube from October 10,2012 to November 9,2012 in the surgical intensive care unit( SICU),medical intensive care unit( MICU) and the neurosurgical intensive care unit( NICU) were reviewed. Their medications and administration procedures were evaluated and analyzed. RESULTS 79 kinds of drugs( used 3182 times) were administered through nasal feeding tube in all the patients. The varieties of drugs used at the same time were up to 11 kinds. Drugs were available as film tablets,controlled release tablets,capsules,enteric-coated tablets and oral liquid.Unreasonable formulation application included grinding enteric-coated tablets( used 27 times) which causes drug inactivation in the stomach,crushing slow-release tablets( used 80 times) which causes high peak concentration and adverse reactions,and squeezing soft capsules( used 31 times) which casuses in drug dose inaccuracy. CONCLUSION Unreasonable medication given through enteral feeding tubes might occur due to the inadequate pharmaceutical expertise of health care practitioners. Clinical pharmacists should participate in standardize and rationalize the procedures.
出处 《今日药学》 CAS 2015年第2期124-127,共4页 Pharmacy Today
关键词 管饲 重症医学科 临床药师 合理用药 enteral feeding intensive care unit clinical pharmacist rational medication
  • 相关文献

参考文献1

二级参考文献42

共引文献68

同被引文献56

  • 1陈丽珍,杨民锋,曾苏.氯化钾缓释片处方和工艺的优化[J].中国现代应用药学,2006,23(4):311-314. 被引量:2
  • 2朱斌,蔡映云,余波,曹伟新,苏静英,翟青.鼻饲管给药可能发生的问题及对策[J].中国药师,2007,10(4):388-389. 被引量:12
  • 3陈新谦,金有豫,汤光.新编药物学[M].17版.北京:人民卫生出版社,2011:3465.
  • 4徐永能,卢少萍,申铁梅.老年管饲的护理进展[J].中国老年学杂志,2007,27(18):1843-1846. 被引量:7
  • 5江浔,吴德民.老年人胃肠内营养支持的注意事项[J].实用医药杂志,2007,24(5):578-579. 被引量:3
  • 6White R,Bradnam V.Handbook of drug administration via enteral feeding tubes[M].2ed Ed.London:Pharmaceutical Press,2011:23-34,240-241,437-439.
  • 7Martins Gonzaga do Nascimento M,Max Moreira Reis A,Yeznach Wick J,et al.Drug administration through feeding tubes:an integrated qualification program[J].Nutr Hosp,2012,27(4):1309-1313.
  • 8Joos E,Mehuys E,Van Bocxlaer J,et al.Drug administration via enteral feeding tubes in residential care facilities for individuals with intellectual disability:an observational study[J].J Intellect Disabil Res,2015,59(3):215-225.
  • 9Wensel TM.Administration of proton pump inhibitors in patients requiring enteral nutrition[J].P T,2009,34(3):143-160.
  • 10Zhu LL,Xu LC,Wang HQ,et al.Appropriateness of administration of nasogastric medication and preliminary intervention[J].Ther Clin Risk Manag,2012(8):393-401.

引证文献9

二级引证文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部