摘要
目的探讨临床药师开展药学监护对促进临床合理用药及药物不良反应发生、诊断及处置的影响。方法以患者住院期间发生药物不良反应的具体案例为样本,临床药师对患者实施药学监护,开展用药医嘱审查、药学查房、用药方案调整等药学监护工作;协助临床医生对患者临床表现/症状是否属药物不良反应进行判断和处理,藉此简述临床药师参与临床治疗团队的重要意义。结果临床药师利用专业知识,查阅文献,结合患者临床表现,初步判断患者临床症状为可疑药物左亚叶酸钙和三磷酸腺苷引发的罕见药物不良反应,遂建议临床停用可疑药物,患者不良反应症状得以解除并完全好转出院。结论临床药师参与药物治疗团队,加强药学监护,在促进临床合理用药,减少药物不良反应。
Objective To explore the influence of pharmaceutical care by clinical pharmacist on the promotion of clinical rational drug use and the occurrence,diagnosis and treatment of adverse drug reaction（ ADR）. Methods Taking a specific case of hospitalized patient with adverse drug reactions as an example,clinical pharmacists provided pharmaceutical care for the patient,including medication order review,pharmacy rounds,medication regimen adjustment,and assisted clinicians to judge whether the clinical manifestations/symptoms of the patient were ADRs or not,and finally dealt with it. The significance of clinical pharmacists participating in clinical treatment team was briefly elaborated. Results Based on professional knowledge,literature review,and clinical manifestations of the patient,clinical pharmacist preliminary judged that the clinical symptoms of the patients were adverse drug reactions induced by suspected drugs（ calcium levofolinate and ATP）,and recommended clinical withdrawal of suspected drugs. The symptoms of the patient were relieved and the patient was discharged. Conclusion Clinical pharmacists play a positive role in promoting rational drug use,reducing adverse drug reactions,and ensuring medication safety for patients by participating in medicine treatment team and strengthening pharmaceutical care.
出处
《实用药物与临床》
CAS
2017年第9期1086-1089,共4页
Practical Pharmacy and Clinical Remedies
关键词
临床药师
药学监护
药物不良反应
左亚叶酸钙
ATP
Clinical pharmacist
Pharmaceutical care
Adverse drug reaction/ADR
Calcium levofolinate
ATP
