摘要
目的探讨临床药师在房颤卒中患者药学监护中的作用。方法临床药师积极参与房颤脑卒中合并尿路感染患者治疗策略的制定,通过对患者进行卒中病因分型,分析华法林与抗菌药物相互作用及其对华法林抗凝治疗的影响,为临床医师提供充分的决策依据和合理的药物治疗建议,同时对患者出院带药进行用药教育。结果对于服用华法林的房颤卒中患者,在合并感染的情况下,临床药师协助医师为患者制定出合理的治疗策略。结论临床药师参与多学科治疗团队,能为药物治疗决策提供积极帮助,为患者提供合理的用药宣教,保证临床用药安全、有效。
Objective To determine the role of clinical pharmacists in the pharmaceutical care for a patient with acute cerebral infarction and atrial fibrillation. Methods Clinical pharmacists participated in making treatment plan for an acute cerebral infarction patient with atrial fibrillation and urinary tract infection. Through the classification of stroke subtypes according to TOAST criteria, as well as analysis of interaction between warfarin and antimicrobial agents and their impact on warfarin anticoagulation therapy, clinical pharmacists provided and reasonable recommendations for clinicians. Besides, medicine education materials were timely provided to the patient before being discharged from the hospital. Results Clinical pharmacists helped doctors develop rational treatment strategies for the patient. Conclusion As part of the multidisciplinary team, clinical pharmacists can offer suggestions in developing therapeutic strategies, and provide medicine education for patients to ensure the safety and effectiveness of drug use.
出处
《中南药学》
CAS
2018年第1期121-125,共5页
Central South Pharmacy
基金
湖南省药学会医院药学--正大天晴研究基金(No.hn2017009)
关键词
临床药师
房颤
卒中
华法林
药学监护
clinical pharmacist
atrial fibrillation
stroke
warfarin
pharmaceutical care
