中国医院用药评价与分析Issue(6)：554-557,558,5.
临床药师参与1例肾病综合征并发尿路感染患者治疗的药学实践
Clinical Pharmacists’Pharmacy Practice for a Patient with Nephrotic Syndrome Associated with Urinary Tract Infection
彭玲娜1
作者信息
- 1. 永州市中心医院 南院 药剂科，湖南永州 425006
- 折叠
摘要
Abstract
OBJECTIVE:To explore the value of clinical pharmacists in rational use of drugs and the guidance role of the phar-maceutical theory on clinical practice. METHODS:Through participating in the course of treatment of patients with nephrotic syn-drome associated with urinary tract infection,an analysis was performed with regard to hormonal therapy,anti-infective therapy, anticoagulant therapy,blood lipid-regulating therapy and antihypertensive therapy,and the established regimens were adjusted based on clinical efficacy and changes in patients’pathogenetic condition. RESULTS:Clinical pharmacists suggested that the pa-tients should take hormone drugs regularly and their side effects should be prevented by using vitamin D3 and anti-acid agents;piperacillin/ tazobactam or cefoperazone/ sulbactam should be used as anti-infective therapy;when using warfarin,the concurrent-ly used low molecular heparin or piperazine ferulate should be reduced in dosage;it is better for fluvastatin used alone as lipid-reg-ulating therapy;perindopril antihypertensive therapy should be started in small dose for slow blood pressure reduction. The optimiza-tion of regimen and education among patients resulted in improved clinical outcome and fewer adverse drug reactions. CONCLU-SIONS:Clinical pharmacists optimize the medication regimen in patients with nephrotic syndrome associated with urinary tract in-fection by applying pharmacy theoretical knowledge,providing individualized pharmaceutical care and promoting rational use of drugs.关键词
药学实践/肾病综合征/尿路感染/临床药师Key words
Pharmaceutical practice/Nephrotic syndrome/Urinary tract infection/Clinical pharmacists分类
医药卫生引用本文复制引用
彭玲娜..临床药师参与1例肾病综合征并发尿路感染患者治疗的药学实践[J].中国医院用药评价与分析,2014,(6):554-557,558,5.
