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临床药师参与1例AECOPD合并肺部感染患者的治疗实践

鲍光植 田璐璐 周陶然 祝德秋

中国药房Issue(32):4584-4585,4586,3.
中国药房Issue(32):4584-4585,4586,3.DOI:10.6039/j.issn.1001-0408.2015.32.44

临床药师参与1例AECOPD合并肺部感染患者的治疗实践

Participation of Clinical Pharmacists in the Therapy for a Case of AECOPD Complicated with Pulmonary In-fection

鲍光植 1田璐璐 1周陶然 1祝德秋1

作者信息

  • 1. 同济大学附属同济医院,上海 200092
  • 折叠

摘要

Abstract

OBJECTIVE:To investigate the role of clinical pharmacists in the therapy for acute exacerbation of chronic obstruc-tive pulmonary diseases (AECOPD) complicated with pulmonary infection. METHODS:Clinical pharmacists participated in the therapy for a case of acute exacerbation of AECOPD complicated with pulmonary infection. According to the patients’signs,assis-tant examination and disease condition,clinical pharmacists provided suggestions,i.e. Piperacillin sodium and sulbactam sodium for injection (4∶1) 5.0 g,ivgtt,q12 h,for anti-infective treatment;Bisacodyl enteric-coated tablet 5 mg,po,qd,for promoting defecation;Clostridium butyricum viable bacteria tablet 20 mg,po,tid,for regulating gastrointestinal flora;Pinaverium bromide tablet 50 mg,po,tid,for regulating gastrointestinal smooth muscle tension;Shexiang baoxin pills 22.5 mg,po,tid,instead of flu-id infusion for protecting heart,and isosorbide 5-mononitrate 20 mg,po,tid,for preventing angina pectoris;Cefminox capsule 100 mg,po,tid,for anti-infective treatment;fluconazol 0.4 g,ivgtt,qd,for antifungal treatment,and Bacillus licheniformis 500 mg,po, tid,for preventing alteration of intestinal flora. RESULTS:The physicians adopted clinical pharmacist’s suggestions. No ADR was found during treatment,and the patients transferred to ordinary ward after the disease condition had been controlled. CONCLU-SIONS:The participating of clinical pharmacists in pharmaceutical care can promote rational drug use in the clinic and guarantee the safety of drug use.

关键词

慢性阻塞性肺疾病急性加重期/继发真菌感染/高血压/临床药师

Key words

Acute exacerbation of chronic obstructive pulmonary diseases/Secondary fungus infection/Hypertension/Clini-cal pharmacist

分类

医药卫生

引用本文复制引用

鲍光植,田璐璐,周陶然,祝德秋..临床药师参与1例AECOPD合并肺部感染患者的治疗实践[J].中国药房,2015,(32):4584-4585,4586,3.

中国药房

OA北大核心CSTPCD

1001-0408

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