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1例肾移植术后合并多重肺部感染患者的药学监护

朱愿超 胡永芳 杨莉萍 胡欣

中国药房2015,Vol.26Issue(35):5022-5024,3.
中国药房2015,Vol.26Issue(35):5022-5024,3.DOI:10.6039/j.issn.1001-0408.2015.35.45

1例肾移植术后合并多重肺部感染患者的药学监护

Pharmaceutical Care for a Patient with Multiple Pulmonary Infection after Renal Transplantation

朱愿超 1胡永芳 2杨莉萍 1胡欣1

作者信息

  • 1. 卫生部北京医院药学部/药物临床风险与个体化应用评价北京市重点实验室,北京 100730
  • 2. 北京清华长庚医院药剂科,北京 102218
  • 折叠

摘要

Abstract

OBJECTIVE:To investigate the role of clinical pharmacists in the therapy for patient with multiple pulmonary in-fection after renal transplantation. METHODS:Clinical pharmacists participated in drug therapy for a patient with multiple pulmo-nary infection after renal transplantation,and assisted physicians to formulate primary therapy plan:ganciclovir 250 mg,ivgtt,q12 h+ Cefoperazone sodium and sulbactam sodium 3 g,ivgtt,bid+ methylprednisolone 80 mg,ivgtt,qd+ Compound sulfamethoxazole tablet,2 piece,po,qd+Ciclosporin soft capsule 75 mg,po,q12 h+Sodium bicarbonate tablet 1 g,po,qd+Nifedipine controlled release tablet 30 mg,po,qd+Famotidine tablet 20 mg,po,bid. The dose of ganciclovir was adjusted twice because of complica-tion cytomegaloviral pneumonia;the dose of ganciclovir was adjusted twice because of complication pneumocystis pneumonia. Pre-vention and disposal of ADR,patient education were also conducted. RESULTS:Physicians adopted the suggestion of clinical phar-macists;the pulmonary infection had been controlled,and the patient was discharged from hospital. CONCLUSIONS:Clinical pharmacists identify the breakthrough point to promote rational drug use,indicating the value of pharmaceutical care in the clinical treatment.

关键词

肾移植/多重肺部感染/巨细胞病毒肺炎/肺孢子菌肺炎/药学监护

Key words

Renal transplantation/Multiple pulmonary infection/Pneumocystis pneumonia/Cytomegalovirus pneumonia/Pharmaceutical care

分类

医药卫生

引用本文复制引用

朱愿超,胡永芳,杨莉萍,胡欣..1例肾移植术后合并多重肺部感染患者的药学监护[J].中国药房,2015,26(35):5022-5024,3.

中国药房

OA北大核心CSTPCD

1001-0408

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