中国药房2016，Vol.27Issue(5)：708-710,3.DOI:10.6039/j.issn.1001-0408.2016.05.45
1例乳腺癌合并静脉血栓栓塞患者的抗凝方案优化
Optimization of Anticoagulants Treatment Plan for One Case of Breast Cancer Complicated with Venous Thromboembolism
李晨露 1潘宏铭 2沈丽蓉 2邵华1
作者信息
- 1. 东南大学附属中大医院,南京 210009
- 2. 浙江大学医学院附属邵逸夫医院,杭州 310016
- 折叠
摘要
Abstract
OBJECTIVE:To explore optimization method and effect of clinical pharmacists on anticoagulants therapy plan for cancer patient with venous thromboembolism(VTE). METHODS:Clinical pharmacists participated in the whole process of antico-agulant therapy for one case of breast cancer complicated with VTE. Clinical pharmacists suggested patient to initially take low mo-lecular weight heparin sodium 0.6 ml,sc,qd;and then take Warfarin sodium tablet 3 mg,po,qd;initial plan and oral dosage form plan superimposed and alternated,and pharmaceutical care and medication education were also provided for the patient. RESULTS:Physicians adopted clinical pharmacist's suggestions,and the patient received anticoagulant therapy for 27 days and paclitaxel che-motherapy once. Coagulation function INR was 2.71;the patient didn't felt discomfort and then discharged from hospital. CON-CLUSIONS:The participation of clinical pharmacists in the optimization of individualized anticoagulant therapy and pharmaceutical care is able to promote rational drug use,prevent severe ADR in the clinic,guarantee the safety of drug use and improve medica-tion compliance.关键词
乳腺癌/静脉血栓栓塞/华法林/临床药师/药学监护Key words
Breast cancer/Venous thromboembolism/Warfarin/Clinical pharmacist/Pharmaceutical care分类
医药卫生引用本文复制引用
李晨露,潘宏铭,沈丽蓉,邵华..1例乳腺癌合并静脉血栓栓塞患者的抗凝方案优化[J].中国药房,2016,27(5):708-710,3.
