中国药房2016，Vol.27Issue(20)：2861-2863,3.DOI:10.6039/j.issn.1001-0408.2016.20.41
1例妊娠期高脂血症相关性重症急性胰腺炎患者的药物治疗分析
Analysis of Drug Therapy for a Case of Severe Acute Pancreatitis Induced by Hyperlipidemia during Preg-nancy
陈清清 1李莉霞2
作者信息
- 1. 上海市同仁医院/上海交通大学医学院附属同仁医院药学部，上海 200336
- 2. 上海交通大学医学院附属新华医院药学部，上海 200092
- 折叠
摘要
Abstract
OBJECTIVE:To investigate the role of clinical pharmacists in the therapy for sever acute pancreatitis induced by hy-perlipidemia(HL-SAP)patient. METHODS:Clinical pharmacists participated in the therapy for a pregnant patient with HL-SAP af-ter cesarean section,assisted physicians to optimize therapy plan through analyzing the disease condition according clinical guide and relevant literatures. Clinical pharmacists suggested to decrease atorvastatin 20 mg,qd to 10 mg,qd in order to avoid the risk of rhabdomyolysis and liver injury. When patient’s hemogram kept stable and infection had been controlled,clinical pharmacists suggested antibiotics de-escalation treatment:Levofloxacin injection 0.5 g,ivgtt,qd+Metronidazole injection 0.5 g,ivgtt,q12 h in-stead of meropenem. RESULTS:Physicians adopted the suggestions of clinical pharmacists. The patient was recovered and transfer to gastroenterology department 15 d later. CONCLUSIONS:Clinical pharmacists provide pharmaceutical care for HL-SAP patient after cesarean section,and assist physicians to formulate therapy plan so as to reduce the incidence of ADR effectively and guaran-tee the safe and effective use of drugs.关键词
高脂血症/重症急性胰腺炎/药学监护/临床药师Key words
Hyperlipidemia/Severe acute pancreatitis/Pharmaceutical care/Clinical pharmacists分类
医药卫生引用本文复制引用
陈清清,李莉霞..1例妊娠期高脂血症相关性重症急性胰腺炎患者的药物治疗分析[J].中国药房,2016,27(20):2861-2863,3.
