中国药房2016，Vol.27Issue(26)：3729-3731,3732,4.DOI:10.6039/j.issn.1001-0408.2016.26.42
临床药师参与1例慢性肾衰竭患者药物治疗的实践与分析
Practice and Analysis of Clinical Pharmacists Participating in the Treatment for A Patient with Chronic Renal Failure
王靖 1宁重博 2张翠娥 2王彬 3张凤云 1马晓霞1
作者信息
- 1. 牡丹江医学院第二附属医院肾内科，黑龙江牡丹江157015
- 2. 大连伊诺生物有限公司，辽宁大连 116000
- 3. 牡丹江医学院第二附属医院药剂科，黑龙江牡丹江157015
- 折叠
摘要
Abstract
OBJECTIVE:To investigate the role of clinical pharmacists in the treatment for patients with chronic renal failure. METHODS:Clinical pharmacists participated in the treatment process for a patient with chronic renal failure during uremia period;assisted physicians to optimize and improve therapy plan from correcting anemia,controlling blood pressure,improving heart func-tion and regulating ion disorder,etc.;suggested adding dosing frequence of Felodipine sustained-release tablet,Metoprolol tartrate tablet and Shenqiong glucose injection,and giving Benazepril hydrochloride tablet and Isosorbide 5-mononitrate sustained-release tablet. They also suggested adjusting the dosage of rhEPO and the dosage form of ferralia,increasing the dosage of Calcitriol cap-sule and Calcium carbonate tablet,decreasing dosing frequence of 5% Glucose injection and Levocarnitine for injection,and giv-ing Vitamine B12 tablet. Therapeutic efficacy and ADR should be observed closely during treatment,and medication education should be performed for the patient. RESULTS:Physicians adopted the suggestions of clinical pharmacists. The patient was im-proved and discharged from hospital with drugs 28 days later. CONCLUSIONS:Clinical pharmacists participate in the individual-ized treatment for patients with chronic renal failure and assist physicians to optimize therapy plan,which promote the clinical effec-tiveness and safety of drug treatment.关键词
临床药师/药学监护/慢性肾衰竭Key words
Clinical pharmacists/Pharmaceutical care/Chronic renal failure分类
医药卫生引用本文复制引用
王靖,宁重博,张翠娥,王彬,张凤云,马晓霞..临床药师参与1例慢性肾衰竭患者药物治疗的实践与分析[J].中国药房,2016,27(26):3729-3731,3732,4.
