中国药房2017，Vol.28Issue(11)：1561-1566,6.DOI:10.6039/j.issn.1001-0408.2017.11.36
围产期危重症患者药物治疗分析与药学监护
Analysis of Pharmaceutical Treatment and Pharmaceutical Care for Critical Patients at Perinatal Stage
摘要
Abstract
OBJECTIVE:To explore the role of clinical pharmacists in the treatment of critical patients at perinatal stage. METHODS:During the treatment process of 4 critical patients at perinatal stage,according to the patients'special pathophysiolog-ic status (such as urea cycle disorder,dyslipidemia,severe infection,can not recover circulating blood volume rapidly,etc.), weighing the order of priority,based on relevant guidelines and literatures,clinical pharmacists provided individual medication ad-vices in respects of drug selection,medication timing,treatment course,drug combination and dosage adjustment,such as using cefuroxime,reduced glutathione,ursodesoxycholic acid,etc.,stopping drugs timely or adjusting antibiotics therapy plan. They al-so provided pharmaceutical care as lab index determination and ADR monitoring. RESULTS:Physicians adopted clinical pharma-cists'advices,and then 4 critical patients were all recovered. CONCLUSIONS:During the treatment course of critical patients at perinatal stage,clinical pharmacists should select safe and effective drugs as much as possible and adjust therapy plan in time ac-cording to clinical symptoms. When the security runs counter to effectiveness,clinical pharmacists should fully weigh the advantag-es and disadvantages and guarantee the maximum safety of pregnant or delivery women and fetuses.关键词
围产期/危重症患者/临床药师/药物治疗/药学监护Key words
Perinatal stage/Critical patient/Clinical pharmacist/Drug therapy/Pharmaceutical care分类
医药卫生引用本文复制引用
李莉霞,杜隽铭,陆晓彤..围产期危重症患者药物治疗分析与药学监护[J].中国药房,2017,28(11):1561-1566,6.基金项目
新华医院院级临床研究项目(No.15LC11) （No.15LC11）
