中国药房2017，Vol.28Issue(20)：2858-2861,4.DOI:10.6039/j.issn.1001-0408.2017.20.35
1例AECOPD伴良性前列腺增生患者使用支气管扩张药致急性尿潴留的药学监护
Pharmaceutical Care for a AECOPD Patient with Benign Prostatic Hyperplasia and Bronchodilators-in-duced Acute Urinary Retention
何霖 1杨培洪 1程模 1蔡雨君2
作者信息
- 1. 重庆市垫江县人民医院药剂科,重庆 408300
- 2. 重庆市垫江县人民医院呼吸内科,重庆 408300
- 折叠
摘要
Abstract
OBJECTIVE:To investigate the role of clinical pharmacists on drug therapy for acute exacerbations of chronic ob-structive pulmonary disease(AECOPD)patients with benign prostatic hyperplasia(BPH). METHODS:Clinical pharmacists partici-pated in drug therapy for a AECOPD patient with BPH. According to clinical guideline and relevant literatures,based on the history of disease,the characteristics of bronchodilators and the symptoms of acute urinary retention,it was suggested to stop taking Ip-ratropium bromide solution for inhalation but receive Finasteride capsules 5 mg,po,qd,to reduce prostate volume and improve ob-struction+Terazosin hydrochloride tablets 2 mg,po,qd,to relax urethral smooth muscle;the occurrence of ADR was monitored closely. Salmeterol xinafoate and fluticasone propionate powder for inhalation was suggested and medication guidance for patients af-ter discharge was given by clinical pharmacists. RESULTS:Physicians adopted some suggestions of clinical pharmacists. The pa-tient was stable and had no dysuria. The patient was allowed to leave the hospital with drugs. CONCLUSIONS:Rational use of bronchodilators is directly related to the remission of clinical symptoms and prognosis in AECOPD patients. In view of patient's dis-ease history,drug characteristics and clinical symptoms,clinical pharmacists point to possible risks of anticholinergics use,and as-sist physicians to formulate and adjust therapy plan so as to guarantee the safety and effectiveness of drug use.关键词
临床药师/药学监护/慢性阻塞性肺疾病急性加重期/良性前列腺增生/支气管扩张药/急性尿潴留Key words
Clinical pharmacist/Pharmaceutical care/Acute exacerbations of chronic obstructive pulmonary disease/Benign prostatic hyperplasia/Bronchodilators/Acute urinary retention分类
医药卫生引用本文复制引用
何霖,杨培洪,程模,蔡雨君..1例AECOPD伴良性前列腺增生患者使用支气管扩张药致急性尿潴留的药学监护[J].中国药房,2017,28(20):2858-2861,4.
