临床药师参与左甲状腺素片致儿童肝功能异常的药学实践OACSTPCD
Pharmaceutical Practice of Abnormal Liver Function Induced by Levothyroxine Tablets in Children by Clinical Pharmacists
目的:探讨临床药师对治疗儿童药物性肝损伤的监护要点,提高临床药师的监护水平.方法:临床药师参与1例左甲状腺素致肝功能异常患儿的治疗过程,对治疗用药提出建议和开展药学监护,促进患儿病情好转.结果:临床药师对患儿用药进行分析,建议停用左甲状腺素,并给予对症治疗,患儿肝功能逐渐恢复正常,随访期间患儿未出现肝损伤.结论:临床药师在药物性肝损伤治疗中发挥药学专业优势,进行药物精细化监护,确保了药物安全合理的使用.
Objective:To explore the key points of clinical pharmacists'pharmaceutical care for the treatment of drug-induced liver injury in children,and to improve the level of pharmaceutical care by clinical pharmacists.Methods:Clinical pharmacists participated into the treatment of a child with abnormal liver function induced by levothyroxine tablets,put forward suggestions on the treatment medication and carried out pharmaceutical care to promote the improvement of the child's condition.Results:Clinical pharmacists analyzed the administration of the child,suggested that levothyroxine tablets should be stopped,and the symptomatic treatment should be given.The liver function of the child returned to normal state,and there was no liver injury during follow-up.Conclusion:Clinical pharmacists take advantage of the pharmaceutical expertise in the treatment of drug-induced liver injury to perform elaborate pharmaceutical care and ensure the safe and rational use of drugs.
张淼;郝会民;张胜男;卫海燕
郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院,郑州 450018
药学
左甲状腺素片肝功能异常儿童
levothyroxine tabletsabnormal liver functionchildren
《儿科药学杂志》 2024 (003)
36-39 / 4
中国药学会全国医药经济信息网科技传播创新工程,编号CMEI2021KPYJ(JZX)00104.
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