中国药房2024，Vol.35Issue(8)：1006-1010,5.DOI:10.6039/j.issn.1001-0408.2024.08.19
1例先天性心脏病术后房扑伴房颤合并前置胎盘出血及血小板减少先兆流产患者的药学监护
Pharmaceutical care for a patient with atrial flutter,atrial fibrillation,placenta praevia hemorrhage and thrombocytopenia-threatened abortion after operation of congenital heart disease
摘要
Abstract
OBJECTIVE To provide a reference for the safe administration of patients with atrial flutter,atrial fibrillation,placenta praevia hemorrhage and thrombocytopenia-threatened abortion after the operation of congenital heart disease.METHODS Clinical pharmacists participated in the diagnosis and treatment of a patient with atrial flutter,atrial fibrillation,placenta praevia hemorrhage and thrombocytopenia-threatened abortion after the operation of congenital heart disease.Given the thrombocytopenia caused by enoxaparin sodium,pharmacists suggested to stop enoxaparin sodium and change it to fondaparinux sodium after a blood routine review.For the patient with fast heart rate and low blood pressure,pharmacists recommended to choose metoprolol and adjust the dosage according to the heart rate,and change furosemide to hydrochlorothiazide.Pharmacists recommended to continue using metoprolol regarding doctors'plan to replace metoprolol with sotalol before cesarean section.For possible drug interactions in the patient,pharmacists recommended to closely monitor blood potassium and other indicators,and provided drug education.RESULTS The doctors adopted the advice of clinical pharmacists.The patient's bleeding was controlled,the indicators were kept stable during hospitalization,the gestational week was extended smoothly,and the cesarean section was successfully performed.CONCLUSIONS By participating in the treatment of the patient with atrial flutter,atrial fibrillation,placenta praevia hemorrhage and thrombocytopenia-threatened abortion after the operation of congenital heart disease,clinical pharmacists formulate individualized medication plans for the patient based on adverse drug reactions,drug interactions and medication education,ensuring the safety and effectiveness of medication.关键词
先天性心脏病术后/心房扑动/心房颤动/血小板减少/前置胎盘出血/先兆流产/临床药师/特殊人群Key words
postoperative congenital heart disease/atrial flutter/atrial fibrillation/thrombocytopenia/placenta praevia hemorrhage/threatened abortion/clinical pharmacist/specific population分类
医药卫生引用本文复制引用
王庆,全淑燕..1例先天性心脏病术后房扑伴房颤合并前置胎盘出血及血小板减少先兆流产患者的药学监护[J].中国药房,2024,35(8):1006-1010,5.基金项目
重庆市临床药学重点专科建设项目(No.渝卫办发[2023]69号) （No.渝卫办发[2023]69号）
