临床药师对1例支气管扩张合并青光眼患者的用药分析  

Analysis of Drug Use in a Case of Bronchiectasis Complicating with Glaucoma by Clinical Pharmacists

作　　者：柳杰[1] 汤新强[1] 梁卉[1] 

机构地区：[1]大连医科大学附属第一医院药学部,辽宁大连116011

出　　处：《中国药房》2013年第46期4415-4416,共2页China Pharmacy

摘　　要：目的:探讨临床药师参与药物治疗的作用。方法:临床药师通过分析1例支气管扩张合并青光眼患者的治疗用药,结合患者疾病特点、用药史及药品不良反应史,进行药学干预,提供个体化的药学服务。药师建议在头孢哌酮/舒巴坦钠的基础上加用依替米星抗感染;使用特布他林雾化舒张支气管,避免可能出现的药源性青光眼发作;停用产生不良反应的阿奇霉素,换用克拉霉素。结果:患者咳嗽、咳痰、喘息明显好转,痰呈白色黏痰,复查血象、肝肾功能正常,对治疗效果满意后出院。结论:临床药师参与药物治疗,可以协助医师合理选药,提高疗效,降低不良反应发生率,在合理用药中发挥了重要作用。OBJECTIVE： To investigate the role of clinical pharmacists participating in drug treatment. METHODS： Through analyzing drug use in a case of bronchiectasis complicating with glaucoma, combined with disease characteristics, medical history and the history of adverse drug reaction, clinical pharmacists provide pharmaceutical intervention and individualized pharmaceutical care. Pharmacists suggested that etimicin anti-infective therapy was additionally given on the basis of cefoperazone/sulbactam sodium. Terbutaline was used for bronchial atomization and relaxation to avoid the occurrence of drug-induced glaucoma. Azithromycin which induced ADR was replaced by clarithromycin. RESULTS： The symptoms of cough, expectoration and pant were improved significantly with white phlegm; the hemogram and hepatic and renal function were all rechecked and they were in normal levels. The patient was discharged from the hospital after satisfactory treatment. CONCLUSIONS： Clinical pharmacists participating in drug treatment can help doctors to choose drugs rationally, improve therapeutic efficacy and reduce the incidence of ADR. Clinical pharmacists play an important role in the rational drug use.

关 键 词：临床药师 合理用药 药学干预 支气管扩张 青光眼 

分 类 号：R974[医药卫生—药品] R969.3[医药卫生—药学]