临床药师参与1例卡马西平中毒患者的治疗实践  

Clinical Pharmacist'Treatment Experience with One Case of Carbamazepine Poisoning

作　　者：王文静[1] 于秋影[1] 李永丽[1] 

机构地区：[1]解放军第155中心医院药械科,河南开封475003

出　　处：《中国医院用药评价与分析》2014年第7期661-663,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨卡马西平中毒的解救要点及药师在安全、合理用药中发挥的作用。方法:临床药师通过参与1例超剂量卡马西平中毒患者的治疗实践,从保肝、促排泄、补液、促醒、调节电解质平衡等方面制订治疗方案,针对患者的病情提出合理化建议,同时对患者实施全程药学监护。结果:患者由昏迷转为清醒,生命体征平稳后康复出院。结论:临床药师参与临床实践,与临床医师密切配合,能更好地开展临床药学服务工作、为患者服务。OBJECTIVE ： To explore the key points in the treatment of carbamazepine poisoning and the role of pharmacists in the safe and rational drug use. METHODS： The clinical pharmacist participated in the management of one case of carbamazepine poisoning by formulating treatment protocols including liver-protection, excretion-promotion, fluid infusion, promoting awaking and regulating electrolyte balance and putting forward reasonable suggestions tailored to patient＇s condition, meanwhile conducting pharmaceutical care for the patient. RESULTS： The patient regained consciousness from coma and discharged with stable vital signs. CONCLUSIONS： Clinical pharmacist＇ involvement in clinical practice and work closely with clinicians facilitates better phar- maceutical care for patients.

关 键 词：临床药师 卡马西平 中毒 

分 类 号：R969.3[医药卫生—药理学] R971.6[医药卫生—药学]