临床药师参与1例病毒性心肌炎患者的药学监护  

Pharmaceutical Care for a Patient with Viral Myocarditis by Clinical Pharmacist

作　　者：李治纲 任秀云[2] 

机构地区：[1]新疆喀什地区第二人民医院药学部,新疆喀什844000 [2]新疆喀什地区第一人民医院药学部,新疆喀什844000

出　　处：《中国药房》2014年第34期3251-3253,共3页China Pharmacy

摘　　要：目的:探讨临床药师在病毒性心肌炎治疗中的药学服务方法,提高病毒性心肌炎的治疗效果。方法:通过临床药师参与1例病毒性心肌炎患者的治疗过程,结合患者的病情特点制订相应的药学监护措施,提出用药建议:左氧氟沙星0.4 g、qd抗感染治疗;黄芪注射液、维生素B6、维生素C、门冬氨酸钾镁、辅酶Q10胶囊营养心肌细胞;利巴韦林抗病毒治疗,同时对患者进行用药指导。结果:患者出院时心功能有所恢复,射血分数55%。结论:临床药师对病毒性心肌炎患者进行用药监护,参与临床合理化用药,可提高患者的用药依从性,确保患者用药更加安全、有效。OBJECTIVE： To explore the method of pharmaceutical care for viral myocarditis by clinical pharmacists, and to improve the therapeutic effect of viral myocarditis. METHODS ： Through participating in the treatment process for patient with viral myocarditis, combining with the characteristics of disease, clinical pharmacists developed corresponding measures of pharma ceutical monitoring and medication suggestions： Levofloxacin injection 0.4 g, qd, for antiinfective therapy; Astragalus membranaceus injection, vitamin B6, vitamin C, potassium magnessium aspartape, Coenzyme Q10, capsule for nourishing cardiac muscle cell; ribavirin for antiviral therapy, providing medication guidance. RESULTS： The heart function of the patient had been improved at discharge with ejection fraction of 55%. CONCLUSIONS： Clinical pharmacists provide medication monitoring for patient with viral myocarditis and participate in rational drug use to improve compliance of patient and guarantee the safety and effectiveness of drug use.

关 键 词：临床药师 病毒性心肌炎 药学监护 

分 类 号：R969.3[医药卫生—药理学] R978.1[医药卫生—药学]