临床药师参与1例左旋门冬酰胺酶致血糖升高的药学实践  

Pharmaceutical Practice Conducted by Clinical Pharmacists on a Patient with Hyperglycemia Induced by LAsp

作　　者：王芊入 肖桂荣[1] 徐珽[1] 

机构地区：[1]四川大学华西医院药剂科,成都610041

出　　处：《中国药师》2015年第7期1185-1187,共3页China Pharmacist

摘　　要：目的:分享临床药师参与1例白血病化疗患者药源性血糖升高的临床药学实践经验与体会。方法:1例急性淋巴细胞白血病患者在化疗过程中出现血糖明显升高,临床药师推断为药物左旋门冬酰胺酶所致,提出不良反应应急处理措施,并通过查阅文献提出防治建议。结果:积极处理后患者血糖得到控制,未发生其他并发症。结论:临床药师在查房过程中不仅要及时识别已经发生的药品不良反应,并提供处理措施,而且要熟悉常见或严重不良反应发生前的预防措施,以期降低发生率,提高治疗有效率及患者生活质量。Objective： To share the pharmacy practice experience of clinical pharmacists in the treatment of drug-induced blood glucose elevation in a patient with T-ALL. Methods： During the treatment of the patient with T-ALL, the blood glucose was signifi- cantly elevated. The clinical pharmacist inferred it was induced by the use of L-ASP, and then proposed an emergent therapy for the adverse drug reaction. Moreover, some prevention suggestions were also put forward based on the literature consulting. Results： The patient＇s blood glucose was well controlled by the active treatment and there were no other complications occurred. Conclusion： In order to decrease the incidence of drug adverse reaction and improve the treatment efficiency and life quality of patients, clinical pharmacists should not only identify the happened drug adverse reactions and provide effective treatment timely, but also be familiar with the prevention methods for the common and severe adverse drug reactions.

关 键 词：临床药师 左旋门冬酰胺酶 血糖升高 药学实践 

分 类 号：R97[医药卫生—药品]