重症急性胰腺炎患者的药学监护(1例临床报道)  

Pharmaceutical care for a patient with severe acute pancreatitis by clinical pharmacists

作　　者：梁丹[1] 梁莉君[1] 吕永丰[1] 任建英[1] 

机构地区：[1]中山大学孙逸仙纪念医院药学部,广州510120

出　　处：《岭南现代临床外科》2015年第5期560-562,共3页Lingnan Modern Clinics in Surgery

摘　　要：药师参与1例急性重症胰腺炎的药学监护,发现以及解决的问题包括给予调整埃索美拉唑用药频次(qd给药)、生理盐水作为溶媒、CRRT-连续性肾脏替代治不必调整剂量、延长美罗培南输注时间(T=3 h)以及避开CTTR对药物的清除,旨在提高药物的治疗效果和减轻患者的经济负担等药学建议。另外,强调关注替加环素相关性胰腺炎风险的发生,生长抑素奥曲肽对血糖的影响以及患者肠内营养胃潴留的情况,减少药物不良反应(ADR)的发生率。Pharmaceutical care was performed for a patient with severe acute pancreatitis by clinical pharmacists,participating in the patient＇s diagnosis and treatment.Pharmacist gave the suggestions,which were concerned with adjusting esomeprazole sodium frequency（once a day）,solvent（normal saline）,keeping the dose of esomeprazole through CRRT and prolonging meropenem drip time to 3 hours.Pharmacist suggested doctors pay attention to ADR（adverse drug reactions）,tigecyclinerelevant pancreatitis,gastric retention of EN,and also got the fact of octreotide influence on blood sugar.

关 键 词：重症急性胰腺炎 临床药师 药学监护 

分 类 号：R657.5[医药卫生—外科学] R969[医药卫生—临床医学]