临床药师对1例泌尿系结核患者的药学监护  

Pharmaceutical care for a patient with urinary tuberculosis by a clinical pharmacist

作　　者：白志宇[1] 张洁[1] 黄淑萍[1] 

机构地区：[1]天津市海河医院,天津300350

出　　处：《中国医院药学杂志》2016年第8期684-686,共3页Chinese Journal of Hospital Pharmacy

摘　　要：目的:探讨临床药师对泌尿系结核患者实施药学监护的方法与思路。方法:临床药师对1例体质量偏轻的泌尿系结核患者在住院期间进行密切的查房观察与药学教育,积极参与个体化抗结核方案的制定,规范患者的用药问题,监测疗效与不良反应,给患者提供用药教育。结果:临床药师可以从药动学/药效学、药物不良反应、用法用量和血药浓度等药物角度方面作为切入点,将药学理论与临床实践有机结合,为结核患者提供药学监护,促进合理用药,提高患者用药的安全性及有效性。结论:临床药师是治疗团队中的重要组成部分,积极参与临床药物治疗,协助医师制定有效合理的用药方案,降低疾病的复发率、减少药品不良反应的发生,为患者提供药学服务,为医生合理安全用药提供建议。OBJECTIVE To explore approaches and significance of clinical pharmacy guardianship in patients with urinary tuberculosis.METHODS Clinical pharmacist provided close pharmaceutical rounds and pharmaceutical education for one underweight patient with urinary tuberculosis during hospitalization,including actively participating in formulation of individualized antituberculosis treatment regimen,standardizing problems for medication,monitoring adverse drug reactions and providing medication education.RESULTS By combining pharmaceutical theory and clinical practice experiences,clinical pharmacists were supposed to be able to provide advanced medication care for tuberculosis patients in pharmacokinetics/pharmacodynamics,adverse effects,dosage regimen and blood concentrations,promote rational regimen of drugs,ensure and improve patient＇s safety and therapeutic efficacy.CONCLUSION Clinical pharmacists play apivotal role in treatment team,actively participate in decision making of clinical medication,assist clinicians to develop effective and reasonable dosage regime,lower relapse rate,attenuat adverse drug reactions and provide pharmaceutical services.

关 键 词：临床药师 泌尿系结核 药学监护 

分 类 号：R969[医药卫生—药理学]