连续性肾脏替代疗法下多器官功能障碍患者的药学监护  

Pharmaceutical Care of MODS Patient Treated by Continuous Renal Replacement Therapy

作　　者：吕碧君 梁峰华 谭璐[1] 陈文瑛 

机构地区：[1]广州医科大学附属第一医院药学部,广州510120 [2]广东省佛山市南海区第六人民医院药学部,佛山528200 [3]南方医科大学第三附属医院药学部,广州510630

出　　处：《医药导报》2018年第2期249-253,共5页Herald of Medicine

基　　金：广东省医院药学科研基金资助项目(2014A11)

摘　　要：目的探讨临床药师对行连续性肾脏替代疗法(CRRT)治疗的多器官功能障碍(MODS)患者在抗感染治疗中的药学监护方法。方法临床药师参与1例CRRT下MODS患者的抗感染治疗过程,并根据诊疗指南及相关资料协助医生优化抗菌药物治疗方案。结果医生对患者进行综合评估后采纳药师意见,治疗第10天患者休克纠正,各项感染指标明显改善,转回普通病房。结论临床药师应积极参与临床治疗团队,充分发挥其能力,确保对患者药物治疗安全有效。Objective To discuss the contribution of clinical pharmacists in anti-infection treatment of a patient with multiple organ dysfunction syndrome(MODS) undergoing continuous renal replacement therapy(CRRT).Methods Pharmacists participated in the anti-infection treatment of a MODS patient undergoing CRRT.Pharmacists assisted physicians in optimizing the therapeutic regimen based on treatment guidelines and relative information.Results Physicians accepted the advice of pharmacists after comprehensive evaluation.Ten days later,the patient recovered from shock,as the infection indexes were improved significantly.He then moved back to the general ward.Conclusion Pharmacists should positively participate in clinical treatment with physicians,in order to play a critical role in ensuring the safety and efficacy of the medication.

关 键 词：肾脏替代疗法 多器官功能障碍 临床药师 抗感染治疗 药学监护 

分 类 号：R951[医药卫生—药学]