临床药师参与1例高血压患者冠心病一级预防的体会  

Experience of clinical pharmacists on participating in primary prevention of coronary heart disease for a patient with high blood pressure

作　　者：杨贤[1] 王文晓 严思敏 葛卫红[1] YANG Xian;WANG Wen-xiao;YAN Si-min;GE Wei-hong(Department of Pharmacy,Nanjing Drum Tower Hospital,the Affiliated Hospital of Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院药学部,江苏南京210008

出　　处：《中国药物应用与监测》2018年第4期215-218,共4页Chinese Journal of Drug Application and Monitoring

摘　　要：1例58岁男性患者,因"发作性头晕半年,加重伴乏力1周"入院,入院诊断为高血压(2级,高危)、高尿酸血症。患者住院期间,临床药师积极参与到冠心病一级预防的流程当中,对患者进行风险评估提示属于心血管疾病中危人群,有使用药物进行一级预防的指征。临床药师建议停用氟伐他汀,加用阿司匹林,同时降压药物调整为氯沙坦联合氨氯地平,控制血压的同时还能起到降低尿酸的作用。药师建议被部分采纳。出院前患者症状缓解,血压、尿酸水平恢复正常。One 58-year-old male patient was hospitalized because of paroxysmal dizziness that had persisted for half a year and aggravated 1 week ago with weak.He was diagnosed with hypertension(grade 2,high-risk)and hyperuricemia.Clinical pharmacists actively participated in the process of primary prevention of coronary heart disease.The patient was classified as moderate risk group of cardiovascular disease after risk evaluation and needed use of medication for primary prevention of cardiovascular disease.Clinical pharmacists recommended stopping fluvastatin and adding aspirin.Nifedipine GITS was adjusted to losartan combined with amlodipine for lowering blood pressure and uric acid.Some suggestions were accepted by doctors.Before discharged from hospital,the patient's condition was improved,blood pressure and uric acid levels returned to normal.

关 键 词：临床药师 冠心病 一级预防 药学监护 

分 类 号：R969.4[医药卫生—药理学]