临床药师对肺部暗色丝孢霉病患者的药学监护  

Pharmaceutical Care for Patients with Pulmonary Phaeohyphomycosis by Clinical Pharmacists

作　　者：罗忠勇[1] 邓志清[1] LUO Zhongyong;Deng Zhiqing

机构地区：[1]娄底市中心医院药剂科,湖南娄底417000

出　　处：《中国医院用药评价与分析》2018年第12期1712-1714,1716,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨临床药师在临床实践中实施药学监护的模式与方法。方法:回顾分析临床药师对1例肺部暗色丝孢霉病患者的全程药学监护,从抗感染、化痰解痉和护胃等对症治疗方面,结合临床变化,动态分析药物治疗情况,提供建设性的治疗建议,协助医师制订最佳的治疗方案。结果:临床药师协助医师制订了美罗培南+左氧氟沙星、两性霉素B脂质体抗感染的治疗方案,最终患者发热、咳嗽和呼吸困难等感染症状得到有效控制。结论:临床药师对整个临床治疗过程进行动态药学监护,提高了药物治疗效果和患者的生活质量,减少了严重药品不良反应的发生。OBJECTIVE: To explore the mode and method of clinical pharmacists to conduct pharmaceutical care in clinical practice. METHODS: The whole treatment process of clinical pharmacists participated in the pharmacological care for one patient with pulmonary phaeohyphomycosis was retrospectively analyzed in terms of anti-infection, phlegm resolving, spasmolysis and stomach protecting. With the combination of symptom changes, the clinical pharmacists dynamically analyzed the situation of drug therapy, provided constructive treatment advice and assisted physicians in formulating optimizing therapeutic regimen. RESULTS: The clinical pharmacist assisted physicians to formulate anti-infective therapeutic regimen of meropenem combined with levofloxacin and amphotericin B liposome, the symptoms of infection including fever, cough and dyspnea were effectively controlled. CONCLUSION: Clinical pharmacists conduct dynamic pharmaceutical care for the whole treatment process, so as to improve the therapeutic effects and life quality for patients, reduce the occurrence of severe adverse drug reactions.

关 键 词：肺部暗色丝孢霉病 临床药师 药学监护 

分 类 号：R97[医药卫生—药品]