新生儿万古霉素应用中的血药浓度药学监测  

Pharmaceutical Care of Vancomycin Used in Neonates with Blood Concentration Monitoring

作　　者：祁兢晶[1] 罗德凤[1] 邱双凤 QI Jing-jing;LUO De-feng;QIU Shuang-feng(Shenzhen Longgang District Maternal and Child Health Care Hospital,Shenzhen 518172,China)

机构地区：[1]深圳市龙岗区妇幼保健院药剂科,广东深圳518172

出　　处：《海峡药学》2020年第3期112-116,共5页Strait Pharmaceutical Journal

基　　金：深圳市龙岗区2017年度医疗卫生科技计划项目(项目编号:20170405093944470)。

摘　　要：目的探讨新生儿使用万古霉素的药学监护要点。方法通过解析万古霉素药学监护典型案例归纳总结。结果临床药师对新生儿万古霉素使用的药学服务实践,可以从万古霉素初始给药方案的制定、方案调整与优化、血药浓度异常波动的原因分析等方面去实施。药师与临床医生、护士及时沟通能够确保临床用药的精准有效。结论万古霉素的药学服务包括给药方案制定、调整与优化,以及血药浓度监测。OBJECTIVE To investigate the main problems in pharmaceutical care of neonates treated with vancomycin.METHODS A typical case was analyzed and summarized through pharmaceutical care and practice in the use of vancomycin.RESULTS Pharmaceutical care and practice by clinical pharmacists in the care of neonates could be implemented by the following procedures:the development,adjustment and optimization of initial vancomycin medication profiles,analysis of abnormal fluctuation of serum drug concentration.In-time commuication between pharmacists,physicians and nurses could ensure accurate and effective use of drugs clinically.CONCLUSION Pharmaceutical care in the medication of vancomycin included development,adjustment and optimization of medication profiles,and monitoring of serum drug concentration.

关 键 词：新生儿 万古霉素 血药浓度监测 

分 类 号：R969.4[医药卫生—药理学]