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.
出处
《医药导报》
CAS
北大核心
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)
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
Renal replacement therapy
Multiple organs dysfunction syndrome
Clinical Pharmacists
Anti-infection treatment
Pharmaceutical care
作者简介
吕碧君(1991-),女,广东云浮人,在读硕士,研究方向临床药学.电话:(0)18826438305,E-mail:839773964@qq.com.;通信作者陈文瑛(1975-),女,主任药师,博士,研究方向:临床药学.电话:020-62784827,E-mail:chen_wenying2016@163.com.