冠状动脉硬化性心脏病并发肾功能不全患者的药学监护.pdfVIP

·674 · Herald of Medicine Vol郾33 No郾5 May2014 ·临床药师交流园地 · 冠状动脉硬化性心脏病并发肾功能不全患者的药学监护 葛鹏程,党大胜,任天舒,史国兵 (沈阳军区总医院药剂科,沈阳摇 110840) 摘摇 要摇 临床药师通过临床查房,与临床医师共同对老年冠心病并发肾功能不全患者制定治疗方案,对患者用药进 行具体化药学服务和制定个体化监护计划。 当患者出现血压偏低、白细胞减少、肾功能恶化等不良反应时,临床药师密 切监测相关指标,及时调整药物,避免了临床治疗中潜在的不良反应。 临床药师积极参与临床的治疗过程,可减少药品 不良反应的发生,确保在院期间用药的安全性及有效性,提高了整体治疗水平。 关键词摇 冠心病;肾功能不全;药学监护 中图分类号摇 R541.4;R692.5摇 摇 摇 文献标识码摇 A摇 摇 摇 文章编号摇 1004-0781(2014)05-0674-03 Pharmaceutical Care on Patients with Coronary Heart Disease and Renal Insufficiency GE Peng鄄cheng,DANG Da鄄sheng,RENTian鄄shu,SHI Guo鄄bing(Departmentof Pharmacy,GeneralHospitalof Shenyang Military Area Command,Shenyang 110840,China) ABSTRACT摇 Objective摇 To explore thepharmaceutical careplan of clinical pharmacistfor elderly patientswith coronary heart disease and renal insufficiency.摇 Methods摇 To develop the therapeutic schedule in cooperation with clinicians through clinical rounds,in order to offer specific pharmaceutical care and further develop individualized care plan during patients hospitalization. 摇 Results摇 Clinical pharmacists paid close attention to the indicators and adjusted administration timewhen the adverse reactions such as lower blood pressure,leukopenia,and deterioration of renal function occurred,and finally avoided further potential adverse reactions.摇 Conclusion摇 The incidenceof adversedrugreactionswerereduced,the safety andefficacy of drugs usedwere guaranteed,which can promote rational and effective use of drugs in clinic. The overall quality of healthcare was improvedwith pharmacist involvement. KEY WORDS摇 Coronary heart disease;Renal insufficiency;Pharmaceutical care 摇 摇 老年原发性高血压患者常并发冠状动脉硬化性心 助检查:心电图提示心律失常(心房纤颤);实验室检 脏病(简称冠心病)和肾功能不全,其病情复杂,用药 9 -1