神经内科临床药师工作模式探索.pdfVIP

中国药物应用与监测 2014 年6 月第11卷第3 期 Chinese Journal of Drug Application and Monitoring, Vol.11, No.3, June 2014 神经内科临床药师工作模式探索 杨丽娟，施楠楠，甄健存（北京积水潭医院药剂科，北京 100096 ） [摘要]　神经内科患者以老年人居多，存在肝肾功能减退等现象，且多伴有高血压、糖尿病等慢性疾病，联合用药多，依从 性差，需加强对此类患者的药学监护。临床药师通过协助医师制定治疗方案、干预不合理用药、传达药物警戒信息、监测药 物不良反应、为医护人员提供药物咨询、加强患者用药教育、建立药历及药学路径表等方式，开展药学服务工作，探索临床 药师工作模式。 [关键词]　神经内科；临床药师；工作模式 [ 中图分类号]　R969.3　　 [ 文献标识码]　A　 [ 文章编号]　1672 – 8157(2014)03 – 0170 – 03 Exploration of clinical pharmacist working mode in the department of neurology YANG Li-juan, SHI Nan-nan, ZHEN Jian-cun(Department of Pharmacy, Beijing Jishuitan Hospital, Beijing 100096, China) [ABSTRACT]　The patients in neurology department mostly are elderly people, who are with liver or kidney dysfunction and combined with other chronic diseases such as hypertension, diabetes and so on. More pharmaceutical cares should be paid attention to the patients because of their more combination use of drugs and poor compliance. The clinical pharmacist carried out the work of pharmacy services and explored the working mode by assisting doctor to make treatment plan, intervening irrational drug use, conveying pharmacovigilance information, monitoring adverse drug reaction, providing medication consultation for medical staffs, conducting patient education, establishing drug history documents and pharmaceutical path tables, etc. Clinical pharmacist has become a good medical assistant staff and plays a role in the medical team. [KEY WORDS]　Department of neurology; Clinical pharmacist; Working mode 神经内科疾病表现多样、病情复杂，药物治疗是 70.5% ，双肺呼吸音稍粗，可闻及少量湿啰音。医生 临床治疗的主要手段之一。神经内科患者以老年人 咨询如何选择适宜抗菌药物。考虑患者合并有癫痫， [3] 居多，且多伴有高血压、糖尿病等慢性疾病，联合用 不宜选用喹诺酮类和大剂量青霉素类 ，结合本病区 [1] 药多，依从性差 。临床药师直接参与神经内科临床 呼吸道感染中铜绿假单胞菌等阴性菌感染的可能性 用药实践，监护用药全过程