1例妊娠剧吐患者肠外营养支持治疗的药学监护.pdf

• 48 • Herald of Medicine Vol. 36 No. 1 January 2017 1 例妊娠剧吐患者肠外营养支持治疗的药学监护 李梦1 ，赵彬2 ,刘东1 (1.华中科技大学同济医学院附属同济医院药学部，武汉430030;2.北京协和医院药剂科，北 京 100730) 摘 要 目 的 探讨临床药师在妊娘剧吐患者营养支持治疗中的作用 。方 法 临床药师积极参与1 例妊娘剧吐患 者营养支持的过程，结合患者疾病特点、药物不良反应，建议医生选择脂肪乳并进行营养支持处方的调整，提供个体化的 药学服务 。结 果 通过临床药师参与药学监护，及时发现和处理患者营养支持治疗中潜在的问题，预防不良结局的发 生 。结 论 药师参与姓娠剧吐患者营养支持治疗，可提高患者营养支持的有效性和安全性，促进药物的合理使用。 关 键 词 临床药师；脂肪乳;姓娠剧吐；药学监护 中图分类号 R 973.2; R543.3 文献标识码 B 文章编号 1004 -078 1 (2 0 17 )0 1 -0 04 8 -0 3 DOI 10.387 0/j.issn. 1004-0781.2017.01.011 Pharmaceutical Care of Parenteral Nutrition Therapy in A Patient with Hyperemesis Gravidarum LI Meng1, ZHAO Bin2, LIU Dong1 (1. Department o f Pharm acy, Tongji Hospital, Tongji Medical College y Huazhong University o f Science and Technology y Wuhan 430030 , C hina ；2. Department o f P harm acy , Peking Union Medical College Hospital, Beijing 100730, China) ABSTRACT Objective To explore the role of clinical pharmacists in nutrition support therapy in the patients with hyperemesis gravidarum. Methods The clinical pharmacist played a positive role in nutrition support care of a patient with hyperemesis gravidarum by analysising disease characteristics and adverse drug reactions, providing suggestion on the selection of fat emulsion and offering an individualized pharmaceutical care. Results The clinical pharmacist recognized the potential risk in nutrition support plan, took modifications timely, and prevented the occurrence of unfavorable clinical outcomes. Conclusion The participation of clinical pharmacists in nutrition support therapy of the patients with hype