临床药师参与1例哌拉西林钠舒巴坦钠致药物热诊治的药学实.PDFVIP

临床药师参与 1 例哌拉西林钠舒巴坦钠致药物热诊治的药学实践 袁海玲 1a ，周新人 1b ，杨天才 2 ，王方 1b* ，谢华 1a(1.兰州军区兰州总医院安宁分院，a.药剂科；b.感染科，兰州 730070 ； 2.甘肃省妇幼保健院药事管理科，兰州 730050) 摘要：目的 探讨临床药师参与药物热诊治的药学实践模式，保障患者用药安全有效。方法 对临床药师参与 1 例哌拉 西林钠舒巴坦钠致药物热诊治的药学实践进行分析总结，介绍药物热的排除性诊断及治疗方法。结果 临床药师根据药 物热发生的临床特征及实验室检查结果进行鉴别诊断后，建议临床停用相关药物，药物热消失。结论 临床药师参与药 物热的诊治可保障患者用药安全，促进临床合理用药。 关键词：哌拉西林钠舒巴坦钠；药物热；临床药师；药学实践 中图分类号：R969.3 文献标志码：B 文章编号：1007-7693(2017)06-0891-03 DOI: 10.13748/ki.issn1007-7693.2017.06.023 引用本文：袁海玲, 周新人, 杨天才, 等. 临床药师参与 1 例哌拉西林钠舒巴坦钠致药物热诊治的药学实践[J]. 中国现代 应用药学, 2017, 34(6): 891-893. Pharmaceutical Practice of Clinical Pharmacist Participating in Diagnosis and Treatment for Drug Fever Induced by Piperacillin Sodium and Sulbactam Sodium 1a 1b 2 1b 1a YUAN Hailing , ZHOU Xinren , YANG Tiancai , WANG Fang , XIE Hua (1.Anning Branch Lanzhou General Hospital Lanzhou Command, a.Department of Pharmacy; b.Department of Infectious Diseases, Lanzhou 730070, China; 2.Department of Pharmacy Administration, Gansu Provincial Maternity and Child-care Hospital, Lanzhou 730050, China) ABSTRACT: OBJECTIVE To ensure the safety and effectiveness of patient medication, the pharmaceutical practice model on clinical pharmacist participating in diagnosis and treatment for drug fever was discussed. METHODS The process data of clinical pharmacists involving in diagnosis and treatment for a case of drug fever induced by piperacillin sodium and sulbactam sodium were analyized, and the diagnosis and treatment of drug fever was introduced. RESULTS The drug fever was distinguished and diagnosed on the basis of clinical characteristics and the results of laboratory tests. The related drugs was withdrawed and drug fever disappeared. CONC