肾移植高血压患者药学监护ppt课件.ppt

肾移植高血压患者药学监护 　　 胡永芳 Major Contents Cause of hypertension in the renal transplantation Treatment of hypertension in the renal transplant recipient Anti-hypertension medications Case Study Patient details ( renal transplantation) Number : 4438420 Sex: Male Weight: 63 kg High: 160 cm Date of Birth: 1943/02/09 Age: 63 years Disease: Chronic nephritis Operation date: 2006/04/19 Cadaveric Cold ischemia time (hours) : 12 Heat ischemia time (minutes) : 5 Current medication Immunosuppressive regiments Cyclosporine 100 mg Bid 125 mg Bid ALG 250 mg QD Mizoribine 100 mg QD, 50 mg QN Mycophenolate mofetil 750mg Bid Methylprednisolone 500mg Qd 3d Prednisolone 30mg Qd Current anti-hypertensive medications Metoprolol 12.5 mg Q12h Nifedipine Controlled released 30 mg qd 30 mg Q12h Enalapril 10 mg Q12h Furosemide 40mg tid 40mg qd 172/89 患者 医师 药剂师 护士 Medical Care Nursing Care Drug Information　＆　 Pharmaceutical Care　Information Drug Information　＆　 Pharmaceutical Care　Information 以患者为中心、以人为本 Pharmaceutical Care Pharmaceutical care and patient assessment Initiate relationship with patient Gather patient information (subjective and objective) Assess information (patient assess) Complete the intervention Develop pharmaceutical care plan Implement follow-up Graft and patient survival Kaplan–Meier analyses with the population divided into quintiles of systolic BP Tutone VK, et al. Clin Transplant 2005: 19: 181–192. Gra