临床药师对肺部感染合并茶碱中毒患者药学监护及用药分析.docVIP

临床药师对肺部感染合并茶碱中毒患者药学监护及用药分析 　　[摘要] 目的 探讨临床药师如何协助临床医师对肺部感染合并茶碱中毒患者进行药学监护及用药分析。 方法 盐城市第三人民医院临床药师参与其所在医院1例肺部感染并茶碱中毒病例会诊，把会诊前后用药情况进行总结并且对会诊后治疗措施进行分析。 结果 经临床药师参与制订用药方案后患者取得满意的治疗效果并有效地避免了药物的毒副作用，药物间的相互作用和可能导致的药物不良反应。 结论 临床药师参与临床，建立并完善用药监护要点，充分发挥药学专业技能，有利于患者安全、有效和合理的使用药物。 　　[关键词] 临床药师；药学监护；肺部感染；茶碱中毒 　　[中图分类号] R563 [文献标识码] A [文章编号] 1673-7210（2014）02（a）-0087-03 　　Analysis of pharmaceutical care and medication to patients with lung infection and theophylline intoxication carried by clinical pharmacists 　　JI Hongjian1 GONG Kemin2 YUE Feng1 XU Xueshan1 　　1.Department of Pharmaceutical， the Third People′s Hospital of Yancheng City， Jiangsu Province， Yancheng 224005， China； 2.School of Pharmacy， Yancheng Institute of Health Sciences， Jiangsu Province， Yancheng 224005， China 　　[Abstract] Objective To explore how clinical pharmacists assist clinical doctors to carry out pharmaceutical care and medication analysis to patients with pulmonary infection and theophylline intoxication. Methods One case of pulmonary infection and theophylline intoxication in the Third People′s Hospital of Yancheng City was consulted by clinical pharmacists， the medication before and after consultation were summarized and the therapeutic measures after consultation were analyzed. Results Clinical pharmacists′ participation in medication achieved satisfactory therapeutic effects， and effectively avoided the side effects of drugs， drug interactions and adverse drug reactions. Conclusion Clinical pharmacists′ participation may establish and perfect the key points in pharmaceutical care， make full use of their professional skills， and be helpful for patients to administer drugs more safely， effectively and reasonably. 　　[Key words] Clinical pharmacists； Pharmaceutical care； Pulmonary infection； Theophylline intoxication 　　由细菌、支原体、衣原体、病毒等多种病原微生物所???的感染性疾病遍布临床各科，尤其细菌性感染最为普遍，因此抗菌药物在临床的应用范围很广。当前，抗菌药物的滥用导致了细菌耐药性的增加，进而导致了治疗效果的变差甚至失败，对患者的生活质量造成了重大影响。尤其是在患者存在多种基础疾病同时伴有感染的情况下，临床药师在选择基础疾病治疗和抗感染药物的品种、剂量、用药时间、给药途