329.临床药师参与静脉药物配置中心抗肿瘤药物合理应用的作用.pdf

临床药师参静脉药物配置中心抗瘤药物理应用的作用

对院抗瘤药物静脉配置理医嘱情况行调查分析探临床药师

摘要目的

促理应用抗瘤药物的作用方法提院静脉药物配置中心PIVAS20141

201512临床药师审并建修改的理抗瘤药物注射剂用药医嘱分类并统

分析理用药原因并就预改善理用药的对策行总结结果分析发

理医嘱139组全部医嘱的0.36%要分载体种类理载体理给药剂

理给药序理给药时间理给药途径理配伍禁忌以载体种类和载

体理最常论结论院临床药师通过多种对策预改善抗瘤药物的

理应用医师临床治疗策提供帮医师理设疗方案提高药物治疗效

果规避良应的发生

临床药师抗瘤药物理医嘱理用药给药序

关键词

RoleofClinicalPharmacistsParticipatinginRationalUseofAntitumorDrugsofPIVAS

WANGChun-huiWUWeiLVQian-zhou

DepartmentofPharmacy,ZhongshanHospitalAffiliatedtoFudanUniversity,Shanghai200032,

China

ABSTRACTOBJECTIVEInvestigatingandanalyzingirrationalantitumordrugs

medicationordersinPIVAStoexploretheeffectofclinicalpharmaciststoromoterationaluse

ofantitumordrugs.METHODSClassifyandcounttheirrationalantitumorinjectionmedication

ordersfromJanuary2014toDecember2015ofPIVAScheckedandsuggestedmodificationby

clinicalpharmacists.Analyzethereasonsandsummarizethecountermeasurestointerveneand

improvetheirrationaldruguse.RESULTSANALYSIS139setsofirrationalmedication

orders0.36%ofallwasfoundanddividedintofieldsofsolventtypesolventamountdrug

dosageadministrationsequenceadministrationtimeadministrationrouteandincompatibility

ofwhichsolventtypeandamountaremostcommon.DISCUSSIONCONCLUSIONS

Clinicalpharmacistsintervenedandimprovedtheirrationalantitumordrugsusethroughavariety

ofcountermeasures,helpingphysicianstomakeclinicaltreatmentdecisionsanddesignrational

chemotherapyregimens,toimprovetheeffectofdrugtreatment,toavoidtheoccurrenceof

adversedrugreactions.

KEYWORDSClinicalpharmacistAntitumordrugIrrationalmedicationorderRational

druguseAdministrationsequence

目前国恶性瘤发病率呈快势抗瘤药物