上消化道出血合并痛风急性发作患者的用药监护

Pharmaceutical Care for Upper Gastrointestinal Bleeding Accompanied by Acute Episode of Gout

临床药师对1例上消化道出血合并痛风急性发作患者实施药学监护,发现药品不良反应及治疗矛盾,发现质子泵抑制药很可能是导致痛风急性发作的主要原因,协助医师分别调整上消化道出血和痛风的治疗方案,并为患者提供药学监护和用药教育,体现了临床药师在临床治疗与合理用药方面发挥积极作用的优势。

Through the pharmaceutical care for one patient with upper gastrointestinal bleeding complicated with acute episode of gout,clinical pharmacists found the drug adverse reactions and contradictions in drug treatment,and assisted physicians in solving the problems.In the process of pharmaceutical care for the patient,clinical pharmacists found the proton pump inhibitor(PPI)was likely to be the main reasons leading to the acute episode of gout,helped physician adjust the treatment plan of upper gastrointestinal bleeding and acute episode of gout,and provided pharmaceutical care and medication education for the patient.The case showed that clinical pharmacists could play a positive role in promoting rational medication,solving the treatment contradictory,finding adverse drug reactions.