临床药师参与1例重症患者酒精戒断性谵妄的实践

Practice of Clinical Pharmacist Participating in a Case of Severe Patient with Alcohol Withdrawal Delirium

临床药师参与1例重症患者酒精戒断性谵妄的监护和治疗过程,在审核患者医嘱时,通过采集患者个人史、病史,结合谵妄风险评估及药学监护,协助医生鉴别诊断患者的谵妄类型,分析ICU患者发生谵妄的原因及风险因素,给予用药方案调整建议并持续监护患者情况,使患者谵妄病情得到及时有效控制,改善了其预后。探讨针对谵妄高风险人群,临床药师如何通过药学监护协助临床降低谵妄发生率以及谵妄发生后及时有效的治疗等方面为临床提供药学服务,改善重症患者预后,为临床提供参考。

The clinical pharmacist participates in the monitoring and treatment of alcohol withdrawal syndrome in a critically ill patient.When reviewing the patient’s medical order,the patient’s personal history,medical history,delirium risk assessment and pharmaceutical monitoring are used to assist the doctor in diagnosing the type of different delirium,and analyzing the cause and risk factors of delirium occurred in the patient in ICU,the medication plan was adjusted and the patient’s condition was continuously monitored,so that the patient’s condition was timely and effectively controlled,and the prognosis was improved.To explore how high-risk populations can provide clinical pharmacy services through clinical pharmacists to help reduce the incidence of delirium and timely&effective treatment after delirium,improve the prognosis of critically ill patients,and provide reference for clinical.