心脏术后患者的药学监护

Pharmaceutical Care for the Patient after Cardiac Surgery

目的:临床药师参与临床药物治疗,对患者进行药学监护。方法:以一位心脏术后患者为例,临床药师参与药物治疗方案的制订,分析患者所用相关药物,跟踪其治疗效果及不良反应,对药物治疗过程进行综合评估。结果:患者的各项指标趋于正常。结论:临床药师的参与使药物治疗更趋合理,在达到治疗目标的同时,可减少药物的不良反应,有利于提高临床的药物治疗水平。

Objective： Clinical pharmacists involved in clinical drug therapy and pharmaceutical care for patients and cooperated with clinicians in order to promote rational drug use in clinics. Method： Clinical pharmacists involved in therapeutic scheme making, medication analysis and evaluation, such as anticoagulant drugs, antibiotics, cardiac drags, and diuretics, etc. used in the patient after cardiac surgery, and made a comprehensive drug treatment assessment including effectiveness and adverse reactions in whole therapy process. Result： All the indices of the patient trended toward normal. Conclusion ： The participation of clinical pharmacists in clinical treatment team and clinical practice can make drug treatment more rational with therapeutic goal reached and adverse drug reactions reduced to improve the level of clinical drug treatment.