临床药师对1例高血压并糖尿病患者的药学服务

Pharmaceutical Care for a Hypertensive Patient with Diabetes by Clinical Pharmacists

目的:探讨临床药师开展药学服务的方法。方法:临床药师通过参与1例高血压并糖尿病患者的治疗过程,结合患者疾病特点、用药史、药物相互作用及药品不良反应等情况,建议医师选择合适的药物,提供个体化的药学服务。结果:此高血压并糖尿病患者的药物治疗方案有效合理。通过临床药师提供个体化药学服务,及时发现和解决了患者药物治疗的问题,为合理用药提供了建议。结论:临床药师在为患者提供个体化药学服务方面具有自身的优势,在合理用药中发挥了重要作用。

OBJECTIVE： To discuss the approaches for clinical pharmacists to carry out pharmaceutical care. METHODS： Through participating in the course of treatment for a hypertensive patient with diabetes, combining with the disease characteristics of the patient, medication history, drug interactions and adverse drug reactions （ADRs）, clinical pharmacist suggested that doctors should select appropriate drugs for the patient, and the patient should be provided with individualized pharmaceutical care. RESULTS： The pharmacotherapy was effective and rational. By providing pharmaceutical care for the hypertensive patient with diabetes, the treatment-related problems （TRP） in time were identified and resolved, and suggestions on the rational drug use were put forward. CONCLUSION： Clinical pharmacists have their own advantages in providing individualized pharmaceutical care for patients. They play an important role in the rational use of drugs.