1例慢性阻塞性肺疾病急性加重期患者治疗中诱发癫痫的药学监护

Pharmaceutical Care for Epilepsy in a Patient with Acute Exacerbations of Chronic Obstructive Pulmonary Disease during the Treatment

目的:对1例慢性阻塞性肺疾病急性加重期(AECOPD)患者治疗过程中诱发癫痫的药学监护,探讨对此类患者临床药师工作的切入点。方法:以临床病例为例,结合COPD治疗指南,选择适宜的药学监护切入点开展工作。结果:临床药师结合临床的具体情况,可将抗菌药物的选择、药物相互作用及不良反应作为药学监护的切入点。结论:临床药师通过深入临床,参与临床治疗,并结合患者的实际情况,发挥自身优势,协同临床优化给药方案。

OBJECTIVE： To discuss the clinical pharmacists how to carry out pharmaceutical care for epilepsy in a patient with acute exacerbations of chronic obstructive pulmonary, disease （AECOPD） during the treatment. METHODS： Taking clinical case as example, it was necessary to select the appropriate pharmaceutical care entry point, combined with the COPD guidelines. RE- SULTS： Clinical pharmacist regarded choice of antimicrobial drug, drug interaction and adverse drug reactions as pharmaceutical care entry point according to clinical situation. CONCLUSION： Clinical pharmacist should be concerned about the patient＇ s actual situation and give full play to one＇s advantages, then optimize medication therapy by participating in the clinical treatment.