临床药师参与ICU重症感染患者药学服务的实践和体会

Practice and Experience of Clinical Pharmacists Developing Pharmaceutical Care for Patients with Severe Infection in ICU

目的:总结临床药师在重症监护室(ICU)以抗感染药物作为切入点开展药学服务的实践与体会。方法:从坚持每日查房,参与危重患者的会诊、治疗方案制订,对护士合理用药进行指导,参与医院申购新药、临时用药的评审等方面,结合临床药师查房会诊中遇到的部分典型病例进行叙述和分析。结果与结论:临床药师选好切入点、深入临床、定点服务,同时努力提高自身素质,密切与相关科室的联系与合作,才能针对合理用药发挥药学专长,在ICU药学服务中取得成效。

OBJECTIVE： To summarize the content and experience of practice pharmacists developing pharmaceutical care in ICU by using anti-infective as breakthrough point. METHODS： Based on the daily round, consultation for critical patients, formulation of therapeutic scheme, guidance for nurses on rational drug use, application and purchase of new drugs, temporary drug use assessment, and so on, some typical cases that clinical pharmacists encountered in rounds and consultations were described and analyzed. RESULTS＆CONCLUSION： Clinical pharmacists should select breakthrough point and provide ordered service for the clinic thoroughly. They should improve self-quality, and cooperate with related department closely at the same time. They also should play a professional role in rational drug use. The pharmaceutical care carried out in ICU has obtained preliminary success.