临床药师对1例过敏性紫癜患者的药学监护

Pharmaceutical Care for a Case of Allergic Purpura by Clinical Pharmacists

目的:探讨临床药师对过敏性紫癜患者实施药学监护的过程、方法及其作用。方法:结合1例过敏性紫癜患者应用大剂量糖皮质激素进行药物治疗的过程,临床药师针对糖皮质激素,注意监测其不良反应,加强用药宣教;对治疗药物之间的相互作用进行分析;针对腹型过敏性紫癜患者饮食干预的重要性,耐心做好饮食宣教;对治疗的全过程进行药学监护。结果:保证了患者应用各种药物的有效性和安全性;提高了患者及患者家属的依从性。结论:临床药师在药学监护过程中能对保证用药合理性及安全性提供帮助,并提高患者的依从性。

OBJECTIVE： To discuss the processes, methods and role of clinical pharmacists providing pharmaceutical care for patient with allergic purpura. METHODS： Based on pharmacotherapy of large dose of glucocorticoid for a case of allergic purpura, clinical pharmacists paid attention to ADR monitoring and strengthened medication education on glucocorticoid; drug interaction of drug used was analyzed; clinical pharmacists supplied diet education because of the importance of diet intervention for patients with abdominal type allergic purpura; and put pharmaceutical care in the whole process of therapy. RESULTS： Clinical pharmaceutical care promoted the effectiveness and safety of drug use, and improved patients’ and dependents’ compliance. CONCLUSION： The participation of pharmacists in pharmaceutical care contributes to the rationality and safety of drug use and improves patients’ compliance.