1例可疑继发性高血压患者的药学监护

Pharmaceutical Care of One Patient with Suspected Secondary Hypertension

高血压是最常见的心血管疾病,其并发症也是造成人类死亡的主要原因之一。及时选择正确合理的降压方案对于患者预后至关重要。临床药师在临床对1位诊断不明,高血压危象患者开展患者药学监护和教育,全程跟踪诊疗过程,甄别不良反应,在醛固酮立卧位试验前选择和评估合理的诊断治疗方案,并针对患者自身病情特点有针性的进行教育和随访,提供药学服务,从而提高患者临床药物治疗的疗效,提高患者依从性,发挥临床药师应有的作用。

Hypertension is a common cardiovascular disease and may induce many complications which are the major causes of human＇s death. It is essential to select the correct and reasonable therapeutic regimens for the prognosis of patients. A young patient suffering hypertensive crisis of unknown origin were given pharmaceutical cares and educations by clinical pharmacists. Monitoring points of pharmaceutical care included tracking the treatment process; monitoring the adverse drug reactions; selecting the reasonable diagnostic method and therapeutic regimen before evaluating the value of aldosterone to rennin ratio（ARR）. Clinical pharmacists provided medication education and clinical follow-up for the patient according to the monitoring results. With the efforts of clinical pharmacists, medication compliance of this patient was improved and safety and efficiency of drugs use was ensured. In the treatment process, clinical pharmacists were playing the unique role.