临床药师对1例吸入性肺炎患者的药学监护

Pharmaceutical Care for a Patient with Aspiration Pneumonia by Clinical Pharmacists

目的:探讨临床药师开展对吸入性肺炎患者进行药学监护的方法。方法:从对1例因溺淡污水造成吸入性肺炎患者的初始及后续抗感染、神经精神症状的改善、营养支持方案的制订等方面,进行药物治疗监护,总结经验。结果:临床药师评估患者状况、建立用药监护计划、采取合适措施并跟踪治疗,避免了潜在药物治疗风险,解决了药物治疗存在的问题。结论:建立并完善用药监护要点,及时与医师沟通,充分发挥药学专业技能,有利于开展药学监护。

OBJECTIVE： To discuss the way to develop pharmaceutical care for a patient with aspiration pneumonia by clinical pharmacists. METHODS： The pharmaceutical care was given to a patient with aspiration pneumonia induced by drowning, in the aspects of the formulation of anti-infective regimen, improvement of mental and nervous symptom and the development of nutrition support plan. The process and experiences were recorded. RESULTS： Clinical pharmacist evaluated the patient＇s condition, pre- pared the plan of pharmaceutical care, selected appropriate measure and followed the treatment. The potential risk of drug therapy was avoided and the problem of drug therapy was solved. CONCLUSIONS： For carrying out pharmaceutical care, it is useful to set up key points of pharmaceutical care, communicate with physician in time and full use professional t^harmaeeutical skill.