临床药师对1例肾内科出院患者提供用药指导

Discussion on Medication Guidance for a Discharged Patient of Nephrology Department by Clinical Pharmacists

目的:探讨临床药师为肾内科出院患者提供用药指导的工作模式和方法。方法:临床药师通过出院用药指导单,对1例原发性肾病综合征患者在应用醋酸泼尼松、阿托伐他汀、利尿药、盐酸贝那普利、阿司匹林肠溶片、泮托拉唑钠肠溶胶囊、碳酸氢钠等方面提供用药指导。结果:临床药师对出院患者进行用药指导,提高了患者用药依从性,发挥了药物治疗的最佳效应。药师电话随访患者服药规律,未发现其有明显不适。结论:临床药师对出院患者进行用药指导,为促进安全、有效、合理、经济用药发挥了重要作用。

OBJECTIVE：To seek the work pattern and methods of clinical pharmacists providing medication guidance for discharged patients in nephrology department.METHODS：Clinical pharmacists provided medication guidance for a patient with primary nephrosis syndrome in field of the use of prednisone acetate,atorvastatin,diuretics,benazepril hydrochloride,Aspirin enteric-coated tablets,Pantoprazole sodium enteric-coated capsules,sodium bicarbonate,etc.RESULTS：Compliance of drug therapy was increased and therapy result was satisfactory for the discharged patient through clinical pharmacists providing medication guidance.Pharmacists visited the patient by telephone and didn＇t found obviou physical discomfort.CONCLUSIONS：The involvement of pharmacists in medication guidance for the discharged patients is helpful in increasing safety,effect,rationality,economy of drug use.