临床药师对1例细菌合并隐球菌感染肺炎患者的药学监护

Pharmaceutical Care for a Patient with Bacteria and Cryptococcal Pneumonia by Clinical Pharmacists

目的:探讨对特殊肺炎患者实施药学监护的方法和意义。方法:对1例细菌合并隐球菌感染肺炎的患者建立药历,进行用药分析,从抗菌药物、冠心病等方面提供药学监护,关注患者所用药物可能出现的药品不良反应,进行健康用药宣教。结果:临床药师可以药动学/药效学、药品不良反应、用法用量和药物稳定性等方面作为切入点,将药学理论与临床实践有机结合,为重症患者提供药学监护,促进合理用药,提高患者用药的安全性及有效性。结论:临床药师协助医师制订用药方案,为患者提供药学服务,为医师合理安全用药提供建议,可在隐球菌感染肺炎患者的治疗中发挥积极作用。

OBJECTIVE： To explore the approaches and significance of pharmaceutical care for patients with special pneumonia. METHODS： Medical records were established for a pneumonia patient infected with bacteria and cryptococcus. Upon analyzing drug use, pharmaceutical care was provided for antibiotics and coronary disease, etc. The possible adverse drug reactions were closely monitored, and health education was conducted. RESULTS： Using pharmacokinetics/pharmacodynamics, ADR, usage and dosage and drug stability as breakthrough point, combining pharmaceutical theory with clinical practice, clinical pharmacists provided pharmaceutical care for severe patients to promote reasonable use of drugs and improve the safety and effectiveness. CONCLUSIONS： Clinical pharmacists can assist the clinicians to make effective and reasonable dosage regime as well as providing pharmaceutical service for patients and suggestions for reasonable and safe drug use for physicians.