临床药师参与1例不完全性肠梗阻患者的药学监护

Pharmaceutical Care for a Patient with Incomplete Intestinal Obstruction

目的:探讨对不完全性肠梗阻患者药学监护的内容和模式。方法:结合不完全性肠梗阻的治疗原则及具体病例,给予患者胃肠减压、抗感染、灌肠、补液等对症处理;同时,临床药师为该患者制订相应的全程化药学监护。结果:患者症状逐渐好转,复查腹部站立位平片未见明显异常。结论:临床药师可以把药品遴选、配伍禁忌、不良反应、注意事项、超说明书用药等方面作为此类患者药学监护的要点。临床药师参与查房,开展药学监护已经成为医疗过程中不可缺失的一部分,"医、药、护"相互协作服务于患者,体现了临床药师的价值。

OBJECTIVE： To investigate the content and mode of pharmaceutical care for patients with incomplete intestinal ob struction. METHODS： Combined with the therapeutic principle and specific case of incomplete intestinal obstruction, the patient was given gastrointestinal decompression, antibiotic, enema, rehydration and other treatment to the symptom. At the same time, the wholeprocess pharmaceutical care were developed for this patient. RESULTS： The patient＇s symptoms were gradually im proved, and abdominal plain film was normal. CONCLUSIONS： The main points of pharmaceutical care implemented by clinical pharmacists for the patients include drug selection, drug incompatibility, adverse drug reaction, drug precautions and offlabel drug use, etc. Clinical pharmacists participate in medical rounds and carry out pharmaceutical care, which has become an important part of medical procedure. ＂Doctors, pharmacists, nurses＂ collaborative service to patients reflects the value of clinical pharmacists.