临床药师对1例慢性阻塞性肺疾病急性加重期患者的药学监护

Pharmaceutical Care for One Patient with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的:探索临床药师对慢性阻塞性肺疾病患者的药学监护方案。方法:针对1例慢性阻塞性肺疾病急性加重期患者,通过临床查房,掌握慢性阻塞性肺疾病的防治指南,根据掌握的药学知识,与临床医师共同制定治疗方案,对患者住院期间的用药进行全程监护,重点针对药物选择适宜性、药品不良反应以及药物的配伍对患者进行具体化药学服务和制定个体化监护计划。结果与结论:临床药师积极参与临床的治疗过程,可减少药品不良反应和药物配伍禁忌的发生,提高患者的依从性,从安全性、经济性方面提高整体治疗水平。

OBJECTIVE：To explore the pharmaceutical care scheme carried out by clinical pharmacists for patients with chronic obstructive pulmonary disease（COPD）. METHODS： Clinical pharmacist carried out pharmaceutical care for one patient with acute exacerbation of COPD through ward round, mastering the guide in the prevention and treatment of COPD, cooperating with clinicians in formulating therapeutic regimens based on the pharmaceutical knowledge they have learned, monitoring patients＇ whole course of medication and formulating individualized pharmaceutical care scheme with a focus laid on the appropriateness in the choice of drugs, adverse drug reactions and drug combination. RESULTS ＆ CONCLUSION： Clinical pharmacists＇ active participation in clinical treatment can help reduce the incidences of adverse drug reactions and drug incompatibility, improve patients＇ compliance and enhance the holistic treatment level in aspects of safety and economy.