临床药师参与1例脑出血合并低钾血症患者的药学监护

Pharmaceutical Care for Hypokalemia in a Patient with Cerebral Hemorrhage by Clinical Pharmacists

目的:探讨临床药师在维持脑出血患者钾离子平衡中的作用,以促进补钾药的合理应用。方法:通过临床药师对1例脑出血合并低钾血症患者的药学监护,汇总每日补钾量,分析每日补钾量是否适宜,讨论临床药师在维持患者钾离子平衡的重要作用。结果:临床药师对本例脑出血合并低钾血症患者的药学监护,协助医师优化了补钾方案,避免了低钾血症对患者生命健康的危害。结论:作为临床药师应知晓每日补钾的质量,不等同于补充氯化钾、枸橼酸钾等药物的质量。临床药师可以从原发病用药、并发症用药以及维持水电解质平衡三方面进行药学监护。

OBJECTIVE： To discuss the role of clinical pharmacists in potassium ion balance of patient with cerebral hemor- rhage, and to promote rational use of complement potassium drugs. METHODS： Clinical pharmacists provided pharmaceutical care for a hypokalemia patient with cerebral hemorrhage; daily amount of potassium were summarized to analyze its suitability; the im- portant role of clinical pharmacists in potassium ion balance of patient was discussed. RESULTS： Clinical pharmacists provided pharmaceutical care for hypokalemia patient with cerebral hemorrhage and assisted physicians to optimize complement potassium scheme so as to avoid adverse effects of hypokalemia on life and health of patients. CONCLUSIONS： Clinical pharmacist should be aware of the quality of daily complement potassium, which is not equivalent to quality of potassium chloride, potassium citrate and other drugs. Clinical pharmacists can provide pharmaceutical care in respects of medication for primary disease, compliance medication and fluid and electrolyte balance.