临床药师对心血管疾病患者实施个体化用药监护的切入点

Entry Point for Clinical Pharmacists in Carrying out Individualized Pharmaceutical Care for Patients with Cardiovascular Disease

目的:探讨临床药师在心血管内科开展个体化用药监护的切入点。方法:临床药师结合心血管内科实际工作需求,从个体化用药教育、生活方式指导、医院内感染发生干预、中药注射剂滥用监护、药物间相互作用以及动态调药等方面开展药学监护工作。结果:个体化用药监护减少了心血管疾病治疗中药物不合理使用的现象。结论:开展个体化用药监护能减少药源性疾病和不良反应的发生,降低医疗资源的浪费。

OBJECTIVE： To explore the entry point for clinical pharmacists to carry out individualized pharmaceutical care for patients with cardiovascular disease. METHODS： In response to the practical work demand in cardiovascular medicine, clinical pharmacists carried out pharmaceutical care for the patients including providing individualized mediation education, guidance on lifestyle and intervention on nosoeomial infection, monitoring on the abuse of traditional Chinese herbal injections and drug interactions, and dynamical drug dispensing etc. RESULTS： Individualized pharmaceutical care contributed to the reduction of irrational use of drugs in treatment of cardiovascular disease. CONCLUSIONS： The individualized pharmaceutical care can reduce both the incidences of drug-induced diseases and adverse drugs reactions and the waste of medical resources.