1例重症肺炎合并肾功能不全患者抗感染治疗中的药学监护

Pharmaceutical Care in Anti-infective Therapy for a Patient with Severe Pneumonia Complicated with Renal Insufficiency

目的:探讨临床药师在1例重症肺炎合并肾功能不全患者的抗感染治疗过程中实施药学监护的重要性。方法:临床药师参与了患者抗感染药物治疗方案的评价、调整,在整个治疗过程中根据患者的肾功能调整药物的使用剂量,避免了药物不良反应的发生,对患者进行用药教育和健康教育。结果:患者感染得到有效控制,喘气症状得到有效控制,血压平稳。结论:临床药师在药学监护实践中,需监测用药全过程,对药物治疗做出综合评价,最大限度地降低药物不良反应的发生。

Objective： To discuss the importance of pharmaceutical care in anti-infective treatment for one patient with severe pneumonia and renal insufficiency performed by clinical pharmacists. Methods： Clinical pharmacist participated in evaluating and changing the anti-infective treatment regimen, adjusted the drug dosage according to the renal function reasonably to avoid adverse drug reactions and completed the medication education and health education for the patient. Results：The infection was controlled effective-ly, gasp was controlled effectively and blood pressure was steady. Conclusion：Clinical pharmacists should monitor the whole treatment process,evaluate the drug regimen comprehensively and reduce adverse drug reaction to the maximum limit during the pharmaceutical care.