对1例慢性心力衰竭患者的药学监护

Pharmaceutical Care on One Case with Chronic Cardic Failure

目的:探讨临床药师对慢性心力衰竭合并多种疾病患者进行药学监护的切入点。方法:临床药师全程参与1例典型慢性心力衰竭患者的治疗,重点针对药物选择、药物相互作用、不良反应防治等方面提出建议,制定个体化给药方案,并对干预结果进行监测和评估。结果:临床药师为患者实施药学监护,提高了药物治疗效果,有效避免了不利的药物相互作用,杜绝了不良反应的发生。结论:临床药师应深入临床,不断提高专业水平和服务技能,提供药学服务,保障临床合理用药。

OBJECTIVE：To probe into the entry point of clinical pharmacists in providing pharmaceutical care on chronic cardic failure patients combined with characteristics of various diseases. METHODS：The clinical pharmacists participated in the whole clinical treatment of one case with typical chronic cardic failure, and put forward suggestions mainly focus on the selection of drugs, drug interaction and adverse reaction control etc. Individualized dosing regimen was established, and the intervention results was monitored and assessed. RESULTS： The pharmaceutical care implemented by clinical pharmacists can improve the therapeutic effect of drugs, and effectively avoid the adverse drug interactions, prevent the occurrence of adverse drug reactions. CONCLUSIONS：The clinical pharmacists should go to the clinic to do the deeply research, improve the professional level and basic service skills, provide pharmaceutical care and ensure the rational utilization of drugs in clinic.