临床药师在肾内科开展药学服务的模式探讨

Exploration of the Mode of Clinical Pharmacists Providing Pharmaceutical Care in Nephrology Department

目的:探讨临床药师在肾内科开展药学服务的模式与切入点。方法:结合肾内科的实际工作,通过案例分析介绍临床药师参与临床药物治疗工作的内容和方法。结果:临床药师可将关注血管紧张素转换酶抑制剂与血管紧张素Ⅱ受体阻滞药的合理使用、规范肾穿刺活检术前后用药、药源性疾病的分析与监护、与医护人员沟通、患者出院用药教育等作为参与肾内科药物治疗的切入点。结论:临床药师可为临床提供多种形式的药学服务,促进药物应用更加安全、有效、合理。

OBJECTIVE：To explore the modes and breakthrough point of clinical pharmacists participating in pharmaceutical care in nephrology department. METHODS：Combined with the practice of nephrology department,the content and method of clinical pharmacists participating in clinical drug therapy were introduced through case analysis. RESULTS：Clinical pharmacists could participated in drug therapy in nephrology department through breakthrough point of paying attention to rational use of ACEI and angiotensin Ⅱ receptor blocker,standardizing drug use before and after renal biopsy paracentesis,drug-induced disease analysis and monitoring,enhancing communication between physicians and nurses,discharged medication education,etc. CONCLUTIONS：Clinical pharmacists provide various types of pharmaceutical care to further promote safe,effective and reasonable use of drugs.