期刊文献+

老年冠心病合并肾功能不全患者的药学服务

Pharmaceutical Care in Elderly Patients With Coronary Heart Disease Complicated With Renal Insufficiency
下载PDF
导出
摘要 目的探索临床药师对老年冠心病合并肾功能不全患者的药学监护方案。方法通过与临床医师共同制定治疗方案,对患者住院期间的用药进行具体化药学服务和制定个体化监护计划。结果临床药师对血运重建的适应证,冠脉造影的注意事项、二级预防的合理用药等方面都有了深刻全面的认识。结论临床药师积极参与临床的治疗过程,确保用药安全有效,提高了整体治疗水平。 Objective To explore the clinical pharmacists in elderly patients with coronary heart disease complicated with renal insufifciency patients with pharmaceutical care program. Methods To make a treatment plan with the clinicians, to make speciifc pharmaceutical care for patients in hospital and to make individual care plan. Results Clinical pharmacists have a deep and comprehensive understanding of the indications for revascularization, the attention of coronary angiography, the rational use of the two levels of prevention, and so on. Conclusion Clinical pharmacists actively participate in clinical treatment process, to ensure safe and effective drug use, improve the overall level of treatment.
作者 张伟
出处 《中国继续医学教育》 2016年第21期133-134,共2页 China Continuing Medical Education
关键词 冠心病 肾功能不全 药学监护 二级预防 造影剂 Coronary heart disease Renal insufifciency Pharmaceutical care Two grade prevention Contrast agent
  • 相关文献

参考文献11

  • 12012 Writing Committee Members,Jneid H,Anderson JL,et al.2012 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction (Updating the 2007 Guideline and Replacing the 2011 Focused Update):A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice GuideHnes[J].J Am Coll Cardiol,2012,126(7):875-910.
  • 2Szummer K,Lundman P,Jacobson SH,et al.Influence of renal function on the effects of early revascularization in non-ST- elevation myocardial infarction:data from the Swedish Web-System,for Enhancement and Development of Evidence-Based Care in Heart Disease Evaluated According to Recommended Therapies (SWEDEHEART)[J].Circulation,2009,120(18):851-858.
  • 3冠心病介入诊疗对比剂应用专家共识[J].中国心血管病研究,2010,8(12):881-889. 被引量:65
  • 4Anderson JL,Adams CD,Antman EM,et al.ACC/AHA 2007 guidelines for the management of patients with unstable angina/non ST-elevation myocardial infarction:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non ST-Elevation Myocardial Infarction):developed in collaboration with the American College of Emergency Physicians,the Society for Cardiovascular Angiography and Interventions,and the Society of Thoracic Surgeons:endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine[J].J Am Coll Cardiol,2013,6201):1040-1041.
  • 5Kuhn MJ,Chen N,SaKani DV,et al.The PREDICT study:a randomized double-blind comparison of contrast-induced nephropathy after low- or isoosmolar contrast agent exposure[J].AJR AmJ Roentgenol,2008,191(1):151-157.
  • 6Rudnick MR,Davidson C,Laskey W,et al.Nephrotoxicity of iodixanol versus ioversol in patients with chronic kidney disease:the Visipaque Angiography/Interventions with Laboratory Outcomes in Renal Insufficiency (VALOR) Trial[J].Am Heart J,2008,156(4):776-782.
  • 7Solomon RJ,Natarajan MK,Doucet S,et al.Cardiac Angiography in Renally Impaired Patients (CARE) study:a randomized double-blind trial of contrast-induced nephropathy in patients with chronic kidney disease[J].Circulation,2007,115(25):3189-3196.
  • 8Thomsen HS,Morcos SK,Erley CM,et al.The ACTIVE Trial:comparison of the effects on renal function of iomeprol-400 and iodixanol-320 in patients with chronic kidney disease undergoing abdominal computed tomography[J].InvestRadiol,2008,43(3):170-178.
  • 9Freeman RV, O'Donnell M,Share D,et al.Nephropathy requiring dialysis after percutaneous coronary intervention and the critical role of an adjusted contrast dose[J].Am J Cardiol,2002,90(15):1068-1073.
  • 10Gonzales DA,Norsworthy KJ,Kern SJ,et al.A meta-analysis of N-acetylcysteine in contrast-induced nephrotoxicity:unsupervised clustering to resolve heterogeneity[J].BMC Med,2007,5(1):1-13.

二级参考文献49

  • 1Klein LW,Sheldon MW,Brinker J,et al.The use of radiographic contrast media during PCI:a focused review:a position statement of the Society of Cardiovascular Angiography and Interventions.Catheter Cardiovasc Interv,2009,74:728-746.
  • 2ESC Guidelines for the Diagnosis and Treatment of Non-ST-Segment Elevation Acute Coronary Syndromes.Chapter Contrast-Induced Nephropathy.Bassand et al.Eur Heart,2007,28:1598-1660.
  • 3中国医师协会心血管内科医师分会,中国医师协会循证医学专业委员会,中国老年学学会心脑血管病专业委员会.心血管疾病防治指南和共识2009.北京:人民卫生出版社,2009.
  • 4Singh J,Daftary A.Iodinated contrast media and their adverse reactions.J Nucl Med Technol,2008,36:69-74.
  • 5Nash K,Hafeez A,Hou S.Hospital-acquired renal insufficiency.Am J Kidney Dis,2002,39:930-936.
  • 6European Society of Urogential Radiology.Guidelines on Contrast Media.Version 6.0,2007.
  • 7McCullough PA,Wolyn R,Rocher LL,et al.Acute renal failure after coronary intervention:incidence,risk factors,and relationship to mortality.Am J Med,1997,103:368-375.
  • 8Mehta RL,Kellum JA,Shah SV,et al.Acute Kidney Injury Network:report of an initiative to improve outcomes in acute kidney injury.Crit Care,2007,11:R31.
  • 9Rudnick MR,Goldfarb S.Pathogenesis of contrast-induced nephropathy:experimental and clinical observations with an emphasis on the role of osmolality.Rev Cardiovasc Med,2003,4:S28-33.
  • 10Lepor NE,Mathur VS.Radiocontrast Nephropathy.Curr Interv Cardiol Rep,2000,2:335-341.

共引文献64

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部