1例类风湿性关节炎合并重症肺炎患者的药学监护

Pharmaceutical Care for One Case of Rheumatoid Arthritis Complicated with Severe Pneumonia

目的:探讨临床药师在临床药物治疗中的药学监护和作用。方法:临床药师参与1例类风湿性关节炎合并重症肺炎患者的临床药物治疗,从抗感染治疗方案的调整、药物的选择到疗效评估和药物不良反应监护等方面给出合理化建议。结果:临床药师全程参与该患者的药物治疗,医师采纳临床药师提出的抗感染治疗药物的选择、剂量调整以及药物不良反应处置的建议。结论:临床药师发挥自身专业特长,在药物治疗方案优化调整中起到积极作用,为患者用药安全及临床合理用药提供了保障。

Objective ： To explore the role of clinical pharmacists in the drug treatment of one patient with rheumatoid arthritis and severe pneumonia. Methods： The drug treatment of one patient with rheumatoid arthritis and severe pneumonia involved in clinical pharmacists was retrospectively analyzed. Clinical pharmacists provided＂ rational suggestions for the adjustment of anti-infection treat- ment, selection of medication, evaluation of therapeutic effect and monitoring of adverse drug reactions. Results ： Clinical pharmacists participated in the whole medication treatment process, and their suggestions on anti-infection drugs choices, dose adjustment and ad- verse reactions treatment were accepted by doctors. Conclusion： Taking use of self professional competence, clinical pharmacists play a positive role in the optimization and adjustment of drug treatment regimen, which provides security for-the medication safety and clinical rational drug use.