1例支气管扩张合并糖尿病、痛风患者的药学监护

Pharmaceutical care on a patient with bronchiectasis,diabetes and gout

目的通过分析1例支气管扩张合并糖尿病、痛风患者的药学监护过程,探讨基层医院临床药师实行药学监护的切入点。方法临床药师根据患者肾脏功能和过敏史,调整选用的抗菌药物,通过计算调整药品剂量、有针对性地选择抗痛风药物等为患者提供药学服务。结果医师采纳药师用药建议,患者没有出现药品不良反应,病情得到缓解。结论临床药师对患者进行药学监护,完善了临床治疗方案,提高了患者用药的安全性和有效性。

Objective To explore the breakthrough point of pharmaceutical care for a patient with bronchiectasis,diabetes and gout. Methods The clinical pharmacist recommended appropriate antibiotics and gout medications. The dosage and therapy regimen were optimized based on the patient＇s renal function, allergy and disease history. Results The physician accepted the suggestions from clinical pharmacists. The patient recovered well with no adverse drug reactions. Conclusion With the knowledge of clinical pharmacist, clinical treatment plan was optimized. The patient received better pharmaceutical care.