临床药师对1例酒精戒断患者突发呼吸困难的药学监护

Pharmaceutical Care Performed by Clinical Pharmacist for One Patient with Alcohol Withdrawal and Emergency Dyspnea

目的:为临床肝硬化酒精戒断患者的镇静治疗和临床监护提供参考。方法:介绍临床药师参与1例肝硬化酒精戒断患者突发呼吸困难的诊疗过程,分享临床药师参与临床的思维模式与实践方法。结果:通过文献检索与分析,临床药师认为患者突发呼吸困难是镇静药物过量所致,对患者实施了药学监护和用药教育,并对其下一步治疗提出了药学建议。结论:临床药师可以协助医师分析不良反应发生的原因,并对患者实施药学监护和用药教育,保证患者的用药安全、有效。

Objective： To provide reference for the sedation therapy and clinical monitoring for the patients with liver cirrhosis and alcohol withdrawal. Methods： Clinical pharmacist participated in the treatment process of emergency dyspnea in one patient with liver cirrhosis and alcohol withdrawal, and the thoughts and practice methods of clinical pharmacist participating in clinics were shared. Results： Based o.n the literatures, clinical pharmacist thought the emergency dyspnea was caused by overdose of sedatives. Therefore, medication monitoring and education on the drugs were provided for the patient, and pharmaceutical suggestions were put forward for the next treatment. Conclusion： Clinical pharmacists can help physicians analyze the causes of adverse reactions, and provide pharmaceutical care and medication education to ensure the safety and effectiveness of drug treatment.