临床药师参与1例曲马多致昏迷的药学实践

Pharmaceutical Practice Performed by Clinical Pharmacist for One Patient with Tramadol Induced Coma

目的:探讨临床药师如何在药品不良反应监护中发挥作用。方法:介绍临床药师参与1例因肌注曲马多导致昏迷的病例救治过程:临床药师通过对病历分析和文献检索,认为患者昏迷为曲马多所致,协助临床医生及时、快速地诊断,并利用药学专业知识为临床医生提供合理的药物治疗方案。结果:临床医生接受建议,患者痊愈出院。结论:临床药师应融入临床治疗团队,遇到药品不良反应时应积极思考与实践,发挥了临床药师应有的作用。

Objective： To explore the role of clinical pharmacists playing in the pharmaceutical care of adverse drug reactions. Methods： Clinical pharmacist participated in the treatment of one case of coma induced by intramuscular injection of tramadol. After analyzing the medical records and retrieving the concerned literatures, clinical pharmacists thought that it was tramadol inducing the coma, and assisted clinicians to make correct diagnosis rapidly, and then provided a reasonable treatment plan according to the pharma- ceutical expertise for clinicians. Results： Clinicians accepted the recommendations and the patient recovered and discharged from the hospital. Conclusion： Clinical pharmacists should participate in clinical treatment team. When facing with adverse drug reactions, clinical pharmacists should think and practise actively, and then play their roles in monitoring adverse drug reactions.