摘要
目的对冠心病伴心率失常患者服用地高辛进行个体化用药监护,促进特殊生理状态患者地高辛的使用。方法从患者年龄、肾功能、药物相互作用、心功能等方面分析患者地高辛中毒原因,进行TDM监测,对患者进行个体化给药及用药教育。结果经临床药师积极参与治疗方案的调整,计算患者地高辛合理剂量,保证地高辛浓度稳定在(0.5~2)ng/m L内。结论临床药师开展个体化药学服务,促进了地高辛的安全使用,降低ADR发生率,减轻了患者经济负担。
Objective To promote the use of digoxin in patients with special physiological state by individualizedly monitor the digoxin in patients with coronary heart disease and arrhythmia. Methods The causes of digoxin poisoning in patients were analyzed in the aspects of age, renal function, drug interactions, cardiac function. And the TDM was monitored. The patients were given individualized medication and medication education. Results The rational dose of digoxin in patients was calculated after the clinical pharmacists actively involved in the adjustment of treatment options, to ensure that their digoxin concentration was stable within （0.5-2.0） ng/mL. Conclusion The individualized pharmacy services carried out by clinical pharmacists promote the safe use of digoxin, reduce the incidence of ADR and reduce the economic burden of patients.
出处
《中国现代医生》
2018年第1期92-95,共4页
China Modern Doctor
关键词
地高辛
药学监护
个体化给药
患者安全
Digoxin
Pharmacological care
Individualized administration
Patient safety
