重症病人应用万古霉素的药学服务典型案例解析

Typical case analysis of pharmaceutical care of critical patients treated with vancomycin

目的:探讨重症病人使用万古霉素的药学服务要点。方法:通过万古霉素药学服务实践,解析典型案例,并进行归纳与总结。结果:临床药师对重症病人万古霉素使用的药学服务实践,可以从万古霉素初始给药方案的制定、方案调整与优化、血药浓度异常波动的原因分析、药品不良反应鉴别与处理等方面去实施。药师与医师、护士及时沟通能够确保临床用药的精准有效。结论:万古霉素的药学服务包括给药方案制定、调整与优化,以及血药浓度监测和药品不良反应的处理。

Objective：To investigate the main problems in pharmaceutical care of critical patients treated with vancomycin.Methods：A typical case was analyzed and summarized through pharmaceutical care and practice in the use of vancomycin.Results：Pharmaceutical care and practice by clinical pharmacists in the care of critical patients could be implemented by the following procedures：the development,adjustment and optimization of initial vancomycin medication profiles,analysis of abnormal fluctuation of serum drug concentration,and the identification and management of adverse drug reactions.In-time communication between pharmacists,physicians and nurses could ensure accurate and effective use of drugs clinically.Conclusion：Pharmaceutical care in the medication of vancomycin included development,adjustment and optimization of medication profiles,monitoring of serum drug concentration and management of adverse drug reactions.