临床药师参与1例甲硝唑中毒救治的药学实践

Pharmaceutical Practice of Clinical Pharmacists Involved in the Treatment of Acute Metronidazole Poisoning

本文通过临床药师参与1例甲硝唑中毒救治的药学实践,探讨药物急性中毒救治中临床药师的作用。临床药师结合中毒药物的特征协助医师制定了血液净化方案、结合相关指南和循证医学证据优化了保肝药物治疗方案、对应激性溃疡防治药物的选择和方案调整提出了具体意见,并为患者提供了肝素的个体化用药方案和用药监护,使患者得到合理救治。提示在药物急性中毒患者的治疗中,临床药师应及时提供中毒药物信息,全程参与患者的药物治疗,提出建议,优化用药方案,临床药师在治疗团队的作用不容忽视。

To investigate the role of clinical pharmacists in the treatment team for acute drug poisoning,the pharmaceutical practice of clinical pharmacists involved in the treatment of acute metronidazole poisoning was reported in the present paper. Clinical pharmacists assisted physicians in developing blood perfusion regimen on the basis of drug characteristics. Referring to the related guidelines and evidence-based medicine,clinical pharmacists optimized the drug treatment programs to avoid drug-induced liver injury and stress ulcer. Meanwhile,clinical pharmacists provided an individualized heparin regimen and pharmaceutical care for the patient. With the close collaboration with physicians,the patient obtained perfect medicine therapy and pharmaceutical care. It is suggested clinical pharmacists play an active role in the rescue of acute drug poisoning patient by providing poisoning drug information for physicians timely and participating in the design of drug treatment programs using professional knowledge.