1例不稳定心绞痛合并心衰伴阵发性房颤患者的药学监护

Pharmaceutical Care for One Case with Unstable Angina Merger of Heart Failure and Paroxysmal Atrial Fibrillation

临床药师参与1例不稳定心绞痛合并心衰伴阵发性房颤患者的诊治,协助临床医师选用抗凝及抗血小板药物、β受体阻断药、利尿药、硝酸酯类药物、转复房颤药物、降压药等。根据患者的电解质状况及肝肾功能调整利尿剂的使用,并加服氯化钾补充钾离子,加用肾康注射液改善肾功能。医师采纳临床药师建议,更换奥美拉唑为泮托拉唑,并加用血管紧张素转化酶抑制药,患者病情得到有效控制,好转出院。

Clinical pharmacists involved in the diagnosis and treatments of one case with unsatable angina merger of heart failure and paroxysmal atrial fibrillation, including the uses of anticoagulant and antiplatelet drugs, beta blockers, diuretics, nitrates, converting atrial fibrillation drugs and anti-hypertensive drugs and so on. Adjusting the use of diuretics and add potassium chloride according to the patient＇s electrolyte status and liver and kidney function, plus Shen Kang injection to improve renal function. Doctor adopts the suggestions of clinical pharmacists, replacing omeprazole for pantoprazole, and add angiotensin-converting enzyme inhibitors to reduce mortality. The patient＇s condition is effectively controlled and improved finally.