一例危重症患者抗感染治疗的药学监护

Anti-Infective Pharmaceutical Care of Critically Ⅲ Patients

目的通过临床药师参与一例颅脑损伤术后、多器官脏器不全、重症感染、电解质紊乱、双下肢静脉血栓、贫血、消化道出血患者的治疗过程,论临床药师在重症患者抗感染治疗过程中进行药学监护的重要性。方法从抗感染治疗方案的调整、维持机体内环境稳定、减少药物不良反应等多个方面对患者进行全程药学监护。结果经过系统性治疗,患者脏器功能基本恢复,感染得到控制,机体内环境稳定,转出重症监护室。结论临床药师在危重症患者的抗感染治疗过程的全程药学监护对于患者的转归具有重要意义,应发挥临床药师的作用,提高危重症患者的预后。

OBJECTIVE Discuss the importance of clinical pharmacists and pharmacy care during anti-infective therapy in criti- cally ill patients. METHODS Clinical pharmacists involved in the treatment process of a case of critically ill patients, who has craniocerebral injury, multiple organ insufficiency, severe infection, electrolyte imbalance, venous thrombosis of both lower extremi- ties, anemia, and gastrointestinal bleeding. Pharmacy care includes adjustment of anti-infective treatment, reduce adverse drug reac- tions and maintain homeostasis, et al. RESULTS The patient was cured and in a stable condition after systematic treatment. CON- CLUSION Clinical pharmacists could play an important role in improving the prognosis of critically ill patients.