临床药师参与1例重症肺炎伴高钠血症的治疗

Clinical pharmacists participate in the treatment of severe pneumonia with hyponatremia:1 case report

1例54岁女性因"脑出血开颅术后气管切开呼吸机辅助通气伴重症肺炎、高钠血症"入住呼吸ICU。临床药师针对患者的高钠血症(血钠175mmol/L)提出治疗建议,在权衡利弊的前提下,减少含钠溶媒的摄入量,停用含钠的非必要辅助用药。通过治疗方案调整,患者血钠逐渐下降至正常范围。可见,疾病可以引起电解质紊乱,需要相应药物治疗,同时,药物也可能会引起或加重电解质紊乱。

A 54-year-old man was hospitalized in the department of Respiration ICU due to hyponatremia and tracheotomy ventilator assisted ventilation with severe pneumonia after intracerebral hemorrhage. Weighing pros and cons, clinical pharmacists recommended doctor to treat his hypernatremia （value of blood natrium： 175 mmol/L） and suggested that the patient should reduce consumption of sodium-containing solvent and discontinue unnecessary auxiliary medicine. His value of blood natrium was gradually reduced to the normal range by adjustment of the therapy. It can be seen that disease can cause electrolyte disorder which should be treated with corresponding medicines. Meanwhile, drug may also cause or even aggravate electrolyte disorder.