临床药师参与多学科协作救治7例野生蘑菇中毒患者的实践

Practice of Clinical Pharmacists Participating in Multidisciplinary Collaboration in the Treatment of 7 Wild Mushroom Poisoning Patients

目的:探讨临床药师在多学科协作诊疗工作中的模式。方法:描述我院临床药师在参与多学科协作诊疗救治7例毒蘑菇中毒患者过程中担负的职责及发挥的作用。结果与结论:在多学科协作诊疗小组内,临床药师的主要工作内容包括参与诊疗方案的制订、采集野生蘑菇样本、联络专家鉴定菌种、查文献分析可能的中毒机制为临床提供循证医学证据、调整优化患者治疗用药方案、开展关于毒蘑菇知识的科普宣教活动、预防管理药品不良反应以提高患者在整个诊疗过程中的用药依从性,并在患者血液透析后肝功能无明显改善的情况下提出了使用复方益肝灵胶囊的建议,最终患者症状明显减轻,痊愈出院。由此,临床药师通过为临床治疗方案提供理论支持,优化临床治疗方案,为后续的病例治疗提供了有价值的参考,在多学科协作诊疗工作中可以发挥重要作用。

OBJECTIVE:To explore the mode of clinical pharmacists participating in multidisciplinary collaboration diagnosis and treatment.METHODS:The responsibilities and functions of clinical pharmacists participating in multidisciplinary collaboration diagnosis and treatment for 7 poisonous mushroom poisoning patients were described.RESULTS&CONCLUSIONS:In multidisciplinary collaboration diagnosis and treatment group,the main job content of clinical pharmacists included participation in the formulation of therapy plan,collection of wild mushroom sample,contaction of experts for identifing strains,review of literature and analysis of possible poisoning mechanisms to provide evidence for clinical,adjustment and optimization of treatment drug regimens for patients,carring out of popular science propaganda activities on poisonous mushrooms,prevention and management of adverse drug reactions to improve medication compliance of patients,providing the suggestions that using Compound yiganling capsule when there was no significant improvement in liver function after hemodialysis,and all patients were cured and discharged from the hospital finally.So,clinical pharmacists could provide theoretical support for clinical treatment,optimize the clinical treatment plan,provide a valuable reference for follow-up treatment,play an important role in multidisciplinary collaboration diagnosis and treatment.