碳酸镧咀嚼片引起便秘及腹部影像学异常的病例分析

Unusual Abdominal Film Associated with Inappropriate Use of Lanthanum Carbonatein Chewable Tablet: A Clinical Analysis

目的为临床合理使用碳酸镧咀嚼片出现影像学异常提供分析参考。方法通过对1例CKD5期高磷血症患者使用碳酸镧咀嚼片引起便秘和影像学异常的病例进行分析,药师协助临床查找原因,并对患者进行用药指导和监护随访。结果经过分析,影像学异常为患者错误服用碳酸镧引起的影像学表现,经过通便处理,影像学恢复正常,临床药师由此制定了碳酸镧咀嚼片的使用监护流程,保证了患者的安全正确用药。结论临床药师对使用碳酸镧咀嚼片的患者进行详细的用药指导和持续随访,可促进患者正确用药。

OBJECTIVE To provide a reference for the analysis of imaging abnormality in the clinical rational use of lanthanum carbonate chewable tablets. METHODS A case of constipation and imaging abnormality caused by the use of lanthanum carbonate(LC) chewable tablets in a patient with CKD 5 stage hyperphosphatemia was analyzed, and the pharmacist assisted the physician search for the cause, and the patient was given medication guidance and follow-up. RESULTS The mistaken of LC could explain radiopaquematerial on abdominal film well. Repeated radiographs showed that these deposits disappeared after relaxing the bowels. The clinical pharmacist made the flow path of LC using, ensured the right use of patient. CONCLUSION Clinical pharmacist can promote the right use of lanthanum carbonate by making detailed medication instruction and following up.