摘要
甲状腺毒症患者常伴有心率加快、心肌收缩力增加,外周血管阻力下降等病理改变,是导致房颤复发的重要因素。本文通过临床药师对1例桥本甲状腺毒症合并房颤PCI术后的2型糖尿病患者进行药学监护,探讨临床药师在临床治疗中发挥的作用。临床药师协助医师制订治疗方案,调整桥本甲状腺毒症、糖尿病治疗中的药物剂量以及房颤抗凝治疗中的药物选择,发挥了积极作用,促进临床安全、合理用药。
Thyrotoxicosis,a crucial risk factor for fibrillation atrial,is frequently complicated with increased heart rates and myocardial contractility,and decreased peripheral vascular resistance.We provided pharmaceutical care for a patient with hashimoto thyrotoxicosis complicated with fibrillation atrial PCI and type 2 diabetes.Clinical pharmacist assisted physicians in medication management,adjusted drug dose for hashimoto thyrotoxicosis,type 2 diabetes,and antithrombotic therapy for fibrillation atrial.Clinical pharmacists have a positive effect in improving the safety and effectiveness of medication treatment.
作者
彭偲偲
卢立
郭志磊
高君伟
PENG Si-si;LU Li;GUO Zhi-lei;GAO Jun-wei(Department of Pharmacy,Shanghai General Hospital,Shanghai Jiao Tong University,Shanghai 200080;Department of Pharmacy,Wuhan Fourth Hospital,Pu'ai Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430033)
出处
《中南药学》
CAS
2019年第11期1981-1984,共4页
Central South Pharmacy
基金
全国医药经济信息网科技传播创新工程(No.CMEI2017KP00249)
关键词
桥本甲状腺毒症
房颤
糖尿病
临床药师
药学监护
hashimoto thyrotoxicosis
fibrillation atrial
diabetes mellitus
clinical pharmacist
pharmaceutical care
