1例微小病变肾病伴急性肾损伤患者的药学监护

Pharmaceutical Care for One Patient with Minimal Change Disease and Acute Kidney Injury

目的探讨临床药师参与临床药物治疗中的工作模式、方法与作用。方法临床药师参与1例微小病变伴急性肾损伤患者的临床治疗过程,将患者的病理特点、临床症状、实验室相关检查与药物的作用特点、不良反应相结合,进行综合分析与评估,协助医师为患者制定个体化给药方案,并对患者进行用药教育与药学监护。结果临床药师通过参与临床药物治疗,提高了患者的依从性,优化了药物治疗方案,尽可能减少了药物不良反应的发生。结论临床药师利用药学专业知识融入临床工作,参与临床药物治疗,提高药物治疗效果,减少不良反应发生,为患者提供更好的药学服务,同时也为医师制定个体化治疗方案提供帮助,促进合理化用药。

OBJECTIVE To explore the working mode, method and role of clinical of pharmacists in the clinical treatment. METHODS Through participating in the treatment of a patient with minimal change disease and acute kidney injury, the clinical pharmacists combined the pathological features, clinical symptoms, laboratory examinations with the characteristics and adverse reactions of the drug to conduct a comprehensive analysis and evaluation. Then assisted clinicians to develop individualized drug therapy and carried out pharmaceutical care. RESULTS Clinical pharmacists involved in clinical medication, the patient medication compliance was improved, the drug treatment program was optimized, and the occurrence of adverse drug reactions was minimized. CONCLUSION Clinical pharmacists participated in the clinical drug treatment process by pharmaceutical professional knowledge, so as to improve the effect of drug treatment and reduce the drug reactions and provide better pharmacy services for patients, which can provide assistance for physicians to develop individualized treatment programs and promote rationalized medication.