临床药师在1例脓毒症合并药物性肝损伤患儿诊疗中的实践

Practice of Clinical Pharmacists in the Diagnosis and Treatment of a Child with Sepsis and Drug-induced Liver Injury

临床药师利用专业知识参与1例急性脓毒症合并药物性肝损伤患儿的病因分析及药物治疗,运用RUCAM评估量表对可疑药物和肝损伤进行了因果关系分析,并根据患儿的临床指标和相关治疗指南为患儿提供了抗感染、保肝、抗凝药物的药学监护,同时对患儿家属进行了用药教育,患儿病情好转出院。临床药师参与临床诊疗有利于诊断水平的提高,可促进合理用药,实现个体化治疗。

The clinical pharmacist used professional knowledge to participate in the etiological analysis and drug therapy of a child with sepsis and drug-induced liver injury,analyzed the causal link between the suspicious medicine and liver injury by using the RUCAM scale,and provide pharmaceutical care of anti-infection,liver protection and anticoagulant drugs for the patient,then provide medication education to the family members of the patient,and the patient was cured and discharged.The participation of clinical pharmacists in clinical diagnosis and treatment can promote rational drug use,which is conducive to the improvement of the diagnosis level and the realization of individualized treatment.