摘要
临床药师通过参与1例乙状结肠癌术后吻合口瘘合并高血糖患者营养支持治疗方案的制定与药学监护,在治疗过程中结合患者的病情变化调整肠外营养处方、更换营养支持方式、严密监测血糖及电解质等措施,提高了营养支持治疗药物的合理使用,使患者吻合口愈合,血糖平稳,营养状况恢复良好。通过此案例显示临床药师作为营养支持小组成员,发挥自身专业优势,参与临床营养支持治疗,协助临床团队制定更加合理的个体化营养支持治疗方案,确保患者整个营养支持治疗过程安全、有效。
Clinical pharmacists provided pharmaceutical care of nutrition support for a patient with anastomotic fistula and stress hyperglycemia after sigmoid colon cancer surgery.In this process,based on patient’s condition,parenteral nutrition prescription was adjusted,the nutrition support mode was changed,the blood glucose and electrolytes monitored and other measures were taken to improve the rational use of nutritional drugs.The patient’s anastomotic fistula was healed,blood glucose stable,and the nutritional balance well recovered.Clinical pharmacists,as members of the nutrition support group,make use of their professional advantage,and assist the clinical team to develop more reasonable individualized nutrition support programs to ensure safe and effective treatment.
作者
梁海
陈方
张华鹏
程刚
夏茹楠
李晓慧
张庆
曾诚
LIANG Hai;CHEN Fang;ZHANG Hua-peng;CHENG Gang;XIA Ru-nan;LI Xiao-hui;ZHANGQing;ZENG Cheng(Department of Pharmacy,People’s Hospital of Bozhou,Bozhou Anhui236800;Department of Oncology,People’s Hospital of Bozhou,Bozhou Anhui236800)
出处
《中南药学》
CAS
2019年第8期1325-1328,共4页
Central South Pharmacy
关键词
吻合口瘘
应激性高血糖
药学服务
营养支持
乙状结肠癌
anastomotic fistula
stress hyperglycemia
pharmaceutical service
nutritional support
sigmoid colon cancer