中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
EVALUATION AND ANAL YSIS OF DRUG-USE IN HOSPITALS OF CHINA
2014年
7期
661-662,663
,共3页
临床药师%卡马西平%中毒
臨床藥師%卡馬西平%中毒
림상약사%잡마서평%중독
Clinical pharmacist%Carbamazepine%Poisoning
目的：探讨卡马西平中毒的解救要点及药师在安全、合理用药中发挥的作用。方法：临床药师通过参与1例超剂量卡马西平中毒患者的治疗实践，从保肝、促排泄、补液、促醒、调节电解质平衡等方面制订治疗方案，针对患者的病情提出合理化建议，同时对患者实施全程药学监护。结果：患者由昏迷转为清醒，生命体征平稳后康复出院。结论：临床药师参与临床实践，与临床医师密切配合，能更好地开展临床药学服务工作、为患者服务。
目的：探討卡馬西平中毒的解救要點及藥師在安全、閤理用藥中髮揮的作用。方法：臨床藥師通過參與1例超劑量卡馬西平中毒患者的治療實踐，從保肝、促排洩、補液、促醒、調節電解質平衡等方麵製訂治療方案，針對患者的病情提齣閤理化建議，同時對患者實施全程藥學鑑護。結果：患者由昏迷轉為清醒，生命體徵平穩後康複齣院。結論：臨床藥師參與臨床實踐，與臨床醫師密切配閤，能更好地開展臨床藥學服務工作、為患者服務。
목적：탐토잡마서평중독적해구요점급약사재안전、합리용약중발휘적작용。방법：림상약사통과삼여1례초제량잡마서평중독환자적치료실천，종보간、촉배설、보액、촉성、조절전해질평형등방면제정치료방안，침대환자적병정제출합이화건의，동시대환자실시전정약학감호。결과：환자유혼미전위청성，생명체정평은후강복출원。결론：림상약사삼여림상실천，여림상의사밀절배합，능경호지개전림상약학복무공작、위환자복무。
OBJECTIVE:To explore the key points in the treatment of carbamazepine poisoning and the role of pharmacists in the safe and rational drug use. METHODS:The clinical pharmacist participated in the management of one case of carbamazepine poisoning by formulating treatment protocols including liver-protection,excretion-promotion,fluid infusion,promoting awaking and regulating electrolyte balance and putting forward reasonable suggestions tailored to patient’s condition,meanwhile conducting pharmaceutical care for the patient. RESULTS:The patient regained consciousness from coma and discharged with stable vital signs. CONCLUSIONS:Clinical pharmacist’involvement in clinical practice and work closely with clinicians facilitates better phar-maceutical care for patients.
