CAJ | 학술논문

1例74岁老年女性患者，因脑出血伴高血压入院，给予复方甘露醇脱水减轻脑水肿、氨甲环酸止血等治疗后患者心肌梗死发作，出现脑心综合征转入心内科，继续予以甘露醇脱水、抗血小板、抗感染、改善心功能等对症治疗。治疗期间，结合患者病情及检查指标，主要药学监护包括：复方甘露醇引起急性肾损伤的不良反应监测，患者特殊病理状态时抗菌药物的调整，他汀类药物的更换等。经对症治疗后，患者病情好转后出院。
1례74세노년녀성환자，인뇌출혈반고혈압입원，급여복방감로순탈수감경뇌수종、안갑배산지혈등치료후환자심기경사발작，출현뇌심종합정전입심내과，계속여이감로순탈수、항혈소판、항감염、개선심공능등대증치료。치료기간，결합환자병정급검사지표，주요약학감호포괄：복방감로순인기급성신손상적불량반응감측，환자특수병리상태시항균약물적조정，타정류약물적경환등。경대증치료후，환자병정호전후출원。
One 74-year-old female patient was admitted to hospital because of cerebral hemorrhage and hypertension. After admission, symptomatic treatments including mannitol to alleviate brain edema, tranexamic acid to stop bleeding and hypoglycemic drugs were given to the patient. But the patient developed myocardial infarction and shifted to department of cardiology for cerebrocardiac syndrome. Symptomatic treatments including alleviating brain edema, antiplatelet, anti-infection and improving heart function continued. During the treatment, clinical pharmacists focused on the following pharmaceutical care points:ADR monitor about acute kidney injury induced by mannitol, adjustment of antibiotics and statins, etc. After symptomatic treatment, the patient was discharged with an improved condition.