中国药物应用与监测
中國藥物應用與鑑測
중국약물응용여감측
CHINESE JOURNAL OF DRUG APPLICATION AND MONITORING
2015年
3期
160-162
,共3页
马静%崔朝%钱方%朱余兵
馬靜%崔朝%錢方%硃餘兵
마정%최조%전방%주여병
妊娠期糖尿病%药学监护%临床药师
妊娠期糖尿病%藥學鑑護%臨床藥師
임신기당뇨병%약학감호%림상약사
Gestational diabetes mellitus%Pharmaceutical care%Clinical pharmacist
1例26岁女性患者,因“口干多饮多尿1个月余”入院,入院诊断为妊娠期糖尿病。入院即给予降糖治疗。临床药师评估其初始治疗方案,并持续关注药物疗效,对患者进行全程药学监护,在使用胰岛素泵后血糖仍控制不佳时,临床药师结合最新的诊治指南,针对患者病情进行分析,与医生充分沟通后提出胰岛素泵基础输注率的时间段由3段改为6段的建议,同时加强对患者进行用药教育。治疗10 d后患者血糖完全达标后予以出院。
1例26歲女性患者,因“口榦多飲多尿1箇月餘”入院,入院診斷為妊娠期糖尿病。入院即給予降糖治療。臨床藥師評估其初始治療方案,併持續關註藥物療效,對患者進行全程藥學鑑護,在使用胰島素泵後血糖仍控製不佳時,臨床藥師結閤最新的診治指南,針對患者病情進行分析,與醫生充分溝通後提齣胰島素泵基礎輸註率的時間段由3段改為6段的建議,同時加彊對患者進行用藥教育。治療10 d後患者血糖完全達標後予以齣院。
1례26세녀성환자,인“구간다음다뇨1개월여”입원,입원진단위임신기당뇨병。입원즉급여강당치료。림상약사평고기초시치료방안,병지속관주약물료효,대환자진행전정약학감호,재사용이도소빙후혈당잉공제불가시,림상약사결합최신적진치지남,침대환자병정진행분석,여의생충분구통후제출이도소빙기출수주솔적시간단유3단개위6단적건의,동시가강대환자진행용약교육。치료10 d후환자혈당완전체표후여이출원。
One 26-year-old female patient was hospitalized for dry mouth, polydipsia and polyuria for more than one month. The patient was diagnosed with gestational diabetes mellitus. After admission, the patient was treated with blood glucose control. The initial therapeutic regimen and the efifcacy of medications were evaluated, and the pharmaceutical care was carried out by clinical pharmacists. Even the use of insulin pump, blood glucose was still poorly controlled. Combining with the latest treatment guidelines, clinical pharmacists analyzed the patient's condition, suggested that the time periods of the basic transfusion of the insulin pump should be changed from 3 to 6, and enhanced the patient's medication education. After 10 days, the blood glucose of the patient reached to normal levels, and she was discharged from hospital.