实用药物与临床
實用藥物與臨床
실용약물여림상
Practical Pharmacy and Clinical Remedies
2015年
11期
1365-1367
,共3页
颅内感染%肺部感染%药学监护%万古霉素
顱內感染%肺部感染%藥學鑑護%萬古黴素
로내감염%폐부감염%약학감호%만고매소
Intracranial infection%Pulmonary infection%Pharmaceutical care%Vancomycin
目的 探讨临床药师对术后院内感染患者的抗感染治疗进行药学监护的重要性. 方法 从药物选择、相关实验室指标监测、不良反应等方面,临床药师对1例"开颅血肿清除术+去骨瓣减压术"术后合并颅内感染、肺部感染患者的治疗过程实施药学监护. 结果 通过联合使用万古霉素静脉及鞘内注射,患者颅内感染、肺部感染得到有效控制,在治疗过程中脑脊液白细胞逐渐下降,腺苷脱氨酶( ADA)逐渐正常,且在治疗过程中无神经根刺激症状、癫疒间、肾功能损害等不良反应的发生. 结论 临床药师参与患者抗感染治疗过程中个体化治疗方案的制订、开展药学监护,对促进药物治疗的有效性、减少药物不良反应的发生具有重要作用.
目的 探討臨床藥師對術後院內感染患者的抗感染治療進行藥學鑑護的重要性. 方法 從藥物選擇、相關實驗室指標鑑測、不良反應等方麵,臨床藥師對1例"開顱血腫清除術+去骨瓣減壓術"術後閤併顱內感染、肺部感染患者的治療過程實施藥學鑑護. 結果 通過聯閤使用萬古黴素靜脈及鞘內註射,患者顱內感染、肺部感染得到有效控製,在治療過程中腦脊液白細胞逐漸下降,腺苷脫氨酶( ADA)逐漸正常,且在治療過程中無神經根刺激癥狀、癲疒間、腎功能損害等不良反應的髮生. 結論 臨床藥師參與患者抗感染治療過程中箇體化治療方案的製訂、開展藥學鑑護,對促進藥物治療的有效性、減少藥物不良反應的髮生具有重要作用.
목적 탐토림상약사대술후원내감염환자적항감염치료진행약학감호적중요성. 방법 종약물선택、상관실험실지표감측、불량반응등방면,림상약사대1례"개로혈종청제술+거골판감압술"술후합병로내감염、폐부감염환자적치료과정실시약학감호. 결과 통과연합사용만고매소정맥급초내주사,환자로내감염、폐부감염득도유효공제,재치료과정중뇌척액백세포축점하강,선감탈안매( ADA)축점정상,차재치료과정중무신경근자격증상、전녁간、신공능손해등불량반응적발생. 결론 림상약사삼여환자항감염치료과정중개체화치료방안적제정、개전약학감호,대촉진약물치료적유효성、감소약물불량반응적발생구유중요작용.
Objective To investigate the importance of pharmaceutical care provided by clinical pharmacist to patients who acquired nosocomial infection after surgery. Methods Clinical pharmacists provided pharmaceutical care for a patient with intracranial infection and pulmonary infection after the surgery"removing hematoma and deboning for decompression" in respects of drug selection,correlation index,adverse reaction monitoring,etc. Results The intracra-nial infection and pulmonary infection of the patient was controlled effectively by intravenous and intrathecal vancomy-cin,the levels of leukocytes and ADA reduced gradually, no nerve root irritation, epilepsy and renal dysfunction oc-curred during the treatment process. Conclusion Clinical pharmacist participates in formulating the individualized treatment schedule and providing pharmaceutical care,which plays an important role in promoting the effective treat-ment,reducing the adverse drug reactions.
