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重症急性胰腺炎患者的药学监护(1例临床报道) 预览 被引量:2

Pharmaceutical care for a patient with severe acute pancreatitis by clinical pharmacists
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摘要 药师参与1例急性重症胰腺炎的药学监护,发现以及解决的问题包括给予调整埃索美拉唑用药频次(qd给药)、生理盐水作为溶媒、CRRT-连续性肾脏替代治不必调整剂量、延长美罗培南输注时间(T=3 h)以及避开CTTR对药物的清除,旨在提高药物的治疗效果和减轻患者的经济负担等药学建议。另外,强调关注替加环素相关性胰腺炎风险的发生,生长抑素奥曲肽对血糖的影响以及患者肠内营养胃潴留的情况,减少药物不良反应(ADR)的发生率。 Pharmaceutical care was performed for a patient with severe acute pancreatitis by clinical pharmacists,participating in the patient's diagnosis and treatment.Pharmacist gave the suggestions,which were concerned with adjusting esomeprazole sodium frequency(once a day),solvent(normal saline),keeping the dose of esomeprazole through CRRT and prolonging meropenem drip time to 3 hours.Pharmacist suggested doctors pay attention to ADR(adverse drug reactions),tigecyclinerelevant pancreatitis,gastric retention of EN,and also got the fact of octreotide influence on blood sugar.
作者 梁丹 梁莉君 吕永丰 任建英 Liang Dan, Liang Lijun, Lv Yongfeng, Ren Jianying.( Department of Pharmacy, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.)
出处 《岭南现代临床外科》 2015年第5期560-562,共3页 Lingnan Modern Clinics in Surgery
关键词 重症急性胰腺炎 临床药师 药学监护 Severe acute pancreatitis Clinical pharmacists Pharmaceutical care
作者简介 通讯作者:任英健,Email:916419423@qq.com
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