临床药师在肾内科开展药学服务的实例与体会
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摘要
目的总结临床药师在肾内科开展药学服务的工作经验。方法通过案例介绍笔者在肾内科开展药学服务的内容和体会。结果临床药师通过开展药物重整、医嘱审核、给药方案设计、药学监护、患者用药教育等工作,能够使临床药物治疗更加安全、有效、适宜。结论肾内科应建立专业标准的药学服务模式,促进临床合理用药。
Objective To sum up the working experience of clinical pharmacists in the Department of Nephrology.Methods Based on specific cases in the Department of Nephrology, we introduced our experiences of clinical pharmaceutical services. Results Clinical pharmacists helped make safer, more effective and more reasonable drug treatment plan by conducting medication reconciliation, patients' medication education, personalized medicine scheme design, practical investigation, and medical order review. Conclusion A professional pharmaceutical service model is expected in the Department of Nephrology to promote rational use of drugs.
Objective To sum up the working experience of clinical pharmacists in the Department of Nephrology.Methods Based on specific cases in the Department of Nephrology, we introduced our experiences of clinical pharmaceutical services. Results Clinical pharmacists helped make safer, more effective and more reasonable drug treatment plan by conducting medication reconciliation, patients' medication education, personalized medicine scheme design, practical investigation, and medical order review. Conclusion A professional pharmaceutical service model is expected in the Department of Nephrology to promote rational use of drugs.
引文
[1]国家卫生计生委和国家中医药管理局.关于加强药事管理转变药学服务模式的通知[EB/OL].[2017-07-12].http://www. nhfpc. gov. cn/yzygj/s7659/201707/b44339ebef924f038003e1b7dca492f2. shtml.
[2]郭婷婷.临床药师在肾内科开展药学服务的模式探讨[J].中国药房,2016,27(14):1995-1997.
[3]刘杰彦,何远艳.临床药师在肾内科开展药学服务[J].临床合理用药杂志,2011,4(4x):10-11.
[4]杨辉,尹航,崔向丽,等.临床药师在肾内科疾病合理用药中的作用[J].中国临床药理学杂志,2017,33(13):1251-1253.
[5]The Joint Commission. Using medication reconciliation to prevent errors[J]. Sentinel Event Alert,2006,35(32):1-4.
[6]PCNE Classification for drug related problems V8.02.[EB/OL]. http://www. pcne. org/upload/files/230_PCNE_classification_V8-02. pdf.
[7]胡展红,邱晓燕.肾内科临床药师开展医嘱审核的思维模式初探[J].中国药房,2017,28(20):2862-2864.
[8]Gilard M,Arnaud B,Cornily JC,et al. Influence of omeprazole on the antiplatelet action of clopidogrel associated with aspirin:the randomized,double-blind OCLA(Omeprazole CLopidogrel Aspirin)study[J]. J Am Coll Cardiol,2008,51(3):256-260.
[9]骆丽芳,戴海斌.我国药学监护文献分析[J].中国医院药学杂志,2017,37(4):319-321.
[10]中国成人肾病综合征免疫抑制治疗专家组.中国成人肾病综合征免疫抑制治疗专家共识[J].中华肾脏病杂志,2014,30(6):467-474.
[11]Ho CP,Lee TJF. The reliability and validity of the chinese version of the eight-item morisky medication adherence scale[J]. Value Health,2014,17(7):A730.
[12]乐凯迪,梁雁,杨长青.慢性肾脏病患者的用药教育实践[J].临床药物治疗杂志,2017,15(4):75-79.
[13]江艳,黄珍伦,聂凌.碳酸镧治疗尿毒症维持性血液透析患者高磷血症的临床观察[J].中国药房,2017,28(20):2787-2789.
[14]朱永超,肖轶雯.临床药师在业务大查房中对合理用药的促进作用[J].中南药学,2017,15(9):1332-1335.
[15]陈力,李绍芝,张伶俐.从临床药师制建设探讨临床药师的基本素质和专业技能[J].中南药学,2013,11(10):793-795.
[2]郭婷婷.临床药师在肾内科开展药学服务的模式探讨[J].中国药房,2016,27(14):1995-1997.
[3]刘杰彦,何远艳.临床药师在肾内科开展药学服务[J].临床合理用药杂志,2011,4(4x):10-11.
[4]杨辉,尹航,崔向丽,等.临床药师在肾内科疾病合理用药中的作用[J].中国临床药理学杂志,2017,33(13):1251-1253.
[5]The Joint Commission. Using medication reconciliation to prevent errors[J]. Sentinel Event Alert,2006,35(32):1-4.
[6]PCNE Classification for drug related problems V8.02.[EB/OL]. http://www. pcne. org/upload/files/230_PCNE_classification_V8-02. pdf.
[7]胡展红,邱晓燕.肾内科临床药师开展医嘱审核的思维模式初探[J].中国药房,2017,28(20):2862-2864.
[8]Gilard M,Arnaud B,Cornily JC,et al. Influence of omeprazole on the antiplatelet action of clopidogrel associated with aspirin:the randomized,double-blind OCLA(Omeprazole CLopidogrel Aspirin)study[J]. J Am Coll Cardiol,2008,51(3):256-260.
[9]骆丽芳,戴海斌.我国药学监护文献分析[J].中国医院药学杂志,2017,37(4):319-321.
[10]中国成人肾病综合征免疫抑制治疗专家组.中国成人肾病综合征免疫抑制治疗专家共识[J].中华肾脏病杂志,2014,30(6):467-474.
[11]Ho CP,Lee TJF. The reliability and validity of the chinese version of the eight-item morisky medication adherence scale[J]. Value Health,2014,17(7):A730.
[12]乐凯迪,梁雁,杨长青.慢性肾脏病患者的用药教育实践[J].临床药物治疗杂志,2017,15(4):75-79.
[13]江艳,黄珍伦,聂凌.碳酸镧治疗尿毒症维持性血液透析患者高磷血症的临床观察[J].中国药房,2017,28(20):2787-2789.
[14]朱永超,肖轶雯.临床药师在业务大查房中对合理用药的促进作用[J].中南药学,2017,15(9):1332-1335.
[15]陈力,李绍芝,张伶俐.从临床药师制建设探讨临床药师的基本素质和专业技能[J].中南药学,2013,11(10):793-795.