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中国临床药理学与治疗学 ›› 2023, Vol. 28 ›› Issue (2): 184-188.doi: 10.12092/j.issn.1009-2501.2023.02.009

• 医院药学之窗 • 上一篇    下一篇

临床药师在肾内科开展药学服务工作切入点的探索

张照伟1,李佐军2,黄坚3,李霜青3,何依玲1   

  1. 1浙江大学医学院附属金华医院药学部,金华 321000,浙江;2中南大学湘雅三医院药学部,长沙 410000,湖南;3浙江大学医学院附属金华医院肾内科,金华 321000,浙江

  • 收稿日期:2022-08-01 修回日期:2022-12-02 出版日期:2023-02-26 发布日期:2023-03-10
  • 作者简介:张照伟,女,硕士,副主任药师,研究方向:临床药理。 Tel:0579-82552760 E-mail:quhaizhijia@163.com
  • 基金资助:
    浙江省医药卫生厅科技平台项目(2018RC080)

Exploring the outbreak point for clinical pharmacists to provide pharmaceutical care in nephrology department

ZHANG Zhaowei1, LI Zuojun2, HUANG Jian3, LI Shuangqing3, HE YiLin1   

  1. 1Department of Pharmacy, Affiliated Jin Hua Hospital, School of Medicine, Zhejiang University, Jinhua 321000, Zhejiang, China; 2Department of Pharmacy, the Third Xiangya Hospital of Central South University, Changsha 410001, Hunan, China; 3Department of Pharmacy, Affiliated Jin Hua Hospital, School of Medicine, Zhejiang University, Jinhua 321000, Zhejiang, China
  • Received:2022-08-01 Revised:2022-12-02 Online:2023-02-26 Published:2023-03-10

摘要: 目的:介绍临床药师在肾内科开展药学服务的切入点,更好地促进临床合理用药。方法:以案例分享的形式总结了临床药师在肾内科参与抗感染治疗方案的制订;参与肠外营养方案的制订;进行用药教育,药学监护及进行超说明书用药的循证分析方面的工作。结果:通过临床药师在肾内科开展药学服务,提高了患者的用药依从性,避免了不良反应的发生,优化了诊疗方案。结论:在肾内科开展多维度的药学服务有利于患者安全、有效、经济的用药。

关键词: 临床药师, 肾内科, 临床服务切入点, 药学服务

Abstract:

AIM: To introduce the entry point of clinical pharmacists on developing pharmaceutical care in the department of nephrology to further explore more pharmaceutical care entry point and to better promote rational drug use.  METHODS: To summarize the work of the clinical pharmacists participate in the formulation and optimization of anti-infection therapy; participate in the formulation of parenteral nutrition program; conduct medication and adherence education; conduct pharmaceutical monitoring; provide evidence-based medical analysis for the off-label drug use in the department of nephrology by case sharing. RESULTS: Clinical pharmacists provide pharmaceutical care in the department of nephrology. This improves the medication compliance, avoids adverse reactions, optimize therapeutic regimen.CONCLUSION: Developing various pharmaceutical care in the department of nephrology will be safe, effective and economic for drug application.

Key words: clinical pharmacists, nephrology department, the breakthrough point of clinical service, pharmaceutical care

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