临床药师参与1例尖端扭转型室速患者的治疗实践

摘 要 目的：探究临床药师参与ICU危重症患者抢救的药学实践切入点。方法: 通过参与1例尖端扭转型室速患者的药物治疗，结合患者既往用药史，协助医师快速诊断药源性疾病并制定用药方案，针对患者心律失常、电解质紊乱及抗感染治疗过程中的用药情况开展药学监护。结果: 通过全程药学监护保障患者药物治疗的有效性和安全性，患者各项生命体征、临床指标显著好转，顺利转出ICU。结论:临床药师参与重症患者抢救过程中应充分发挥专业特色，使用药学思维协助医师制定合理的药物方案，保障临床用药的安全有效。

Pharmaceutical Care Performed by Clinical Pharmacists for One Patient with Torsade de Pointes

ABSTRACT Objective: To study the entry points of pharmaceutical care performed by clinical pharmacists for patients in ICU. Methods: Clinical pharmacists participated in the medication treatment process of one case of patient with torsade de pointes by providing individualized pharmaceutical service, including antiarrhythmic drug selection, anti infection therapy adjustment and electrolyte disorder rectification. Results: The therapeutic effect and medication safety of the patient were both improved by giving clinical pharmaceutical care. The vital signs of the patient were stable, and then the patient transferred from ICU and continued to be treated with rehabilitation therapy. Conclusion:Clinical pharmacists can play an active role in the rescue of ICU patients by the pharmaceutical thinking and provide efficient pharmaceutical care with high quality.