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临床药师参与1例肿瘤溶解综合征患者治疗的药学监护
引用本文:张华锋,陈璿英,彭小东,黎军和. 临床药师参与1例肿瘤溶解综合征患者治疗的药学监护[J]. 中国药房, 2011, 0(46): 4414-4416
作者姓名:张华锋  陈璿英  彭小东  黎军和
作者单位:[1]九江学院附属医院药剂科临床药学室,九江市332000 [2]南昌大学第一附属医院药剂科临床药学室,南昌市330006 [3]南昌大学第一附属医院肿瘤科,南昌市330006
摘    要:目的:探讨临床药师对肿瘤溶解综合征患者的药学监护。方法:结合1例典型病例分析用药情况,分析肿瘤专业临床药师对肿瘤溶解综合征患者的监护点。结果:对化疗导致肿瘤溶解综合征的高危人群,应及时停用或调整化疗药物,临床药师要及早从血钾、尿酸、肾功能、钙磷等方面密切监护,并及时干预。结论:临床药师应利用与医护人员互补的药学专业知识,及时了解肿瘤溶解综合征发生的高危因素,为患者提供个体化的药学监护。

关 键 词:临床药师  肿瘤溶解综合征  药学监护  合理用药

Clinical Pharmacists Participating in Pharmaceutical Care for a Patient with Tumor Lysis Syndrome
ZHANG Hua-fengDept.of Clinical Pharmacy,The Affiliated Hospital of Jiujiang College,Jiujiang,ChinaCHEN Xuan-yingDept.of Clinical Pharmacy,The First Affiliated Hospital of Nanchang University,Nanchang,ChinaZHANG Hua-feng,PENG Xiao-dong,LI Jun-he. Clinical Pharmacists Participating in Pharmaceutical Care for a Patient with Tumor Lysis Syndrome[J]. China Pharmacy, 2011, 0(46): 4414-4416
Authors:ZHANG Hua-fengDept.of Clinical Pharmacy  The Affiliated Hospital of Jiujiang College  Jiujiang  ChinaCHEN Xuan-yingDept.of Clinical Pharmacy  The First Affiliated Hospital of Nanchang University  Nanchang  ChinaZHANG Hua-feng  PENG Xiao-dong  LI Jun-he
Affiliation:(Dept.of Oncology,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)
Abstract:OBJECTIVE:To explore clinical pharmacists participating in pharmaceutical care for a patient with tumor lysis syndrome.METHODS:According to analysis of drug use in a typical case,pharmaceutical care for a patient with tumor lysis syndrome by clinical pharmacist in oncology department was analyzed.RESULTS:For high-risk patients with chemotherapy-induced tumor lysis syndrome,it was necessary for timely drug withdrawl and adjustment of chemotherapy drugs.Clinical pharmacist should closely monitor and intervene timely in terms of hyperkalemia,hyperuricemia,kidney function and hyperphosphatemia.CONCLUSION:Clinical pharmacist and medical staff should enhance their knowledge of pharmacy,realize the high risk factors of tumor lysis syndrome and offer individualized pharmaceutical care for patients.
Keywords:Clinical pharmacist  Tumor lysis syndrome  Pharmaceutical care  Rational use of drugs
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