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1例心功能不全终末期伴多浆膜腔积液患者的药学监护
引用本文:吴倩,张亚同,史爱欣.1例心功能不全终末期伴多浆膜腔积液患者的药学监护[J].临床药物治疗杂志,2016(3):81-83.
作者姓名:吴倩  张亚同  史爱欣
作者单位:1. 沈阳药科大学生命科学与生物制药学院,辽宁沈阳110016; 北京医院药学部,北京100730;2. 北京医院药学部,北京,100730
摘    要:目的:探讨临床药师在心力衰竭合并腹腔积液患者治疗过程中的作用。方法:临床药师参与1例心力衰竭合并腹腔积液患者的全部治疗过程。在患者的治疗过程中,临床药师运用药学知识为医生提供建议,对患者进行药学监护,提供用药教育。结果:医生采纳药师建议,经过治疗后,患者心衰症状缓解,腹腔积液减少,病情好转出院。结论:临床药师可以协助医生完善个体化治疗方案,同时为患者提供药学服务,有利于提高临床治疗的合理性、安全性、有效性。

关 键 词:心力衰竭  低钠血症  利尿剂抵抗  肝源性腹水  临床药师

Pharmaceutical care on patients with cardiac insufficiency at the end stage and multiple serous cavity effusion:A case report
Abstract:Objective:To explore the role of clinical pharmacists in treatment of a patient with heart failure and seroperitoneum. Methods: Clinical pharmacists participated in the whole process of medical treatment, provided some advice to the doctors,and delivered medication monitoring and drug education to the patients.Results: Doctors followed the advice of pharmacists. With a series of treatment,the patient’s symptoms of heart failure relieved and abdominal effusion decreased. Finally the patient discharged.Conclusion:Clinical pharmacists can help doctors make the individualized therapy plan and provide patients with pharmaceutical services.It is beneifcial to improve the rationality,safety and effectivity in clinical treatment.
Keywords:heart failure  hyponatremia  diuretic resistance  ascites due to cirrhosis  clinical pharmacists
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