临床药师对肺栓塞患者的药学监护

 目的: 通过临床药师对患者实施药学监护，保障肺栓塞患者用药的安全有效。方法：临床药师对1例肺栓塞患者进行密切观察与随访，制订相应的药学监护措施，针对性提出用药建议。结果：通过药学监护，明显提高了肺栓塞患者用药的安全性、有效性，尽量避免了不良反应事件的发生。 结论：临床药师积极开展药学监护，协同临床医师优化给药方案，有利于患者的用药安全有效。

Pharmaceutical care of clinical pharmacist for patients with pulmonary embolism

Objective:  To ensure the safety and efficacy in pulmonary embolism patients taking drugs by pharmaceutical care of clinical pharmacists. Methods: The clinical pharmacists carried out the close observation, the revisit and medication proposal to a pulmonary embolism patient with pharmaceutical care measure. Results: Through pharmaceutical care, the efficacy and the safety of the patient taking drugs were obviously enhanced, and events of responding adverse drug reactions were avoided. Conclusion: The pharmaceutical care of clinical pharmacist can coordinate the optimization of medicine plan, and is advantageous for the safety and efficacy in pulmonary embolism patients taking drugs.