临床药师对1例肺癌化疗患者胃肠道不良反应的药学监护

目的：促进临床药师进入临床更好地发挥作用。方法：临床药师对1例肺癌患者进行了全程的药学监护,针对化疗过程中出现的胃肠道不良反应,分析不良反应的原因,并提出处理方法,促进临床合理用药。结果：临床医师接受了药师的部分意见,药师继续为患者提供药学服务,使患者的化疗过程中胃肠道反应明显减轻。结论：药师要找到参与临床的切入点,如对患者进行全程的不良反应药学监护,针对复方药品重复用药问题的监护等,为患者提供有效的药学服务。

Pharmaceutical Care for Gastrointestinal Adverse Drug Reaction in a Patient with Lung Cancer Accepting Chemotherapy by Clinical Pharmacist

OBJECTIVE： To promote clinical pharmacists to play a better role. METHODS： Clinical pharmacist gave a whole course pharmaceutical care for a patient with lung cancer. According to gastrointestinal adverse reaction during chemotherapy, they analyzed the causes and provided suggestions to promote the rational use of drugs. RESULTS： Doctors accepted part of their sugges tions, then clinical pharmacists continued providing pharmaceutical care for the patients＇ chemotherapy. The gastrointestinal adverse reaction reduced significantly. CONCLUSIONS： Clinical pharmacist should find the entry point to provide effective pharmaceutical care, such as wholecourse pharmaceutical care, repeated administration monitoring of compound preparation, and so on.