1例儿童川崎病的用药分析与药学监护

目的:探讨临床药师在川崎病患儿药物治疗中的思路和方法。方法:临床药师参与川崎病的具体药物治疗过程,为患儿建立药历,提供合理的用药分析并制定详细的药学监护。结果:患儿经治疗后好转出院,ALT由245 U/L降至114 U/L,CRP降至正常,出院后继续口服药物,复诊后及时调整用药。结论:临床药师通过全程药学监护,及时发现并解决相关药物的治疗问题,提供合理用药建议,提高了患儿用药的安全性和依从性,也有利于提高临床药物治疗水平。

Medication Analysis and Pharmaceutical Care of Kawasaki Disease in One Child

Objective: To probe into the thoughts and methods of clinical pharmacists in medication of Kawasaki disease. Methods: Through participating into the specific medication process of Kawasaki disease, the clinical pharmacists established drug records for the child, provided rational medication analysis and developed pharmaceutical care service in detail. Results: The child was discharged from hospital after treatment, and the ALT was reduced from 245 U/L to 114 U/L, the CRP down to the normal level; and the child continued to take drugs orally after discharge, and the medication was adjusted after subsequent visit. Conclusion: Through the entire pharmaceutical care service, the clinical pharmacists timely find and solve the problems related to drug therapy and provide rational suggestions on medication, which improves the safety and compliance of children''s medication and also helps to improve the level of drug therapy in clinic.