| 临床药师对1例限制性心肌病的用药分析 |
| |
| 引用本文： | 蓝晓红,周永刚,邹 颖,李新立.临床药师对1例限制性心肌病的用药分析[J].药学与临床研究,2014,22(2):177-179. |
| |
| 作者姓名： | 蓝晓红 周永刚 邹 颖 李新立 |
| |
| 作者单位： | 蓝晓红 (解放军第八一医院药学科,南京,210002)； 周永刚 (解放军第八一医院药学科,南京,210002)； 邹颖 (江苏省人民医院药剂科,南京,210029)； 李新立 (江苏省人民医院心内科,南京,210029)； |
| |
| 摘 要： | 通过临床药师参与心内科1例限制性心肌病的药物治疗：针对重度水肿合并低钠、低钾、低蛋白,选用利尿剂托伐普坦。针对患者白蛋白低,改用白蛋白结合率低的普伐他汀替代阿托伐他汀（蛋白结合率〉98%）,降低药物的肝肾毒性。
|
| 关 键 词： | 临床药师 限制性心肌病 利尿剂 阿托伐他汀 |
| 收稿时间： | 2013/11/16 0:00:00 |
| 修稿时间： | 2013/12/6 0:00:00 |
Pharmaceutical Care for One Case of Restrictive Cardiomyopathy by Clinical Pharmacist |
| |
| LAN Xiao-hong,ZHOU Yong-gang,ZOU Ying and LI Xin-li.Pharmaceutical Care for One Case of Restrictive Cardiomyopathy by Clinical Pharmacist[J].Pharmacertical and Clinical Research,2014,22(2):177-179. |
| |
| Authors: | LAN Xiao-hong ZHOU Yong-gang ZOU Ying and LI Xin-li |
| |
| Institution: | 1 Department of Pharmacy, Hospital 81th of PLA, Nanfing, Jiangsu 210002, China; 2Department of Pharmacy, JDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing Jiangsu 210029, China) |
| |
| Abstract: | Clinical pharmacists implementing pharmaceutical care in drug treatment of a patient with restrictive cardiomyopathy combined right heart failure,severe edema,hyponatremia,hypokalemia,hypoproteinemia is reviewed in this article.Instead of furosemide,tolvaptan was recommended for its little effect on serum potassium and better security role on serum sodium.Potassium-sparing drugs should not be reused.Besides,atorvastatin was replaced with pravastatin which has lower albumin binding rate to reduce the toxicity of liver and kidney. |
| |
| Keywords: | Clinical pharmacist Restrictive cardiomyopathy Diuretics Atorvastatin Analysis and intervention |
| 本文献已被 CNKI 维普 等数据库收录！ |
| 点击此处可从《药学与临床研究》浏览原始摘要信息 |
| 点击此处可从《药学与临床研究》下载免费的PDF全文 |
|
