中国药物警戒 ›› 2020, Vol. 17 ›› Issue (3): 161-164.
DOI: 10.19803/j.1672-8629.2020.03.07

• 安全与合理用药 • 上一篇    下一篇

重症急性胰腺炎患者治疗中的营养支持及药学监护

李盟1, 王鑫1, 张帅2, 陈罡1, *   

  1. 1 首都医科大学附属北京朝阳医院药事部,北京 100020;
    2 清华大学第一附属医院药事部,北京 100016
  • 收稿日期:2020-03-17 修回日期:2020-03-17 出版日期:2020-03-15 发布日期:2020-03-17
  • 通讯作者: *陈罡,男,主管药师,临床药学。E-mail: chengang102009@126.com
  • 作者简介:李盟,男,药师,应用药学。

Nutritional Support and Pharmaceutical Care of a Case of Severe Acute Pancreatitis by Clinical Pharmacists

LI Meng1, WANG Xin1, ZHANG Shuai2, CHEN Gang1, *   

  1. 1 Department of Pharmacy, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China;
    2 Department of Pharmacy, the First Hospital of Tsinghua University, Beijing 100016, China
  • Received:2020-03-17 Revised:2020-03-17 Online:2020-03-15 Published:2020-03-17

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摘要： 目的 探讨临床药师对重症急性胰腺炎患者实施药学监护的方法和意义。方法 临床药师通过参与1例重症急性胰腺炎患者的治疗过程,对血脂、电解质及时监测,从急性应激期到稳定期为患者调整营养支持治疗方案及药学监护。结果 肠内肠外专业营养临床药师参与营养支持治疗,可发挥专业特长,协助医师制订治疗方案,提高临床营养支持水平。结论 营养专业临床药师与临床医师协作,积极开展临床营养支持及不良反应监测,及时有效调整治疗方案,共同促进合理用药,提高医疗水平。

关键词: 急性胰腺炎, 营养支持, 临床药师, 药学监护

Abstract: Objective To explore the methods and significance of pharmaceutical care for patients with severe acute pancreatitis on the part of clinical pharmacists. Methods Clinical pharmacists participated in the treatment of a patient with severe acute pancreatitis, monitored blood lipids and electrolytes without delay, and adjusted the nutrition-supported therapies and pharmaceutical care from the acute stage to the stable stage. Results Clinical pharmacists committed to enteral and parenteral nutrition, when participating in nutrition-supported treatment, could bring into play their expertise, help doctors formulate treatment plans and improve the level of clinical nutritional support. Conclusion Clinical pharmacists with a good knowledge of nutrition can cooperate with clinicians in monitoring adverse reactions, adjusting therapies, promote rational drug use and improve the level of health care.

Key words: acute pancreatitis, nutritional support, clinical pharmacist, pharmaceutical care

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