中国药物警戒 ›› 2019, Vol. 16 ›› Issue (7): 425-429.

• 安全性评价与合理用药 • 上一篇    下一篇

1例糖皮质激素致严重低钾的微小病变型肾病患者的药学实践

杨虹1, 尹冬虹2,*   

  1. 1 太原市中心医院药剂科,山西 太原030000;
    2 山西医科大学第二医院药学部,山西 太原030000
  • 收稿日期:2019-04-18 修回日期:2019-08-06 出版日期:2019-07-20 发布日期:2019-08-06
  • 通讯作者: 尹冬虹,女,主管药师,临床药学。E-mail:13903430239@126.com
  • 作者简介:杨虹,女,主管药师,临床药学。
  • 基金资助:
    山西省卫生计生委青年课题(201601055):肾病综合征患者药学服务体系的建立及服务效果的研究

Pharmaceutical Practice of One Case of Severe Hypokalemia Induced by Glucocorticoid in Patient with Minimal Change Nephropathy

YANG Hong1, YIN Donghong2,*   

  1. 1 Department of Pharmacy, Taiyuan Central Hospital, Shanxi Taiyuan 030000, China;
    2 Department of Pharmacy, Second Hospital of Shanxi Medical University, Shanxi Taiyuan 030000, China
  • Received:2019-04-18 Revised:2019-08-06 Online:2019-07-20 Published:2019-08-06

摘要: 目的 介绍临床糖皮质激素致严重低钾的微小病变型肾病的药学实践。方法 针对具体的案例,参与糖皮质激素致低钾血症患者免疫抑制治疗方案的个体化设计,并提出药学干预建议,保证患者安全有效用药。结果 临床药师发挥所长,参与方案制定,加强药学监护,保证了患者的治疗效果。结论 加强对于糖皮质激素致严重低钾的微小病变型肾病患者的药学监护,提高用药安全性、有效性和合理性。

关键词: 临床药师, 糖皮质激素, 低钾血症, 微小病变

Abstract: Objective To introduce the pharmaceutical practice in a minimal change nephropathy patient with severe hypokalemia induced by glucocorticoid in clinical setting. Methods For a specific case, the clinical pharmacists participated in the individualized design of immunosuppressive therapy for a patient with glucocorticoid-induced hypokalemia, and put forward suggestions for pharmaceutical intervention to ensure safe and effective medication for patients. Results Clinical pharmacists participated in deciding the treatment and strengthened pharmaceutical care by playing their strengths, thus the therapeutic effect of the patient was ensured. Conclusion The safety, effectiveness and rationality of the drug use can be improved by strengthening the pharmaceutical care for minimal change nephropathy patients with severe hypokalemia induced by glucocorticoids.

Key words: clinical pharmacist, glucocorticoid, hypokalemia, minimal change disease

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