Abstract: Objective To explore the role of clinical pharmacists in severe infection and pharmaceutical care point. Methods Clinical pharmacists participated in therapy and monitored blood drug concentration of digoxin and vancomycin. The dosage was adjusted according to the blood drug concentration, in order to reduce the incidence of adverse reaction. Results Clinical pharmacist recommendations were adopted, the dose of digoxin was timely adjusted. Conclusion Clinical pharmacists can find the starting point of clinical care based on the characteristics of the subject itself.

Key words: clinical pharmacist, digoxin poisoning, pharmaceutical care