Clinical Pharmacist Participating in Medication Reconciliation for an Elderly Patient
10.6039/j.issn.1001-0408.2015.35.44
- VernacularTitle:临床药师参与1例高龄患者治疗的药物重整
- Author:
Yulin ZHU
;
Yong ZHANG
;
Yan LIU
;
Rong XING
- Publication Type:Journal Article
- Keywords:
Medication reconciliation;
Clinical pharmacist;
Pharmaceutical care;
Medication errors
- From:
China Pharmacy
2015;26(35):5019-5021
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the role of medication reconciliation in pharmaceutical care provided by clinical phar-macists. METHODS:Clinical pharmacists participated in pharmaceutical care for a elderly patient,and reconciled drugs as anti-in-fective drugs,cardiovascular drugs,electrolyte:stop taking unnecessary drugs:Xuebijing injection,Kang'erxin capsule,Shedan chuanbei soft capsule,Mosapride citrate tablet;adjust the dose of Dihydrochlorothiazide tabet and Potassium chloride tablet;stop taking Non first-line drug Reserpine tablet in order to decrease the risk of drug use;stop taking Furosemide tablet,Lactulose oral solution and using Suppositories glycerol timely according to the disease outcome. RESULTS&CONCLUSIONS:The medication reconciliation can avoid repeated drug use,optimize medication plan,reduce drug variety and cost and decrease the potential ADR risk of drug use so as to guarantee safe and effective drug use.