Pharmaceutical Care for One Case of Natural Killer/T-cell Lymphoma Complicated with Diabetes
10.6039/j.issn.1001-0408.2016.05.42
- VernacularTitle:1例NK/T细胞淋巴瘤伴糖尿病患者的药学监护
- Author:
Lina YOU
;
Kun JIANG
- Publication Type:Journal Article
- Keywords:
Natural killer/T-cell lymphoma;
Clinical pharmacist;
Pharmaceutical care
- From:
China Pharmacy
2016;27(5):700-702
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the mode,methods and role of clinical pharmacists providing pharmaceutical care for pa-tients with natural killer/T-cell lymphoma (NK/TL) complicated with diabetes. METHODS:Clinical pharmacists participated in SMILE chemotherapy plan for a NK/TL patients with diabetes mellitus,evaluated potential chemotherapy risk during first chemo-therapy,implemented individual medication monitoring and put forward suggestion. It included insulin injection 4 U,ivgtt,to con-trol the increase of blood glucose induced by dexamethasone;sodium bicarbonate 40 ml,ivgtt,bid to alkalize urine;allopurinol 0.1 g,po,tid to inhibit uric acid;fluid infusion 4 000 ml/d to prevent renal failure;mesna 0.4 g/time to protect urinary passage;monitorring potential allergic reaction and arrest of bone marrow;providing medication education on the application of calcium foli-nate in SMILE chemotherapy regimen. RESULTS:Physicians adopted the suggestions of clinical pharmacist,and chemotherapy was carried out smoothly. No ADR was found,and patients manifested good medication compliance. CONCLUSIONS:Clinical pharmacists participate in chemotherapy,evaluate potential risk and provide individual medication monitoring,which optimize ther-apy plan,reduce medication risk and guarantee the safety of drug use.
