Analysis of Drug Therapy for a Case of Severe Acute Pancreatitis Induced by Hyperlipidemia during Preg-nancy
10.6039/j.issn.1001-0408.2016.20.41
- VernacularTitle:1例妊娠期高脂血症相关性重症急性胰腺炎患者的药物治疗分析
- Author:
Qingqing CHEN
;
Lixia LI
- Publication Type:Journal Article
- Keywords:
Hyperlipidemia;
Severe acute pancreatitis;
Pharmaceutical care;
Clinical pharmacists
- From:
China Pharmacy
2016;27(20):2861-2863
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the role of clinical pharmacists in the therapy for sever acute pancreatitis induced by hy-perlipidemia(HL-SAP)patient. METHODS:Clinical pharmacists participated in the therapy for a pregnant patient with HL-SAP af-ter cesarean section,assisted physicians to optimize therapy plan through analyzing the disease condition according clinical guide and relevant literatures. Clinical pharmacists suggested to decrease atorvastatin 20 mg,qd to 10 mg,qd in order to avoid the risk of rhabdomyolysis and liver injury. When patient’s hemogram kept stable and infection had been controlled,clinical pharmacists suggested antibiotics de-escalation treatment:Levofloxacin injection 0.5 g,ivgtt,qd+Metronidazole injection 0.5 g,ivgtt,q12 h in-stead of meropenem. RESULTS:Physicians adopted the suggestions of clinical pharmacists. The patient was recovered and transfer to gastroenterology department 15 d later. CONCLUSIONS:Clinical pharmacists provide pharmaceutical care for HL-SAP patient after cesarean section,and assist physicians to formulate therapy plan so as to reduce the incidence of ADR effectively and guaran-tee the safe and effective use of drugs.
