Practice and Analysis of Clinical Pharmacists Participating in the Treatment for A Patient with Chronic Renal Failure
10.6039/j.issn.1001-0408.2016.26.42
- VernacularTitle:临床药师参与1例慢性肾衰竭患者药物治疗的实践与分析
- Author:
Jing WANG
;
Chongbo NING
;
Cuie ZHANG
;
Bin WANG
;
Fengyun ZHANG
;
Xiaoxia MA
- Publication Type:Journal Article
- Keywords:
Clinical pharmacists;
Pharmaceutical care;
Chronic renal failure
- From:
China Pharmacy
2016;27(26):3729-3731,3732
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the role of clinical pharmacists in the treatment for patients with chronic renal failure. METHODS:Clinical pharmacists participated in the treatment process for a patient with chronic renal failure during uremia period;assisted physicians to optimize and improve therapy plan from correcting anemia,controlling blood pressure,improving heart func-tion and regulating ion disorder,etc.;suggested adding dosing frequence of Felodipine sustained-release tablet,Metoprolol tartrate tablet and Shenqiong glucose injection,and giving Benazepril hydrochloride tablet and Isosorbide 5-mononitrate sustained-release tablet. They also suggested adjusting the dosage of rhEPO and the dosage form of ferralia,increasing the dosage of Calcitriol cap-sule and Calcium carbonate tablet,decreasing dosing frequence of 5% Glucose injection and Levocarnitine for injection,and giv-ing Vitamine B12 tablet. Therapeutic efficacy and ADR should be observed closely during treatment,and medication education should be performed for the patient. RESULTS:Physicians adopted the suggestions of clinical pharmacists. The patient was im-proved and discharged from hospital with drugs 28 days later. CONCLUSIONS:Clinical pharmacists participate in the individual-ized treatment for patients with chronic renal failure and assist physicians to optimize therapy plan,which promote the clinical effec-tiveness and safety of drug treatment.
