Pharmaceutical Care for One Case of Subclinical Hypothyroidism Complicated with Anemia and Haemor-rhoids during Pregnancy
10.3969/j.issn.1008-049X.2017.09.022
- VernacularTitle:1例妊娠期亚临床甲状腺功能减退合并贫血、痔疮患者的药学监护
- Author:
Fengmei WANG
- Keywords:
Subclinical hypothyroidism;
Levothyroxine sodium;
Drug interactions
- From:
China Pharmacist
2017;20(9):1607-1609
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the effective therapeutic regimen and the thoughts of pharmaceutical care for subclinical hypothy-roidism complicated with anemia and hemorrhoids during pregnancy. Methods:During the drug treatment process, clinical pharmacist provided pharmaceutical care for the patient,and the results were summarized and analyzed. Results: Clinical pharmacist performed pharmaceutical care for the treatment process of hypothyroidism, anemia and hemorrhoids during pregnancy, and when the oral iron treatment of hemorrhoids was with poor efficacy, clinical pharmacist analyzed and discussed the reasons and put forward reasonable sug-gestions. Conclusion:Subclinical hypothyroidism complicated with anemia and hemorrhoids during pregnancy treated with iron agent and wheat cellulose particles must pay attention to the drug interactions. The administration time of levothyroxine sodium and that of i-ron preparations and wheat cellulose particles should be staggered at least 2 hours. Because hypothyroidism can cause iron malabsorp-tion, intravenous iron therapy may be considered when oral iron supplementation shows poor effect.