Medication Analysis of Electrolyte Disturbance with Suspected Deteriorated Demyelination Post PCI
10.3870/j.issn.1004-0781.2018.11.029
- VernacularTitle:PCI术后疑似水电解质紊乱加重脑白质脱髓鞘分析
- Author:
Zhenying ZHAO
1
;
Yongming LYU
;
Huijuan ZHANG
;
Dasheng DANG
Author Information
1. 天津大学化工学院
- Keywords:
Percutaneous coronary intervention;
Electrolyte disturbance;
Demyelination;
Serum sodium;
Osmotic pressure
- From:
Herald of Medicine
2018;37(11):1412-1415
- CountryChina
- Language:Chinese
-
Abstract:
Objective A case would be discussed on suspected demyelination due to electrolyte disturbance to provide references for clinical pharmacists to carry out pharmaceutical care. Methods A pharmaceutical care case on PCI postoperative acute heart failure and contrast induced nephropathy with suspected demyelization due to electrolyte disturbance was introduced through a combination of analysis on clinical symptoms,renal function,electrolyte,blood glucose level and further discussion on consciousness change reason, diuretic use, electrolyte management, and other related issues. Results Clinical pharmacist should provide more care to patients with abnormal blood sodium and osmotic pressure,pay more attention to the calculation and evaluation of rehydration sodium/filling quantity and speed, accumulate more knowledge of contrast induced nephropathy, and raise their awareness on the identification of high risk population. Conclusion Arrhythmia,heart failure,renal failure,infection can beincentives to one another,and thus doctors and pharmacists must pay more attention to the comprehensive situations.
