Formulation and Analysis of Individualized Treatment Plan for a Patient with Cardiogenic Ischemic Stroke
10.6039/j.issn.1001-0408.2018.11.27
- VernacularTitle:1例心源性缺血性脑卒中患者个体化治疗方案的制订及分析
- Author:
Wuping ZHANG
1
;
Weiwei LIN
;
Xidong WU
Author Information
1. 江西省人民医院药学部
- Keywords:
Cardiogenic ischemic stroke;
Individalized treatment plan;
Pharmaceutical care;
Liver function;
Kidney function
- From:
China Pharmacy
2018;29(11):1555-1560
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To provide reference for the formulation of individualized treatment plan for patients with cardiogenic ischemic stroke. METHODS:For a patient with cardiogenic ischemic stroke,clinical pharmacists adjusted lipid-lowering scheme according to disease progress combined with treatment principle of ischemic stroke and cardiogenic ischemic stroke;recommended second-level prevention and assisted physicians to adjust anti-infective plan according to individual situation of patient. When patients suffered from liver dysfunction,it was recommended to stop using drugs that may cause liver dysfunction,detect renal function damage early,analyze renal function impairment caused by insufficient fluid circulation,timely supplement fluid and provide whole-process pharmaceutical care in respects of anticoagulation, lipid-lowering and anti infection treatment, etc. RESULTS:Physician adopted the recommend of pharmacists and they formulated individualized treatment plan for cardiogenic ischemic stroke patients together;liver and kidney function recovered,and the condition of patient was improved. INR control (1.8)was better at discharge,and discharged education was provided for the patients at the same time. CONCLUSIONS:Clinical pharmacists participate in the treatment for the patient with cardiogenic ischemic stroke and assist physicians to optimize treatment plan according to disease condition. When ADR occurs,timely adjustment of treatment plan ensures the safety and effectiveness of patient medication.
