Practice and experience in the participant of the clinical pharmacist in the treatment of cancer pain with renal insufficiency
10.3969/j.issn.1006-0111.2016.05.024
- VernacularTitle:临床药师参与癌痛伴肾功能不全患者止痛方案的实践与经验
- Author:
Jia YI
1
;
Xingyun HOU
;
Lifeng HUANG
;
Wansheng CHEN
Author Information
1. 第二军医大学附属长征医院药学部
- Keywords:
cancer pain;
opioids;
renal insufficiency
- From:
Journal of Pharmaceutical Practice
2016;34(5):474-477
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of clinical pharmacists in the analgesic therapysoas to improve the rational use of analgesic drugs .Methods Clinical pharmacists participated in the formulation of drug therapy plan for the patient of cancer pain with renal insufficiency in respects of drug selection ,dosage and adverse reaction monitoring .Results Physicians accepted suggestions from clinical pharmacists .The first day ,the morphine hydrochloride tablets were used for rapid titration . The next day doxycodone were used ,adding the morphine hydrochloride tablets when required .After the pain was controlled stability ,the transdermal fentanyl was used to alleviate the damage of kidney .Conclusion The clinical pharmacist could assist clinicians to adjust the therapeutic regimen of the cancer patients with severe pain and improve the level of clinical drug treat-ment .
