Pharmaceutical Care for Oral Medication of Tumor Patients with Dysphagia by Clinical Pharmacists
- VernacularTitle:临床药师在吞咽障碍肿瘤患者口服用药中的药学服务
- Author:
Qiuling ZHAO
1
;
Shenglong XIAO
1
;
Longfeng ZHANG
2
;
Ting CHEN
1
;
Lin YANG
1
Author Information
1. Dept. of Pharmacy，the Affiliated Cancer Hospital of Fujian Medical University/Fujian Cancer Hospital，Fuzhou 350014，China
2. Dept. of Oncology，the Affiliated Cancer Hospital of Fujian Medical University/Fujian Cancer Hospital，Fuzhou 350014，China
- Publication Type:Journal Article
- Keywords:
Clinical pharmacist;
Dysphagia;
Tumor patients;
Oral drugs;
Rational drug use;
Pharmaceutical care
- From:
China Pharmacy
2021;32(23):2901-2906
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE：To explore the mode of pharmaceutical care for oral medication of tumor patients with dysphagia by clinical pharmacists ，so as to promote clinical rational and safe drug use. METHODS ：Based on typical cases ，the problems existing in the oral medication of tumor patients with dysphagia were analyzed ，and the medication guidance and pharmaceutical care given by clinical pharmacists were expounded. RESULTS ：Clinical pharmacists found that tumor patients with dysphagia had some problems during oral medication ，such as improper administration position ，tube feeding of slow-controlled release preparations after opening the capsule ，limited administration route ，biting cytotoxic drugs ，unknown solubility of targeted drugs ，interaction of multiple drugs. In view of the above problems ，clinical pharmacists assisted physicians and nursing staff to provide pharmaceutical care to patients in combination with the patient ’s disease characteristics ，pharmacy，pharmacokinetics，pharmacodynamics，drug solubility，drug interaction and other factors ，such as skillfully using appropriate drug delivery location and mode ，using local drug delivery mode ，selecting appropriate dosage form based on pharmaceutical knowledge （the characteristics of new dosage form ）， guiding patients to use drugs correctly by being familiar with the characteristics of cytotoxic drugs and targeted drugs ，paying attention to potential drug interactions and guiding nurses to use drugs correctly. The situation of improper medication was improved. CONCLUSIONS ：Clinical pharmacists should participate in clinical therapy actively ，and make appropriate interventions with professional knowledge of pharmacy so as to promote the correct use of oral medication for tumor patients with dysphagia.
