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临床药师参与重症医学科药物治疗实践的体会

曹伟,  方洁

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文章导航 > 药学实践与服务  > 2017 >  35(4): 371-374
曹伟, 方洁. 临床药师参与重症医学科药物治疗实践的体会[J]. 药学实践与服务, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
引用本文: 曹伟, 方洁. 临床药师参与重症医学科药物治疗实践的体会[J]. 药学实践与服务, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
shu
CAO Wei, FANG Jie. The pharmacotherapy practices of clinical pharmacist in Department of Critical Care Medicine[J]. Journal of Pharmaceutical Practice and Service, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
Citation: CAO Wei, FANG Jie. The pharmacotherapy practices of clinical pharmacist in Department of Critical Care Medicine[J]. Journal of Pharmaceutical Practice and Service, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
shu

临床药师参与重症医学科药物治疗实践的体会

doi: 10.3969/j.issn.1006-0111.2017.04.021
  • 1.

    厦门大学附属第一医院药学部, 福建 厦门 361003

  • 2.

    上海交通大学医学院附属瑞金医院药剂科, 上海 200025

The pharmacotherapy practices of clinical pharmacist in Department of Critical Care Medicine

  • 1.

    Department of Pharmacy, First Hospital Affiliated to Xiamen University, Xiamen 361003, China

  • 2.

    Department of Pharmacy, Rui Jin Hospital Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China

  • 摘要: 目的 探讨重症医学科临床药师开展工作所需技能。 方法 结合工作中典型案例进行分析和阐述。 结果 重症医学科临床药师深入临床培养临床思维、与医护人员积极沟通，并结合药学专业知识及循证医学证据，协助临床解决实际用药问题。 结论 重症医学科临床药师开展工作时需兼具临床与药学两种思维，并注重用药细节，充分运用循证医学证据。
    Abstract: Objective To discuss the knowledge and skills that clinical pharmacist should master to successfully perform the work in Department of Critical Care Medicine. Methods To illustrate the problem solving process with case studies in critical care setting. Results Clinical pharmacists communicate with the healthcare workers actively to provide professional pharmaceutical knowledge with evidence-based pharmacy in taking care of critical patients. Conclusion Clinical pharmacists in Department of Critical Care Medicine should possess extensive clinical and pharmaceutical knowledge, actively apply evidence-based pharmacy, and pay attention to every details in drug administration and therapy.
  • [1] 刘 青,王泰龄. 慢加急性肝衰竭(ACLF)共识纪要:亚太肝病学会推荐(APASL)[J]. 临床肝胆病杂志[J],2010,26(1):13-18.
    [2] 刘海华,王锦权. 脓毒症致急性肾损伤发病机制和临床防治的研究进展[J]. 感染、炎症、修复,2009,10(2):126-128.
    [3] Jay P Sanford. 热病——桑福德抗微生物治疗指南[M]. 范洪伟等译.44版. 北京:中国协和医科大学出版社,2015:211-213.
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    [5] Roberts JA, Abdul-Aziz MH, Lipman J, et al. Individualised antibiotic dosing for patients who are critically ill:challenges and potential solutions[J]. Lancet Infect Dis, 2014,14(6):498-509.
    [6] Ulldemolins M, Soy D, Llaurado-Serra M, et al. Meropenem population pharmacokinetics in critically ill patients with septic shock and continuous renal replacement therapy:influence of residual diuresis on dose requirements[J]. Antimicrob Agents Chemother, 2015,59(9):5520-5528.
    [7] 国家药典委员会. 中华人民共和国药典2015年版四部[S]. 北京:中国医药科技出版社,2015:118.
    [8] Rowland M, Tozer TN. 临床药代动力学与药效动力学 [M]. 陈东生等译.4版. 北京:人民卫生出版社,2012:112.
    [9] Williams MF, Dukes GE, Heizer W, et al. Influence of gastrointestinal site of drug delivery on the absorption characteristics of ranitidine[J]. Pharm Res,1992,9(9):1190-1194.
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    [11] 尧国胜,李 军,黄 高,等. 急性重症中毒血液净化治疗的进展[J]. 右江民族医学院学报,2015,37(1):131-134.
    [12] Rhodes NJ, MacVane SH, Kuti JL, et al. Impact of loading doses on the time to adequate predicted beta-lactam concentrations in prolonged and continuous infusion dosing schemes[J]. Clin Infect Dis, 2014,59(6):905-907.
    [13] Luke DR, Wood ND, Tomaszewski KE, et al. Pharmacokinetics of sulfobutylether-b-cyclodextrin (SBECD) in subjects on hemodialysis[J]. Nephrol Dial Transplant,2012,27(3):1207-1212.
    [14] Hafner V, Czock D, BurhenneJ, et al.Pharmacokinetics of sulfobutylether-beta-cyclodextrin and voriconazole in patients with end-stage renal failure during treatment with two hemodialysis systems and hemodiafiltration[J]. Antimicrob Agents Chemother, 2010,54(6):2596-2602.
    [15] Kiser TH, Fish DN, Aquilante CL, et al.Evaluation of sulfobutylether-β-cyclodextrin (SBECD) accumulation and voriconazole pharmacokinetics in critically ill patients undergoing continuous renal replacement therapy[J]. Crit Care, 2015,18(3):32-40.
    [16] Turner RB, Martello JL, Malhotra A. Worsening renal function in patients with baseline renal impairment treated with intravenous voriconazole:A systematic review[J]. Int J Antimicrob Agents, 2015,46(4):362-366.
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    [18] Park D, Southern W, Calvo M, et al. Treatment with Dalteparin is associated with a lower risk of bleeding compared to treatment with unfractionated heparin in patients with renal insufficiency[J]. J Gen Lntern Med, 2016,31(2):182-187.
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出版历程
  • 收稿日期:  2016-11-24
  • 修回日期:  2017-03-06

临床药师参与重症医学科药物治疗实践的体会

doi: 10.3969/j.issn.1006-0111.2017.04.021
  • 1. 厦门大学附属第一医院药学部, 福建 厦门 361003
  • 2. 上海交通大学医学院附属瑞金医院药剂科, 上海 200025
  • 收稿日期: 2016-11-24
  • 修回日期: 2017-03-06

摘要: 目的 探讨重症医学科临床药师开展工作所需技能。 方法 结合工作中典型案例进行分析和阐述。 结果 重症医学科临床药师深入临床培养临床思维、与医护人员积极沟通，并结合药学专业知识及循证医学证据，协助临床解决实际用药问题。 结论 重症医学科临床药师开展工作时需兼具临床与药学两种思维，并注重用药细节，充分运用循证医学证据。

English Abstract

曹伟, 方洁. 临床药师参与重症医学科药物治疗实践的体会[J]. 药学实践与服务, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
引用本文: 曹伟, 方洁. 临床药师参与重症医学科药物治疗实践的体会[J]. 药学实践与服务, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
shu
CAO Wei, FANG Jie. The pharmacotherapy practices of clinical pharmacist in Department of Critical Care Medicine[J]. Journal of Pharmaceutical Practice and Service, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
Citation: CAO Wei, FANG Jie. The pharmacotherapy practices of clinical pharmacist in Department of Critical Care Medicine[J]. Journal of Pharmaceutical Practice and Service, 2017, 35(4): 371-374. doi: 10.3969/j.issn.1006-0111.2017.04.021
shu

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