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目的:通过对1例尿毒症合并肺部感染患者并发癫痫的药学监护探堃,为临床药师参与该类疾病患者的临床实践提供思路。方法:依据慢性肾功能不全诊疗规范及药物治疗特点,临床药师为患者制定个体化的治疗方案,对治疗过程中出现的并发症及药物不良反应提出处理方案,对患者进行全程的药学监护。结果:尿毒症合并肺部感染患者的药学监护重点是抗菌药物使用的安全性及合理性、药物潜在的相互作用、药物不良反应的处理、患者用药教育工作者。结论:对尿毒症合并肺部感染的患者应给予常规药学监护,提供药物治疗的安全性及有效性。
OBJECTIVE: To provide clinical pharmacists a clinical pharmacist with experience in clinical practice in patients with uremia complicated with pulmonary infection complicated by epilepsy. Methods: According to the diagnosis and treatment of chronic renal insufficiency and drug treatment characteristics, clinical pharmacists to develop individualized treatment programs for patients with complications and adverse drug reactions in the treatment process proposed to deal with the patient for the entire pharmacy care. Results: The focus of pharmacy care in uremic patients with pulmonary infection was the safety and rationality of antimicrobial use, the potential interaction of drugs, the treatment of adverse drug reactions and the education of patients. Conclusion: Patients with uremia complicated with pulmonary infection should be given routine pharmacy care to provide the safety and efficacy of drug treatment.