目的 探讨重症监护室(ICU)临床药师参与临床药学监护的作用.方法 临床药师参与1例ICU肾移植术后间质性肺炎患者的全程药学监护,协助医师制订治疗方案.结果 临床药师从抗感染药物的选择、药学监护方面积极配合医师,为患者提供了合理的用药方案,使患者的肺部感染得到了明显改善,避免了严重不良反应的发生,提高了肾移植术后肺炎患者的药物疗效和生活质量.结论 临床药师深入临床,配合医师的药物治疗,主动实施药学服务,有利于提高患者药物治疗的安全性及有效性.%Objective To investigate the role of ICU clinical pharmacists in clinical pharmaceutical care. Methods The clinical pharmacist participated in the whole course of pharmaceutical care for 1 patient with interstitial pneumonia after kidney transplantation in ICU, and assisted the physician in formulating the treatment plan. Results The clinical pharmacist actively cooperated with the physician from the selection of anti - infective drugs and pharmaceutical care, and provided a rational drug use scheme for the patient, so that the patient′s pulmonary infection has been significantly improved. It avoided the serious adverse reactions and improved the efficacy and life quality of the patient with pneumonia after kidney transplantation. Conclusion It is beneficial to improve the safety and effectiveness of the drug treatment for clinical pharmacist to go into clinical practice, cooperate with the medical treatment of physician and carry out pharmaceutical care voluntarily.
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