Objective To investigate the model of pharmaceutical care for elderly patients with pulmonary bacterial and fungal infection. Methods Through participating in the medication of one case of elderly patient with pulmonary bacterial and fungal infection, clinical pharmacist discussed the medication regimen with physicians, put forward effective suggestions for clinical medication scheme and provided reasonable pharmaceutical care. Results The effective phar-maceutical care improved the patient's therapeutic efficacy, individuated the clinical medication scheme. At last, this patient was cured. Conclusion Clinical pharmacists should take their advantages to contribute to clinical therapy, optimize the medication regimen from the medicine choice, interactions, adverse reactions and so on.%目的:通过临床药师对1例肺部细菌合并真菌感染老年患者的药学监护,探讨临床药师如何在治疗中发挥作用。方法临床药师在治疗过程中,与临床医师共同制订治疗方案,监护患者用药过程。结果在临床药师参与下,提高了患者的药物治疗效果,真正做到个体化给药,患者治愈出院。结论临床药师应从药物的选择、药物相互作用及不良反应等方面作为切入点,发挥自身优势,协同临床优化给药方案。
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