连续性肾脏替代疗法下r多器官功能障碍患者的药学监护

摘要

目的 探讨临床药师对行连续性肾脏替代疗法(CRRT)治疗的多器官功能障碍(MODS)患者在抗感染治疗中的药学监护方法.方法 临床药师参与1例CRRT下MODS患者的抗感染治疗过程,并根据诊疗指南及相关资料协助医生优化抗菌药物治疗方案.结果 医生对患者进行综合评估后采纳药师意见,治疗第10天患者休克纠正,各项感染指标明显改善,转回普通病房.结论 临床药师应积极参与临床治疗团队,充分发挥其能力,确保对患者药物治疗安全有效.%Objective To discuss the contribution of clinical pharmacists in anti-infection treatment of a patient with multiple organ dysfunction syndrome ( MODS) undergoing continuous renal replacement therapy ( CRRT). Methods Pharmacists participated in the anti-infection treatment of a MODS patient undergoing CRRT.Pharmacists assisted physicians in optimizing the therapeutic regimen based on treatment guidelines and relative information. Results Physicians accepted the advice of pharmacists after comprehensive evaluation.Ten days later,the patient recovered from shock,as the infection indexes were improved significantly.He then moved back to the general ward. Conclusion Pharmacists should positively participate in clinical treatment with physicians,in order to play a critical role in ensuring the safety and efficacy of the medication.