目的 探讨临床药师如何在药物治疗中发挥作用.方法 临床药师参与1例华法林相关肾病(WRN)患者治疗的药学实践,辅助较快诊断华法林相关肾病,优化抗凝治疗方案,并对患者进行用药教育.结果 经过临床药师耐心指导,减轻患者心理负担,提高患者依从性,增加患者对药物不良反应的认识,积极配合治疗.结论 临床药师参与临床治疗实践,有利于及时发现药物不良反应,提高药物治疗水平.%Objective To explore how clinical pharmacists exert their effects in drug therapy.Methods The pharmaceutical practice of clinical pharmacist participating in the treatment of one case of warfarin related nephropathy (WRN) was reported.Early identification of warfarin associated nephropathy and early treatment were necessary and the anticoagulant regimen was optimized.Pharmaceutical education was conducted by clinical pharmacist.Results With guidance by clinical pharmacist,the psychological burden of the patient was reduced,the patient compliance was improved,and the patient understanding of adverse drug reactions was increased.Conclusion Clinical pharmacists involved in clinical treatment practice is conducive to timely detecting and treating patients with adverse drug reactions,and improving the level of drug treatment.
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