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目的:探讨临床药师如何开展ICU患者的药学监护。方法:对1例ICU重症肺炎患者的初始及后续抗感染方案的制定、血液滤过时抗感染药物的调整、营养支持方案的制定,患者血糖的监测等方面,进行药物治疗监护,总结经验。结果:临床药师评估患者状况、建立用药监护计划、采取合适措施并跟踪治疗,避免了潜在药物治疗风险,解决了药物治疗存在的问题。结论:建立并完善用药监护要点,及时与医师沟通,充分发挥药学专业技能,有利于开展药学监护。
OBJECTIVE: To investigate how clinical pharmacists conduct pharmacy care in ICU patients. Methods: One case of severe pneumonia in ICU patients with initial and follow-up anti-infective program formulation, adjustment of anti-infective drugs when hemofiltration, nutritional support program development, monitoring of patients with blood glucose and other aspects of drug treatment and monitoring, sum up experience. Results: The clinical pharmacist evaluated the patient’s condition, established the medication monitoring plan, took appropriate measures and followed up the treatment, avoided the risk of potential drug treatment, and solved the problem of drug treatment. Conclusion: Establishing and perfecting the main points of drug administration, timely communicating with doctors, giving full play to the professional skills of pharmacy is conducive to the development of pharmacy supervision.