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目的:探讨临床药师参与儿童重症监护病房(PICU)患儿临床治疗的药学监护。方法:结合典型案例从抗感染用药、药物滴注速度和药物配伍,指导护士正确使用药品等方面开展药学监护,总结实践工作的体会。结果:临床药师深入临床开展药学监护工作,参与临床治疗,发挥自己的特长,将药学知识和医学知识有机地结合起来,形成临床药师自身独特的临床药学思维模式,提高了药物的治疗疗效,减少了药品不良反应的发生。结论:临床药师参与嗜麦芽窄食单胞菌引起的血流感染和脓毒症患儿的临床治疗用药会诊,体现了临床药师以患者为中心的药学服务理念。
Objective: To investigate the clinical pharmacists participating in the clinical care of pediatric intensive care unit (PICU). Methods: Combined with typical cases, we carried out the pharmacy supervision from the aspects of anti-infective medication, drug instillation speed and compatibility of medicines, and guidance of nurses on the proper use of medicines, and summarized the experience of practice. Results: Clinical pharmacists carried out in-depth clinical pharmacy care work, participated in clinical treatment, exert their own specialty, combine the pharmacy knowledge and medical knowledge organically, form a unique clinical pharmacy thinking model of clinical pharmacist, improve the curative effect of the drug and reduce The occurrence of adverse drug reactions. CONCLUSIONS: Clinical pharmacists are involved in the clinical management of bloodstream infections and sepsis caused by Stenotrophomonas maltophilia and reflect the concept of patient-centered pharmacy service of clinical pharmacists.