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目的:探讨临床药师提供药学监护的工作思路与实践。方法:临床药师参与1例肝肾联合移植术后肺部感染患者的治疗,从“协助医生制订和调整用药方案、保护患者移植物功能、关注药物不良反应和相互作用、对患者进行用药教育”等方面实施药学监护。结果:患者肺部感染得到有效控制,治疗期间肝、肾功能稳定,康复出院。结论:临床药师加入临床治疗团队,进行个体化的药学监护,有利于保障患者用药的安全、有效。
Objective: To explore the clinical pharmacists to provide clinical nursing ideas and practices. Methods: Clinical pharmacists participated in the treatment of patients with pulmonary infection after combined liver and kidney transplantation. From “helping doctors to formulate and adjust medication regimen, protecting patient’s graft function, paying attention to adverse drug reactions and interactions and educating patients ”And other aspects of the implementation of drug monitoring. Results: The pulmonary infection was effectively controlled. During the treatment, the liver and kidney were stable and discharged. Conclusion: The clinical pharmacist joined the clinical treatment team to carry out personalized pharmacy care, which is conducive to ensuring the safety and effectiveness of the medication.