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目的:临床药师通过参与临床药物治疗,进行药学监护,与临床医师共同治愈1位肾移植术后顽固性高血压患者。方法:在分析临床医师使用美托洛尔、硝苯地平控释片、哌唑嗪、硝普钠等药物治疗高血压无效原因后,提出改用利尿剂治疗方案减少患者血容量达到降低血压目的,同时开展药学监护。结果:患者血压由166/100mmHg左右降至出院时的120/80mmHg。结论:临床药师加入临床治疗团队,参与临床药物治疗实践,进行药学监护,有利于提高临床药物治疗水平。
OBJECTIVE: Clinical pharmacists, through participation in clinical drug therapy, carry out pharmacy care and cope with refractory hypertension after 1 kidney transplant with clinicians. Methods: After analyzing the reasons why clinicians used metoprolol, nifedipine controlled release tablets, prazosin, sodium nitroprusside and other drugs to treat the causes of hypertension ineffectiveness, the authors proposed the use of diuretic therapy to reduce blood volume in patients with the purpose of lowering blood pressure , At the same time carry out pharmaceutical care. Results: Patient blood pressure decreased from 166 / 100mmHg to 120 / 80mmHg at discharge. Conclusion: Clinical pharmacists joined the clinical treatment team to participate in the practice of clinical drug therapy, pharmacy care, help to improve the level of clinical drug treatment.