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目的:探讨临床药师参与重症高龄患者综合治疗的药学监护工作要点。方法:临床药师参与1例重症高龄患者的治疗,对营养支持、镇痛治疗、鼻饲药物的给予以及抗感染治疗等多方面提出具体意见,为患者制订个体化的给药方案,对护理人员及患者家属进行具体的给药指导。结果:通过药学监护,临床药师为临床提供了合理用药方案,取得了良好的治疗效果。结论:临床药师与医师、护士共同组成治疗团队,有利于提高临床治疗水平,促进合理用药。
Objective: To discuss the main points of clinical pharmacist’s participation in the comprehensive medical treatment of patients with severe elderly. Methods: Clinical pharmacists participated in the treatment of one patient with severe elderly patients. They provided specific opinions on nutritional support, analgesic therapy, administration of nasal feeding drugs and anti-infective treatment. They formulated individualized dosing regimens for patients and evaluated the nursing staff and Patients and their families for specific administration guidance. Results: Through the medical supervision, the clinical pharmacists provided a reasonable medication regimen and achieved good therapeutic effects. Conclusion: The clinical pharmacists and physicians and nurses together form a treatment team, which helps to improve the clinical treatment and promote rational drug use.