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万古霉素在重症监护室使用的监护点是临床药师关注的重要内容。通过典型案例分析和总结,归纳临床药师参与重症监护室万古霉素治疗过程中的工作重点。临床药师对万古霉素的监护可以从给药方案的设计、给药剂量频次的调整,对血药浓度异常波动的分析,识别不良反应等方面去实施。药师与护士有效地沟通可以保证取样、给药的准确性。临床药师参与临床,使万古霉素的使用更趋合理,能更好地识别及减少了不良反应,发挥重要作用。
The point of care for vancomycin in intensive care units is an important part of clinical pharmacists’ attention. Through typical case analysis and summary, the author summarizes the clinical pharmacists’ participation in intensive care unit’s vancomycin treatment. The clinical pharmacist’s monitoring of vancomycin can be implemented from the aspect of the design of the drug administration program, the adjustment of the dose frequency, the analysis of the abnormal fluctuation of the blood concentration and the identification of adverse reactions. Effective communication between the pharmacist and the nurse can ensure the accuracy of sampling and administration. Clinical pharmacists involved in the clinical use of vancomycin more reasonable, can better identify and reduce the adverse reactions, play an important role.