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目的:探讨临床药师参与慢性阻塞性肺疾病急性加重期(AECOPD)伴肾功能不全老年患者的药学监护过程。方法:临床药师参与1例AECOPD伴肾功能不全患者的会诊,发挥自身药学特长,为医生提供个体化用药信息,对药物选择、用法用量、不良反应的评价提出建议。结果:临床药师参与AECOPD伴肾功能不全患者抗感染治疗,疗效较为显著。结论:临床药师利用药学专业知识,在治疗团队中对提高疗效、保障患者安全用药发挥着积极的作用。
OBJECTIVE: To investigate the clinical pharmacist’s participation in the pharmacological monitoring of elderly patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and renal insufficiency. Methods: Clinical pharmacists participated in the consultation of 1 case of AECOPD with renal insufficiency, exerting their own pharmacological expertise, providing physicians with personalized medication information, and making recommendations on drug selection, usage and dosage, and adverse reactions. Results: The clinical pharmacists participated in the anti-infection treatment of AECOPD patients with renal insufficiency, and the curative effect was significant. Conclusion: Clinical pharmacists use pharmacy expertise in the treatment team to improve the efficacy and safety of patients to play a positive role.