中国药物警戒 ›› 2022, Vol. 19 ›› Issue (5): 572-573.
DOI: 10.19803/j.1672-8629.2022.05.22

• 安全与合理用药 • 上一篇    下一篇

临床药师参与1例尿路感染伴药物热患者药学实践

杨宝春, 孙欣, 杨欣, 吴琳, 王丽萍*   

  1. 南京医科大学附属无锡第二医院药学部,江苏 无锡214000
  • 收稿日期:2020-08-15 出版日期:2022-05-15 发布日期:2022-05-18
  • 通讯作者: * 王丽萍,女,本科,主任药师,医院药学。E-mail:407545601@qq.com
  • 作者简介:杨宝春,女,硕士,主管药师,临床药学与医院药学。
  • 基金资助:
    江苏省药学会奥赛康医院药学基金(A2017090)

Pharmaceutical care for a patient with urinary tract infection and drug fever

YANG Baochun, SUN Xin, YANG Xin, WU Lin, WANG Liping*   

  1. Department of Pharmacy, Wuxi Second Hospital, Nanjing Medical University, Wuxi Jiangsu 214000, China
  • Received:2020-08-15 Online:2022-05-15 Published:2022-05-18

摘要: 目的 分析临床药师参与尿路感染患者的用药监护,探讨提高医师和药师对药物热药学实践的认识。 方法 介绍临床药师参与1例疑似头孢地嗪致药物热患者的用药分析与治疗干预过程。 结果 临床药师根据药物热发生机制、临床特点,分析患者的临床症状、实验室检查结果和用药情况,建议临床医师停用头孢地嗪后,患者体温逐渐恢复正常。 结论 临床药师深入临床进行用药监测,可及时发现药品不良反应,防止不合理用药,提高药物的合理使用水平。

关键词: 临床药师, 药物热, 头孢地嗪, 药品不良反应

Abstract: Objective To explore the effect of monitoring of drug use by clinical pharmacists for a patient with urinary tract infection and to advance physicians' and pharmacists' understanding of drug fever. Methods A clinical pharmacist participated in the analysis and intervention of a suspected cefdiazine-induced fever patient. Results Based on the mechanism, clinical characteristics of drug fever, clinical symptoms, laboratory test results and drug use of the patient, the clinical pharmacist suspected that the fever might have been caused by cefdiazine and suggested that cefdiazine be discontinued. The clinician took the advice so that the patient's temperature gradually returned to normal. Conclusion Active participation in drug monitoring by clinical pharmacists will help to detect adverse drug reactions as soon as possible so as to prevent irrational use of drugs.

Key words: clinical pharmacists, drug fever, cefodizime, adverse drug reaction

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