产科临床药师开展药学服务的实践与体会.pdfVIP

中国药物应用与监测 2014 年10月第11卷第5 期 Chinese Journal of Drug Application and Monitoring, Vol.11, No.5, October 2014 产科临床药师开展药学服务的实践与体会 毛瑛瑛，苗彩云，叶朝辉（宁波市妇女儿童医院药剂科，浙江宁波 315012 ） [摘要]　围产期患者由于体内发生一系列生理变化，会影响药物在体内的动力学改变，且用药后存在胎盘转运和乳汁转运， 可影响胎儿组织器官的发育及功能，新生儿对药物的毒副作用也极为敏感，因此面对此特殊人群临床用药需谨慎。本文采用 实例探讨临床药师协助医生优化妊娠期、哺乳期的药物治疗方案，对静滴硫酸镁注射液的患者进行重点药学监护，为患者提 供用药指导，并及时收集、上报药品不良反应等，保障了患者的用药安全，促进了临床用药的合理性与规范性。 [关键词]　临床药师；产科；药学服务 [ 中图分类号]　R969.4　　 [ 文献标识码]　A　 [ 文章编号]　1672 – 8157(2014)05 – 0289 – 03 Experience of pharmaceutical care by clinical pharmacists in obstetrical department Department of Pharmacy Ningbo Women and Childrens Hospital Ningbo 315012 China MAO Ying-ying, MIAO Cai-yun, YE Chao-hui( , , , ) [ABSTRACT]　A wide range of physiological changes occur during perinatal period, these changes can significantly affect pharmacokinetics of drugs. The development and function of the tissue and organ in fetus can be influenced after use of medicines in perinatal period patients because of placental transport and milk transport. Neonates are particularly sensitive to the toxic and side effect of most kinds of medicines. So the clinical use of drugs should be paid more attention to during perinatal period. In this article, the cases of pharmaceutical care by clinical pharmacists were discussed, such as assisting doctors to optimize the drug therapy regime for pregnant and lactational women, offering pharmaceutical care for patient with intravenous use of magnesium sulfate injection, providing medication education for patients, collecting the adverse drug reactions and so on. These measures ensure the safety of drug utilization in patients and promote the rational drug use in clinic. [KEY WORDS]　Clinical pharmacist; Obstetrical department; Pharmaceutical service 随着临床药学的飞速发展，药师的工作由单纯 忌及相互作用外，着重于协助医生选择安全、有效的 发药、调剂向参与制订临床合理用药方案、监测药品