1例尿毒症合并肺部感染患者并发癫痫的药学监护

摘 要 目的：通过对1例尿毒症合并肺部感染患者并发癫痫的药学监护探堃，为临床药师参与该类疾病患者的临床实践提供思路。方法: 依据慢性肾功能不全诊疗规范及药物治疗特点，临床药师为患者制定个体化的治疗方案，对治疗过程中出现的并发症及药物不良反应提出处理方案，对患者进行全程的药学监护。结果: 尿毒症合并肺部感染患者的药学监护重点是抗菌药物使用的安全性及合理性、药物潜在的相互作用、药物不良反应的处理、患者用药教育工作者。结论:对尿毒症合并肺部感染的患者应给予常规药学监护，提供药物治疗的安全性及有效性。

Pharmaceutical Care for One Case of Uremia Complicated with Pulmonary Infection and Epilepsy

ABSTRACT Objective: To explore the pharmaceutical care on an uremia patient with pulmonary infection complicated with epilepsy to provide ideas for clinical pharmacists in the clinical practice. Methods: According diagnosis and drug treatment characteristic of Chronic renal insufficiency, clinical pharmacist supplied individual treatment regiment and treatment of complications and adverse drug reactions occurred in the course of treatment, and pharmaceutical care for the patient in the whole process. Results:Pharmaceutical care on patients with uremia complicated with pulmonary should focous on the safety and rationality of the used of antibiotics, the potential interaction of drugs, the treatment of adverse drug reaction, and the education of patients. Conclusion:Clinical pharmacist should supplied conventional pharmaceutical care on patients with uremia complicated with pulmonary to improve the safety and effectiveness of drug treatment.