1例老年COPD急性加重患者多药联用致震颤的诊治分析

目的 临床药师通过分析多种药物联用导致不良反应的药物因素，为患者安全用药提供依据。方法 临床药师对1例老年COPD急性加重患者治疗中出现震颤的可能药物因素进行分析，调整药物治疗方案。结果 医师接受并调整用药方案后，患者未再出现震颤和其他药物不良反应，病情好转出院。结论 临床药师具有处置药物不良反应的专业优势，从药学角度提供科学的依据，协助医师制订最佳用药方案，发挥医疗团队的协同作用，使患者获得优质的医疗服务。

Diagnosis and Therapy of One Case of Tremor Induced by Multi-drug Combinations in Elderly Patient with COPD Exacerbation

OBJECTIVE To provide administrations of drug safety for patients by analyzing the drug factors of adverse reaction induced by multi-drug combinations by clinical pharmacists. METHODS The drug factors which in one case of tremor may caused by multi-drug combinations in elderly patient with COPD exacerbation were analyzed by clinical pharmacist, and drug treatment were adjusted. RESULTS After physician accept and adjust the regimen, patients did not reappear tremors and other adverse drug reactions, improved discharged from hospital. CONCLUSION Clinical pharmacists with the disposal of the professional advantages of adverse drug reactions, from the perspective of pharmacy to provide scientific basis, to assist the physician for best regimen, play the synergy of the medical team, make patient access to quality health care services.