1例儿童急性淋巴细胞白血病患儿药学监护实践

目的 探讨临床药师对儿童急性淋巴细胞白血病患儿实施药学监护的方法和意义。方法 关注患儿化学治疗过程中可能出现的肿瘤溶解综合征、药品不良反应,与医生一起调整用药方案,对护理人员进行用药指导,对患儿及其家属进行用药教育。结果 临床药师以药效学、药动学、药品不良反应、药物配伍禁忌等方面作为切入点,对患儿的治疗过程进行药学监护,促进合理用药,提高患者用药的安全性及有效性。结论 临床药师通过与医护人员的合作,为患儿提供药学服务,可在儿童急性淋巴细胞白血病患儿的治疗过程中发挥促进合理用药的积极作用。

Practice of Pharmaceutical Care in 1 Case of Childhood Acute Lymphoblastic Leukemia

Objective To investigate the method and significance of clinical pharmacists implementing the pharmaceutical care on the children patient with childhood acute lymphoblastic leukemia. Methods Paying close attention to tumor lysis syndrome possibly occurred during the chemotherapeutical process and drug adverse reactions,the pharmacists together with doctors adjusted the medication scheme, conducted the medication guidance on the nursing staff and performed the medication education on the patients and their family members. Results With the aspects of pharmacodynamics, pharmacokinetics, drug adverse reactions and pharmaceutical incompatibility as the entry points, clinical pharmacists conducted the pharmaceutical care to the child patient＇s chemotherapeutical process for promoting the rational drug use and increasing safety and effectiveness in medication. Conclusion Clinical pharmacists provide the pharmaceutical care to patients through cooperation with medical staff and nurses ,which can play an active role in promoting rational drug use in the treatment process of childhood acute lymphoblastic leukemia.