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目的:探讨临床药师在房颤伴地高辛中毒患者治疗方案中的作用及药学监护的切入点。方法:临床药师参与1例房颤伴地高辛中毒患者的治疗,结合患者个体特点,对地高辛进行血药浓度监测,根据患者基础疾病、肾功能、联合用药等方面分析地高辛中毒的原因,并对患者进行有益的药学监护。结果:临床药师的建议被医生采纳,及时停用地高辛,纠正了药物中毒。结论:临床药师从药学学科的特点出发,找到临床监护的切入点,协助医生制定安全有效的治疗方案。
Objective: To explore the role of clinical pharmacists in the treatment of patients with atrial fibrillation and digoxin poisoning and the point of entry into the pharmacy care. Methods: The clinical pharmacist was involved in the treatment of one patient with atrial fibrillation and digoxin poisoning. Combined with individual characteristics of patients, digoxin was monitored for plasma concentration. According to the patients’ underlying diseases, renal function and combination therapy, digoxin poisoning Of the reasons, and beneficial patient care pharmacy. Results: The recommendations of clinical pharmacists were adopted by doctors, and digoxin was stopped in time to correct the drug poisoning. Conclusion: Based on the characteristics of pharmacy, clinical pharmacists find a starting point for clinical supervision and assist doctors in developing safe and effective treatment plans.