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目的观察临床药师根据万古霉素血药浓度监测结果参与患者万古霉素个体化用药方案调整的药学实践。方法对1例使用万古霉素的重症肺炎患者进行血药浓度监测,设计个体化给药方案。结果临床药师协助临床设计万古霉素的个体化给药方案,减少了不良反应的发生,保证患者用药安全。结论临床药师通过参与万古霉素个体化给药调整,协助医师做到合理用药,为患者提供高质量、全新的药学服务。
Objective To observe the pharmacological practice of clinical pharmacists participating in the adjustment of individual vancomycin dosage regimen according to the vancomycin plasma concentration monitoring results. Methods One patient with severe pneumonia who received vancomycin was used to monitor the blood concentration and design the individualized dosing regimen. Results Clinical pharmacists assisted clinical design of individualized administration of vancomycin to reduce the incidence of adverse reactions and ensure the safety of patients. Conclusion Clinical pharmacists are involved in the individualized administration of vancomycin to help physicians to make rational use of drugs and provide patients with high quality and brand new pharmacy services.