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慢性心力衰竭是一种复杂的临床病症,其发病率高,治疗药物种类多,且个体差异大,需要密切监护患者各项检查指标。本文结合实例,针对利尿剂、洋地黄类药物以及胺碘酮、ACEI类药物、β受体阻滞剂等的药学监护,提出应跟踪患者的水电解质状况、加强地高辛的药物浓度监测以及规避可能出现的药物相互作用和关注患者肾功能的改变等具体问题,为临床药师对慢性心力衰竭患者开展药学监护提供思路。
Chronic heart failure is a complex clinical condition, its incidence is high, there are many kinds of therapeutic drugs, and the individual difference is big, so it is necessary to closely monitor the patients’ examination indexes. In this paper, we combine the examples with diuretics, digitalis drugs and amiodarone, ACEI drugs, β-blockers and other pharmaceutical care, we should follow the patient’s water and electrolyte status, strengthen the concentration of digoxin drug monitoring and To avoid possible drug interactions and focus on the patient’s renal function changes and other specific issues for clinical pharmacists in patients with chronic heart failure to provide pharmacy monitoring ideas.