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目的:总结临床药师对1例晚期肾癌术后合并感染的患者进行用药监护的经验。方法:阐述临床药师对1例肾癌术后并发感染患者实施药学监护的全过程。根据患者的个体情况,临床药师与医生协商制定了抗感染治疗方案,并就治疗过程中出现的骨髓抑制、肾脏毒性反应给出了相应的解决方案。结果:临床药师熟练掌握药物作用机制和不良反应相关知识,与临床医生协作,根据患者疗效及时调整用药,最终顺利完成周期治疗。结论:临床药师应熟悉药物作用机制和不良反应相关知识,与临床医生协作,做好患者的药学服务工作。
OBJECTIVE: To summarize the experience of clinical pharmacists in taking care of patients with postoperative infection of one case of advanced renal cell carcinoma. Methods: The clinical pharmacist to explain the whole process of one patient with renal cell carcinoma complicated with infection after implementation of pharmaceutical care. According to the patient’s individual circumstances, clinical pharmacists and doctors to develop anti-infective treatment programs, and treatment of the emergence of myelosuppression, renal toxicity response to the corresponding solution. Results: Clinical pharmacists master the mechanism of drug action and knowledge about adverse reactions, cooperate with clinicians, timely adjust the medication according to the patient’s curative effect, and ultimately successfully complete the cycle of treatment. Conclusion: Clinical pharmacists should be familiar with the mechanism of drug action and the knowledge about adverse reactions, cooperate with clinicians and do the patient’s pharmacy service well.