ABSTRACT
OBJECTIVE:To provide reference for rational use of antihypertensive drugs in the clinic. METHODS:One hun-dred and eighteen primary hypertensive inpatients were selected from our hospital during Jan.2014-Oct.2015. The application of anti-hypertensive drugs and medication compliance were summarized and analyzed by reviewing the doctor’s advice and the question-naire survey method. RESULTS:Commonly used antihypertensive drugs of our hospital included diuretic,βreceptor blocker,calci-um antagonist, angiotensin converting enzyme inhibitor, angiotensinⅡreceptor antagonist and aldosterone receptor antagonist. Among 118 patients,fewer patients treated with monotherapy(10 cases,8.47%),and three-drug regimen took up the greatest pro-portion(51 cases,43.22%). The number of patients receiving antihypertensive drugs in related internal medicine departments(94 cases)was more than in related surgical departments(24 cases). 25 patients used antihypertensive drugs irrationally,mainly from internal medicine department,heart disease department,cerebropathy department,etc. Irrational medication mainly included irratio-nal frequencies(8 cases,32.00%),pharmaceutical frame structure damage(5 cases,20.00%),irrational drug selection(4 cases, 16.00%),etc. The poor medication compliance was found in 16 patients,mainly resulted from complex therapy plan (6 cases, 37.50%),forgetting to take medicine(5 cases,31.25%). CONCLUSIONS:Irrational use of antihypertensive drugs exist in prima-ry hypertensive inpatients of our hospital. Clinical pharmacists should use their own advantage to strengthen communication with medical staff,develop in pharmaceutical care and promote rational drug use in the clinic.
ABSTRACT
OBJECTIVE: To analyze retrospectively the drug use in elderly outpatients in the west campus of our hospital in 2014 - 2015. METHODS: Through the hospital information system (HIS), the full prescribing information for 40 working days in Mar. 2014 and Mar. 2015 was collected. The data statistics was summarized and analyzed by Excel 2010.RESULTS: The statistics showed stable medication use in elderly patients, and the number of prescriptions for elderly patients accounted for about 1/3 of the total outpatient prescriptions. There were nearly 1/4 elderly outpatients who used six or more drugs. Oral drugs accounted for more than 80% of all the drugs. Drugs for the treatment of cardiovascular and cerebrovascular diseases accounted for the largest part. CONCLUSION: The drug use in elderly patients in our hospital basically accords with the design of outpatient departments. The dosages of drugs used in the elderly patients comply with the normal dosages in general. The statistical data of medications in elderly outpatients provides a support to further study the existing problems in the medication in elderly patients.