Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 345
Filter
1.
China Pharmacy ; (12): 1415-1420, 2022.
Article in Chinese | WPRIM | ID: wpr-927186

ABSTRACT

OBJECTIVE To provide reference for improving the professional identity of clinical pharmacists and the quality of pharmaceutical care ,and promoting the effects of clinical pharmaceutical intervention. METHODS A questionnaire survey was conducted among clinical pharmacists in secondary and tertiary hospitals in 31 provinces(autonomous regions and municipalities ) in 2019 by stratified semi-random sampling. Through descriptive analysis of survey data ,their job satisfaction status was evaluated ; χ 2 test and Logistic regression analysis were used to analyze the influential factors of job satisfaction ;the robustness test of study results by propensity score matching method and replacement regression model ,and grouping Logistic regression of samples from hospital on different levels. Targeted improvement measures were put forward according to the results of survey . RESULTS There was statistical significance in the difference of job satisfaction among pharmacists of different professional titles (P<0.05). Results of Logistic regression showed that whether to participate in standardized training ,whether to obtain communication and support from patients ,whether the pharmaceutical management rules and regulations were sound ,whether to set up economic compensation means such as pharmaceutical service fee ,whether to work overload ,and whether to smoothly perform pharmaceutical care duties were significant influential factors for job satisfaction of clinical pharmacists (P<0.05). These results showed good robustness as tested by propensity score matching method and replacement regression model. Heterogeneity analysis results showed that the job satisfaction of clinical pharmacists in tertiary hospitals was more significantly affected by economic compensation ,while clinical pharmacists in secondary hospitals were more concerned about training opportunities and workload conditions (P<0.05). CONCLUSIONS The job satisfaction level of Chinese clinical pharmacists remains to be improved. Accordingly ,it is compulsory to continue the promotion of standardized training courses ,consummate the pharmaceutical management system ,and fair remuneration structure in order to improve the job satisfaction of clinical pharmacists and build a high-level clinical pharmacist team.

2.
Article in Chinese | WPRIM | ID: wpr-924064

ABSTRACT

Objective To explore the clinical pharmacist’s role in drug therapy and monitoring for the patient with postoperative MRSA infection. Methods Clinical pharmacists participated in planning anti-infective treatment, antimicrobial medication selection, identification of high-risk factors for MRSA infection, evaluation of vancomycin efficacy, dosage adjustment using TDM technology, monitoring and management of vancomycin adverse reactions. Results With the pharmaceutical care provided by clinical pharmacists, the patient received effective treatment with minimal vancomycin-related adverse reactions. Conclusion Clinical pharmacists played an important role in accelerating patient recovery by rational and safe medication use.

3.
China Pharmacy ; (12): 1386-1390, 2021.
Article in Chinese | WPRIM | ID: wpr-877263

ABSTRACT

OBJECTIVE:To inve stigate the current situation of clinical pharmacists ’job stress and presenteeism behavior in tertiary hospitals of China and study their correlation. METHODS :Using the Brief Job Stress Questionnaire (BJSQ)and the presenteeism behavior individual questionnaire ,a survey of 623 clinical pharmacists in 311 tertiary hospitals from 31 provinces in China was conducted ;by establishing Logistic model between job stress ,its various dimensions (job demand ,job control , support)and presenteeism behavior ,the correlation analysis was performed for their survey results. RESULTS :The average job pressure of the interviewed clinical pharmacists was 36.75 points;the probability of presenteeism behavior was 20.38%. Logistic regression model analysis results showed that job stress and its two dimensions (job demand ,job control )had a significant positive correlation with presenteeism behavior (P<0.05). CONCLUSIONS :The job stress of clinical pharmacists in tertiary hospitals in my country is relatively high ,which is also the main reason for their presenteeism behavior. Job stress can be reduced (such as increasing the staffing appropriately ,providing reasonable rest time ,improving the job substitution of clinical pharmacists )to reduce the prevalence of presenteeism behavior.

4.
Article in Chinese | WPRIM | ID: wpr-875684

ABSTRACT

Objective To explore the clinical pharmacist participation in the treatment of pregnancy complicated with Clostridium difficile infection. Methods From the perspective of medications, clinical pharmacists followed evidence-based medical practice, combined pharmaceutical theory with clinical evidence and provided individualized pharmacy care in drug selection, dose adjustment, medication regime and liver protection treatment. Results Clinical pharmacists integrated into the treatment team to ensure the effectiveness and safety of medication in the patient with pregnancy. Conclusion The individualized pharmacy care improved the effectiveness of drug treatment.

5.
China Pharmacy ; (12): 614-618, 2021.
Article in Chinese | WPRIM | ID: wpr-873678

ABSTRACT

OBJECTIVE:To investigate the ro le of clinical pharmacists in the therapy of fetal tachycardia by oral administration of digoxin through mother. METHODS :The clinical pharmacists participated in the whole process of drug therapy for a pregnant woman with fetal tachycardia. According to 31+6 weeks of gestation ,the fetal heart rate of 230 beats/min at admission,clinical pharmacists provided the suggestion for the doctor about the safety and blood concentration determination of digoxin in the treatment of fetal tachycardia by mother. The patient ’s blood potassium value was lower than the normal range ,and it was suggested that potassium should be supplemented before digoxin was used ,and the initial dose of digoxin was 0.5 mg per 12 h. On the 7th day in the hospital ,the dosage of digoxin should be adjusted to maintaining dose (0.25 mg per 12 h);on the 11th day in the hospital ,the patient ’s blood sodium value was low ,and the clinical pharmacists gave diet guidance. At the same time , the clinical pharmacists explained the adverse reactions of digoxin to the doctors ,nurses and patients ,and closely observed and educated the patients. RESULTS :Doctors adopted the suggestions of the clinical pharmacists. The fetal heart rate decreased to 180 beats/min from hospital after 13 days of treatment. The maternal digoxin concentration remained stable. No adverse drug reactions occurred in the mother and infant. CONCLUSIONS :Maternal and child safety should be taken into account in the medication of pregnant patients. The clinical pharmacists assisting doctors to formulate medication strategying ,and carrying out pharmaceutical care for patients ,can ensure the effectiveness and safety of medication for fetal tachycardia.

6.
China Pharmacy ; (12): 2901-2906, 2021.
Article in Chinese | WPRIM | ID: wpr-906659

ABSTRACT

OBJECTIVE:To explore the mode of pharmaceutical care for oral medication of tumor patients with dysphagia by clinical pharmacists ,so as to promote clinical rational and safe drug use. METHODS :Based on typical cases ,the problems existing in the oral medication of tumor patients with dysphagia were analyzed ,and the medication guidance and pharmaceutical care given by clinical pharmacists were expounded. RESULTS :Clinical pharmacists found that tumor patients with dysphagia had some problems during oral medication ,such as improper administration position ,tube feeding of slow-controlled release preparations after opening the capsule ,limited administration route ,biting cytotoxic drugs ,unknown solubility of targeted drugs ,interaction of multiple drugs. In view of the above problems ,clinical pharmacists assisted physicians and nursing staff to provide pharmaceutical care to patients in combination with the patient ’s disease characteristics ,pharmacy,pharmacokinetics,pharmacodynamics,drug solubility,drug interaction and other factors ,such as skillfully using appropriate drug delivery location and mode ,using local drug delivery mode ,selecting appropriate dosage form based on pharmaceutical knowledge (the characteristics of new dosage form ), guiding patients to use drugs correctly by being familiar with the characteristics of cytotoxic drugs and targeted drugs ,paying attention to potential drug interactions and guiding nurses to use drugs correctly. The situation of improper medication was improved. CONCLUSIONS :Clinical pharmacists should participate in clinical therapy actively ,and make appropriate interventions with professional knowledge of pharmacy so as to promote the correct use of oral medication for tumor patients with dysphagia.

7.
China Pharmacy ; (12): 2561-2566, 2021.
Article in Chinese | WPRIM | ID: wpr-904511

ABSTRACT

OBJECTIVE:To interpret the new version of the Implementation Plan for Enrollment and Assessment of Clinical Pharmacist Teacher Training Project of Chinese Hospital Association (Trial)(hereinafter referred to as the “New Plan ”)officially announced by the Chinese Hospital Association in Sept. 2021,in order to provide guidance and reference for smoothly promoting the implementation of the New Plan and realizing the original intention of the reform. METHODS :The New Plan was interpreted from four aspects ,including the background of the formulation of the New Plan ,the main features presented ,the innovations and the issues that need to be paid attention to in the next implementation. RESULTS & CONCLUSIONS :The formulation and release of the New Plan marks the beginning of a new round of reform of the clinical pharmacist teacher training program of the Chinese Hospital Association. It is mainly based on the actual problems encountered in the operation of the current clinical pharmacist teacher training system ,the importance of clinical pharmacistteacher training itself ,and the opportunities and challenges that the development of the times has brought to our country ’s 163.com clinical pharmacy business. Research foundation , problem orientation and professional demonstration present important characteristics. Compared with the old plan ,the New Plan adds a substantive selection mechanism for majors ,which intends to achieve the necessary “strictness”in the enrollment process ;it reconstructs the overall training goal of the benchmarking project and the three-in-one assessment system ,which intends to achieve a reasonable “lax”of assessment link ;it removes restrictions on off-site training ,advocates wide-ranging professional docking,and improves the flexibility of the training system and process management. The implementation of the New Plan is a complex work involving multiple parties and is affected by many factors. It requires multiple teams to perform their duties and promote together. The teacher training base and expert team must understand the spirit of reform and achieve the stable implementation of the New Plan ;at the same time ,the communication between the project working group and the teaching base and experts should be strengthened ,and finally realize the original intention of the reform of cultivating more high-quality clinical pharmacy teachers.

8.
Article in Chinese | WPRIM | ID: wpr-886884

ABSTRACT

Objective To provide reference for clinical pharmacists to participate in rational drug use through case study. Methods Clinical pharmacists participated in the optimization of treatment plan and performed pharmaceutical care for the patients according to their own characteristics, drug interactions, compatibility contraindications and adverse drug reactions. Results Clinical pharmacists provided pharmaceutical care for the patients with cerebrovascular diseases, Parkinson's disease, encephalitis and other diseases in the Department of Neurology by using pharmaceutical expertise, retrieved evidence-based support from literature and participating in the formulation of treatment plans. Those achieved individualized drug treatment, improve patient compliance, reduced the occurrence of unreasonable usage and dosage, inappropriate drug combination and improper drug selection, the treatment of adverse drug reactions, drug safety, and rational drug use. Conclusion Clinical pharmacists need to use their sound professional ability and good communication skills to help doctors make individualized drug delivery plans to ensure the safety, effectiveness and economy of drug treatment.

9.
China Pharmacy ; (12): 2184-2189, 2021.
Article in Chinese | WPRIM | ID: wpr-886797

ABSTRACT

OBJECTIVE:To prov ide reference for mobilizing the work enthusiasm of clinical pharmacists ,and further promoting the strategic objectives of performance appraisal in three-level public hospitals (“National examination ”for short ). METHODS:A department performance appraisal team was established ,and a key performance indicator system consisting of 4 first-level indicators and 9 second-level indicators was constructed by using literature retrieval and expert consultation. The performance distribution method of double assessment of performance score and performance score was established ,and a performance publicity and feedback performance mechanism was formed. Relevant data were collected to compare the core work indicators of clinical pharmacists ,use intensity of antibiotics ,compliance rate of essential drugs in our hospital from Apr. to Dec. 2019(before implementation )and Apr. to Dec. 2020(after implementation ). RESULTS :After the implementation of performance appraisal scheme ,the total number of medication recommendations of clinical pharmacists increased from 1 192 to 5 226,with an increase of 338.42%;the number of medication suggestions received increased from 846 to 4 855,with an increase of 473.88%; and the rate of drug suggestions received increased from 70.97% to 92.90%;the number of pharmaceutical consultation increased from 195 to 1 284,with an increase of 558.46%;the number of drug counseling increased from 1 203 to 2 719,increasing by 126.02%. Form Apr. to Dec. 2020,the number of patient safety medication evaluation forms reached 660. The antibiotics use density(AUD)in clinical departments of 13 clinical pharmacists were decreased to different extent after the implementation of performance appraisal scheme ,the decine rate was 92.31%(12/13),and the compliance rate was 69.23%(9/13);utilization rate of essential medicine among outpatients of 11 clinical pharmacists ’clinical departments had achieved positive growth ,and those among inpatients of 2 clinical pharmacists ’clinical departments had achieved positive growth. CONCLUSIONS :The performance appraisal system of clinical pharm acists formulated by our hospital links the “National examination ”index with the performance , appraisal of clinical pharmacists ,which can provide ideas for No.2018sxzx57,No.2020jyxm2328,No.2020jyxm2307) the performance appraisal of three-level public hospitals and help to promote the high-quality and sustainable development of hospital pharmaceutical care.

10.
China Pharmacy ; (12): 2035-2039, 2021.
Article in Chinese | WPRIM | ID: wpr-886590

ABSTRACT

OBJECTIVE:To explore the effect of clinical pharmacists participating in the therapy of benign prostatic hyperplasia (BPH),and to provide reference for clinical pharmacists participating in the management of chronic diseases. METHODS:Totally 195 BPH patients ,admitted to urology outpatient department of Nanjing Jiangning Hospital during Jan. 2018 to Nov. 2019,were collected and divided into intervention group (98 cases)and control group (97 cases)according to visiting order. Patients in the control group received routine outpatient service of urology surgery . Clinical pharmacists took the initiative to provide individualized pharmaceutical care for intervention group on the basis of routine service ,which mainly included BPH disease education ,healthy lifestyle guidance ,and guidance on rational drug use. International prostate symptom score (IPSS), quality of life score (QOL),medication adherence and disease progression were compared between 2 groups before intervention and at 2,4,6 and 9 months of follow-up. RESULTS :Because 15 patients in intervention group lost follow-up ,83 cases were included in the intervention group and 97 cases were included in the control group. Before the intervention ,there was no statistical significance in general information ,IPSS,QOL scores and medication adherence between 2 groups(P>0.05). Compared with control group ,IPSS score and QOL score of intervention group were significantly decreased at 2,4,6 and 9 months of follow-up (P<0.001);the proportion of patients with high medication adherence in the intervention group increased significantly (P< 0.001);there was no significant difference in disease progression as urinary tract infection between 2 groups (P>0.05). CONCLUSIONS:The participation of clinical pharmacists in the treatment of BPH can significantly decrease IPSS score and QOL score,and improve medication adherence and therapeutic effect.

11.
Article in Japanese | WPRIM | ID: wpr-886238

ABSTRACT

Pain is a common problem all over the world. A previous report estimated that the prevalence of pain is 40% in Japan. One of the roles of pharmacist is to build evidence with more patient-centered care, but less in region of pain. Our objective was to identify pharmacists’ contributions to patient care through pain-management using PainVision (PV) in an outpatient pain clinic and interventions with polypharmacy. We investigated 28 patients who underwent nerve blocks. Pain were assessed relatively and subjectively using PV and numerical analogue scale (NRS), respectively. The pharmacist intervened pre- and post-nerve block. Interventions focused on evaluations of pain, drug efficacy, complications, blood pressure, pulse rate, and oxygen saturation. Wilcoxon signed-rank test, Spearman rank correlation coefficient and Friedman test were used to analyze the data. The mean age of the patients was 77 (interquartile range 69-84) years, and 12 patients were diagnosed with zoster-associated pain. The pharmacists consulted with patients 213 times and evaluated pain 426 times. We found that the analgesic effect of nerve block were evaluated PV (70; 23-162→20; 5.0-49) and NRS (4; 2-6→1; 0-2) by pharmacist, significantly. It was significant correlation between PV and NRS (r=0.799: P<0.001). Our study showed similar results to previous studies in which doctors and nurses used PV. It is clinically valuable for pharmacists to using PV in outpatient clinics to evaluate pain. Greater roles for pharmacists in hospital outpatient department should be considered, especially pharmacist-led clinical research.

12.
Int J Pharm Pharm Sci ; 2020 Aug; 12(8): 124-128
Article | IMSEAR | ID: sea-206008

ABSTRACT

Objective: To investigate the drug-related information needs of healthcare providers (HCPs), their utilization of drug information resources as well as the main factors influencing the selection of resources. Methods: A total of 393 HCPs were conveniently selected and invited to complete a questionnaire. Stratified sampling was used for the three subpopulations of physicians, pharmacists, and nurses. The questionnaire was coded, validated, and analyzed using the Statistical Package for the Social Sciences (SAS version 9.2). Results: Of 450 HCPs approached, 393 completed the questionnaire (response rate 87%). Information related to drug dosage/administration, indications, and interactions is the most frequently required, 47%, 44%, and 34%, respectively. The majority of the sample perceived the Internet (69.47%) and electronic databases (67.43%) as “very useful.” Printed materials (46.56%) and Personal Digital Assistants (PDAs) (44.78%) or calling the pharmacy (43.26%) were also useful resources of information followed by using electronic books and journals (38.42%) and asking colleagues (32.32%). The majority (53.18%) described consulting a clinical pharmacist as “very useful.” However, 16% of the nurse group and 35% of the physician group were not aware of the existence of the Drug Information Center (DIC) and more than 8% of the participants consider calling the DIC about drug-related information “not useful”. Conclusion: Digital resources are used by HCPs more frequently than traditional resources, consulting a clinical pharmacist or calling the DIC. Providing reliable electronic resources and raising the awareness of HCPs regarding the role of a clinical pharmacist and DIC for patient-specific therapies should be instituted.

13.
Int J Pharm Pharm Sci ; 2020 Jun; 12(6): 55-58
Article | IMSEAR | ID: sea-206109

ABSTRACT

Objective: To identify frequency, type, severity and predictors of potential drug-drug interactions(pDDIs), potential drug-food interactions(pDFIs), potential drug-alcohol interactions(pDAIs) and potential drug-tobacco interactions(pDTIs) and most frequently interacting drug combination pairs in hospitalized patients from departments(depts) of General Medicine(GM), Orthopedic(Ortho), Gynecology(OBG), Pulmonology(Pulmo), General Surgery (GS), Psychiatry (Psych), Otolaryngology(ENT) and Dermatology (Derm) of study population. Methods: A Prospective Observational Study was conducted in eight major dept's of a tertiary care teaching hospital for a period of 6 mo. A sample size of 650 prescriptions reflecting admission no's for each department were used. Results: A total of 650 patients were included in the study. Among them, 282(43.4%) were males and 368(56.6%) were females. The mean age of the study population was 39.67±15.23. A total of 487 pDDIs, 734 pDFIs, 586 pDAIs and 159 pDTIs were found out of 650 hospitalized episodes. OBG showed the highest pDDIs and pDAIs. Highest pDFIs and pDTIs were seen in Pulmo. The majority of DDIs were minor, DFIs and DAIs were moderate and DTIs were of major in severity. Pharmacokinetic types of interactions were seen in the majority of the depts. Logistic regression analysis showed that Polypharmacy was associated with the occurrence of DIs. Most of the DIs repeated several times in particular depts and a list of these combinations was prepared. Conclusion: With the high occurrence of overall DIs and characteristic patterns of DIs combination pairs among different departments of the hospital, the presence of clinical pharmacists in hospitals can play a great role, especially in developing nations like India where their role in hospitalized settings is always controversial.

14.
Int J Pharm Pharm Sci ; 2020 Apr; 12(4): 53-62
Article | IMSEAR | ID: sea-206082

ABSTRACT

Objective: The objectives of this study include performing pharmaceutical care-related research and documenting regarding drug-related problems in the surgery department. Further, these types of studies may bring consciousness to both physicians and patients regarding drug use in surgery. Methods: A Prospective interventional study was conducted in a general surgery hospital. The prescriptions were analyzed for the use of inappropriateness of drugs using the classification for drug-related problems. Results: Out of 100 cases, 62 patients were observed with drug-related problems. The number of antibiotics prescribed was 0, 1, 2, 3, 4, 5, 6 in 8, 11, 12, 32, 18, 18, 1 cases respectively. A significant increase in the outcome of antibiotic rationality and cases adhered to guidelines was seen in November compared to October and somewhat decreased in December due to some limitations. The overall study states that prescribing has a more important cause of Drug-related problems compared to dispensing and the use of the drug. Conclusion: Drug-related problems have to be acknowledged as a very important contributing treatment factor for the best health care outcome. Our study shows the importance of clinical pharmacists in every hospital for identifying and resolving drug-related problems and medication errors.

15.
Int J Pharm Pharm Sci ; 2020 Feb; 12(2): 32-37
Article | IMSEAR | ID: sea-206039

ABSTRACT

Objective: To assess the role of clinical pharmacists in the identification and management of drug-induced sexual dysfunction in collaboration with the psychiatrist and also to determine the prevalence and pattern of drug-induced sexual dysfunction, identify nature and extend of drug-induced sexual dysfunction, and assess the pattern of management of drug-induced sexual dysfunction. Methods: This periodic prevalence interventional study was carried out among patients who visited the psychiatric department of a university hospital over three month’s period. Patients were screened for sexual dysfunction using the Arizona Sexual Experience Scale (ASEX) by study pharmacists. Results: Of the 100 patients reviewed, only 50% of subjects met the study criteria. Depression (42%) was the most common clinical diagnosis among the study patients. The overall prevalence of drug-induced sexual dysfunction was 16%. A higher incidence of drug-induced sexual dysfunction was observed in men (62.5%). Decrease libido (40%) was the most prominently observed drug-induced sexual dysfunction in both genders. Antidepressant (50%) was the most common class of drugs implicated in sexual dysfunction. Drug-induced sexual dysfunction was pharmacologically managed with vaginal lubrication (40%), Tadalafil (20%) and Tadalafil+Dapoxetine combination (40%). Conclusion: With this study, provided a vision, further how prospective studies in this arena may be carried out for better understanding drug-induced sexual dysfunction and how a clinical pharmacist can contribute for better health care of patients in the sex clinic by collaborating with medical practitioners.

16.
Rev. ciênc. farm. básica apl ; 41: [8], 01/01/2020.
Article in English | LILACS-Express | LILACS | ID: biblio-1147065

ABSTRACT

Clinical pharmacists in intensive care units are involved in patient safety, technical guidance and cost saving with rational use of medicines. This study aimed to estimate the cost saving of clinical pharmacist interventions in pediatric intensive care units (PICU). This was a retrospective, observational study. Savings were measured for three months based on (1) Clinical pharmacist interventions from prescription analysis, (2) Individualized doses of four antibiotics, (3) Comparison of drugs dispensing systems before and after the decentralization of pharmacy services. The main outcome is costs saving with strategic planning of medication use based on local reality. A number of 73 clinical pharmacist interventions were made, from which 13 allowed the calculation of economic impact, saving US$ 633.38/year. Cost saving from individualized doses of four antibiotics was US$ 8,754.46/year. The decentralization of pharmacy services saved US$ 28,770.52/year. The evaluated interventions were successful. Clinical pharmacist interventions, individualized antimicrobials doses and decentralization of pharmacy services reduce costs in the hospital.

17.
China Pharmacy ; (12): 3051-3054, 2020.
Article in Chinese | WPRIM | ID: wpr-843088

ABSTRACT

OBJECTIVE:To optimize the ant i-infective treatment plan for the super-premature infants and provide reference for the clinical treatment of the super-premature infants and the whole pharmaceutical care. METHODS :A super-premature infant with gestational age of 25+5 weeks and weight of 400 g was delivered in the second department of neonatology in Hunan Maternal and Child Health Hospital. This child suffered from complex complications. Clinical pharmacists ,relevant medical staff and hospital infection department personnel formed a multidisciplinary treatment team. According to Neonatal Sepsis Treatment Scheme , Antimicrobial Treatment Guide ,Premature Medicine ,combining with the analysis of infection indicators ,biochemical indicators , vital signs and other indicators ,a individualized anti-infective diagnosis and treatment plan was developed for the child. After entering the NICU ,this child was given Piperacillin sodium and sulbactam sodium for injection (100 mg/kg,ivgtt,q12 h)for anti-infective treatment ;considering the possibility of sepsis ,clinical pharmacists suggested that Piperacillin sodium and sulbactam sodium for injection should be stopped and Meropenem for injection (40 mg/kg,ivgtt,q12 h)should be used instead. After 7 day of meropenem treatment ,clinical pharmacists suggested adding antifungal Fluconazole injection (5.0 mg/kg,ivgtt,qod). After 11 days of meropenem treatment ,in order to avoid the aggravation of infection ,according to the drug sensitivity results (sensitive to Ticarcillin sodium and clavulanate potassium for injection ),clinical pharmacists suggested adding Ticarcillin sodium and clavulanate potassium for injection (75 mg/kg,ivgtt,q8 h)for combined anti-infective treatment ,and hospital infection treatment was carried out at the same time. After the infection index was stable ,all antibiotics were stopped. When E. coli infection occurred later,clinical pharmacists suggested that Piperacillin tazobactam sodium for injection (75 mg/kg,ivgtt,q8 h)should be used. After the infection aggravated ,Piperacillin tazobactam sodium for injection was stopped and Imipenem cilastatin sodium forinjection(20 mg/kg,ivgtt,q8 h)was used instead. The child received ladder treatment after the decline of infection index ,and Ceftazidime for injection (50 mg/kg,ivgtt,q12 h)was used. RESULTS :The doctors adopted the above suggestions. After treatment ,the prognosis of the child was good ,the vital signs were stable ,and the body weight reached 3 000 g at discharge. CONCLUSIONS :For preterm infants as special group ,before using antibiotics ,clinical pharmacists should focus on the vital signs ,infection indicators and laboratory test results of the child ,so as to help doctors improve the treatment plan and ensure the effectiveness and safety of their medication.

18.
Article in Chinese | WPRIM | ID: wpr-782393

ABSTRACT

Objective To evaluate the role of clinical pharmacists on the pharmacological monitoring and management of diabetic patients. Methods 406 adult outpatients with diabetes in outpatient were selected as research object. The patients were given the questionnaire and intervened with diabetes education and management by the clinical pharmacist regularly. The patient’s knowledge of the diabetes medication before and after intervention, blood glucose and glycosylated hemoglobin values, treatment compliance, non-reserved outpatient visit, emergency, hospitalization, etc. were compared and statistically analyzed. Results After pharmacy intervention, the patients' knowledge of diabetes and drug-related information, treatment compliance, blood glucose and glycosylated hemoglobin were better than before intervention, P<0.01. Non-reserved outpatient visits and emergency cases were better than before intervention, P<0.05. There are significant differences. Conclusion Clinical pharmacists carry out diabetes chronic disease management and build a clinical pharmacist-led chronic disease management model, which helps to promote standardized treatment, improve patient compliance, promote rationalized medication, achieve the goal of controlling blood sugar and reduce complications.

19.
Article in English | WPRIM | ID: wpr-875932

ABSTRACT

@#Introduction: Diabetes is a chronic metabolic disease and noted to be incidence is intensifying globally and contemplated as epidemic. The study is aimed to assess the coronary artery disease risk profile associated diabetes mellitus patient and to identify the clinical pharmacist care services in the management and to control the risk burden in the clinical practice. Method: A prospective observational study was conducted among the consecutive patients of coronary artery disease associated diabetic patients in a tertiary care teaching hospital over 6 months period. A sample of 150 patients was recruited in the study. Data analysis was done with graph pad prism software 5.01. Results: The present study revealed that coronary artery disease in diabetes was more prevalent in age group between 41-50 years. About 54.66% patients with hyperlipidemia were at risk to develop the coronary artery disease complication. Glycated hemoglobin test was detected in 40% of the patient showing abnormal levels and around 43.33% of patient had an abnormal fasting blood sugar level. The study showed only 32% of patients was prescribed Insulin & oral hypoglycemic agents and 13 % were treated with statins. Conclusion: It could be concluded that the causative factors should be controlled and treated with an early need for amalgamation of clinical pharmacist care services with the health care team on life style modification counseling could ultimately improve the patient health outcomes and also lowers progression of coronary artery disease risk complications among diabetic patients.

20.
Chinese Pharmaceutical Journal ; (24): 408-412, 2020.
Article in Chinese | WPRIM | ID: wpr-857772

ABSTRACT

OBJECTIVE: To develop the model of medication reconciliation (MR) service provided by clinical pharmacist for chronic kidney disease (CKD). METHODS: The definition, working process, development of MR were analyzed and the medication problems we reviewed were classified and intervened according to the newest Pharmaceutical Care Network Europe (PCNE) V9.0 classification scheme which was constructed for drug related problems (DRPs) to analysis and summary. We stated and summarized procedure of MR by several cases based on the realities of our hospital. RESULTS: A new closed loop model of outpatient clinic to hospital, then to home was developed, a working process was made according to three settings consist of outpatient clinic, hospital and home. CONCLUSION: The procedure of MR of several cases was summarized based on the realities on our hospital.

SELECTION OF CITATIONS
SEARCH DETAIL