目的:探讨临床药师为重症社区获得性肺炎伴多器官功能障碍综合征患者提供药学服务的切入点.方法:临床药师深入临床,参与1例重症社区获得性肺炎伴多器官功能障碍综合征患者的治疗全程,提供药学服务.结果:根据患者的肾功能水平、病原菌培养结果和治疗情况,临床药师协助医师选择、调整抗感染的药物治疗方案.经积极抗感染、血液滤过及对症治疗,患者感染症状好转,各器官功能基本恢复.结论:对于伴有器官功能障碍综合征的重症患者,根据肝、肾功能水平调整药物剂量非常重要.临床药师参与临床治疗,实施药学监护,可提高疗效、减少药品不良反应.%Objective:To probe into the entry points of provision of pharmaceutical care by clinical pharmacists for severe community-acquired pneumonia patients with multiple organ dysfunction syndrome.METHODS: The clinical pharmacists went into the clinic,participated into the whole treatment process for severe community-acquired pneumonia patients with multiple organ dysfunction syndrome and provided pharmaceutical care.RESULTS: According to patient's kidney function,pathogenic bacteria culture results and treatment conditions,the clinical pharmacists assisted the clinicians selected and adjusted anti-infection drug treatment.After active anti-infection,hemofiltration and symptomatic treatment,patient's infection symptoms had been improved and organs recovered basically.CONCLUSIONS: It is essential for severe community-acquired pneumonia patients with multiple organ dysfunction syndrome to adjust administration dose by liver and kidney function.The clinical pharmacists participate into the clinical treatment and provide pharmaceutical care can improve the efficacy and reduce the adverse drug reactions.
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