目的：探讨临床药师对心血管内科糖尿病患者的药学服务模式和监护要点。方法：以典型病例为例，阐述临床药师直接参与心血管内科糖尿病患者的治疗，提供药学监护。结果：临床药师通过参与心血管内科糖尿病患者的药物治疗与监护，加强了与医护人员的合作，增强了患者的用药安全性。结论：临床药师可从入院沟通、药品不良反应监测、个体化用药及出院用药指导等方面入手，积极开展药学服务。%OBJECTIVE:To explore the working mode and key point of clinical pharmaceutical services for patients with diabetes by clinical pharmacists in cardiovascular department .METHODS:To take the typical cases as example , the clinical pharmacists directly participated in the medication treatment , and provided pharmaceutical services for patients with diabetes in cardiovascular department .RESULTS: By the participation of clinical pharmacists in medication treatment and care , cooperation between the medical staff and clinical pharmacists was strengthened .At the same time, the safety and rationality of patients'medication were enhanced .CONCLUSIONS: In order to provide clinical pharmaceutical services , the clinical pharmacists could focus on hospital communication , monitoring of adverse drug reactions, individualized medication and discharge medication instructions , etc.
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