摘要
目的为临床药师发现华法林抵抗患者并参与其药学监护提供参考。方法基于基因检测结果为1例华法林抵抗患者制定抗凝方案,并对产生抵抗原因进行分析,详细描述临床药师如何实施药学监护的全过程。结果该患者出院后INR值达到目标范围,及时避免了出血事件的发生。结论对于华法林抵抗患者,临床药师尤其要注意及时发现,保持对患者长期随访及药学监护。
OBJECTIVE To provide reference for clinical pharmacists discovering and participating in pharmaceutical care for warfarin resistance patients. METHODS Based on gene detection, the anticoagulation plan was built and the reason inducing warfarin resistance was analyzed. The process of pharmaceutical care by clinical pharmacist was described in details. RESULTS INR of the patient achieved the target area and hemorrhage events were avoided post-discharge. CONCLUSION For warfarin resistance patients, clinical pharmacists particularly need to discover in time and keep long term follow-up and pharmaceutical care.
出处
《中国现代应用药学》
CAS
CSCD
2014年第10期1282-1283,1296,共3页
Chinese Journal of Modern Applied Pharmacy
关键词
临床药师
华法林抵抗
基因多态性
药学监护
clinical pharmacists
warfarin resistance
gene polymorphism
pharmaceutical care
