摘要
目的探讨哺乳期用药咨询及安全用药思维模式,为哺乳期女性安全用药提供更好的建议,保障哺乳期女性及婴儿安全用药。方法临床药师仔细询问病史(既往用药史、现病史,药物、食物过敏史)获取相关资料,进行信息整合,结合药物性质、乳母因素、婴儿因素,通过查阅药品说明书、指南、专家共识、哺乳期药物危险分级、各专业数据库、文献等进行评价。结果根据各种评价体系的结论,进行全面分析,综合权衡,为哺乳期妇女提供安全的用药预判,并指导服药时间、哺乳间隔时间等建议。结论哺乳期患者只要合理用药,不会影响哺乳。开展哺乳期用药咨询有助于临床药师找到工作的切入点,提高药学服务质量,是一项值得推广的哺乳期安全用药预判模式。
Objective To investigates drug consultation process and thought pattern of safe medication in lactation,so as to ensure safe medication to nursing mothers and infants. Methods Analysis was made by integrating clinical pharmacists’ careful enquiring on medical history including previous medication, present illness and allergies to medications or food and drug properties, factors of nursing mother and infant, package insert, consensus, guidebook, lactation drug risk rating, database and literatures. Results Through comprehensive analysis, advices were given in terms of time of taking medicine and breast-feeding. Conclusion There can be concluded that breast-feeding will not be impacted with rational drug use. Drug consultation for nursing mothers can help pharmacists to find the new entry point of clinical practice and upgrade their capabilities, which is a valuable and practicable prejudgment for safe medication in lactation.
作者
张恩景
孟军华
ZHANG Enjing;MENG Junhua(Department of Pharmacy,Hospital of Wuhan University (The Third Hospital of Wuhan City),Wuhan 430060,China)
出处
《医药导报》
CAS
北大核心
2019年第10期1354-1359,共6页
Herald of Medicine
基金
武汉市卫计委科研项目(WZ14Z22)
关键词
安全用药
哺乳期
思维模式
药学监护
Safe medication
Lactation
Thought pattern
Pharmaceutical care
