頁籤選單縮合
題 名 | 長期臥床病人合併多重疾病之藥物使用評估=Drug Evaluation of Patient with Long-Term Bed-Ridden and Multiple Diseases |
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作 者 | 趙瑩; 葉馨智; 方秀麗; 樓亞洲; 陳立奇; | 書刊名 | 藥學雜誌 |
卷 期 | 28:2=111 2012.06[民101.06] |
頁 次 | 頁132-137 |
分類號 | 418.1 |
關鍵詞 | 心房顫動; 中風; Warfarin; Atrial fibrillation; Stroke; Diabetes; |
語 文 | 中文(Chinese) |
中文摘要 | 個案為 67歲女性,有中風、第二型糖尿病、充血性心衰竭、心房顫動、栓塞、高血壓性心臟病、高尿酸血症、高血脂症、胃功能性疾患等病史。本案例討論從 98年7月因使用 warfarin發生一次出血事件開始,藥師介入藥物治療評估過程,包含如何審視處方中交互作用,監測相關生化檢驗值,並持續追蹤病人各項疾病控制情形。介入評估及追蹤結果:病人藥物使用品項,由原來 98年使用 8項藥品,至 99年減為 4項藥品。臨床效益上,可避免交互作用產生,並減少不必要藥費支出。 |
英文摘要 | A 67-year-old female has lived in a nursing home since October 2008. Her past history included stroke, type II diabetes, congestive heart failure, atrial fibrillation (AF), pulmonary embolism, hypertensive heart disease, hyperuricemia, hyperlipidemia, and functional gastrointestinal disorder. She was taking eight drugs for these diseases. Warfarin was one of her medications and was prescribed for preventing the recurrence of stroke due to Af. An adverse event of warfarin intoxication occurred in July, 2009. We were tasked with evaluating her medication. Problems with drug-drug interaction and unnecessarily prescribed drugs were found. After our intervention, the total numbers of drugs in her prescription reduced from eight to four in a year. This may prevent the occurrence of drug-drug interaction and the waste of unnecessary medication. |
本系統中英文摘要資訊取自各篇刊載內容。