Clinical pharmacists participate Cardiology rounds Experience(临床药师参与心脏病发经验)

ClinicalpharmacistsparticipateCardiologyroundsExperienceInearly2002,theMinistryofHealthandtheStateAdministrationofTraditionalChineseMedicinejointlydeveloped,medicalinstitutions,pharmaceuticaladministrationissuedtheInterimProvisions<<>>,clearlystated:tograduallyestablishasystemofclinicalpharmacists,in-depthunderstandingoftheclinicalapplicationofdrugsforclinicalapplicationmadeimprovements,participationandconsultationrounds,participateinthetreatmentofcriticallyillpatientsandcasediscussion,anddrugtreatmentrecommendationsfortherapeuticdrugmonitoring,designingindividualizeddosingregimens[1]Inordertomakesurethat“patient-centered,assistrationaldruguse“purposes,thehospitalestablishedaClinicalPharmacy,participatedinthegeneralsurgery,internalmedicineandotherrespiratoryandcardiacspecialistroundsworkpitalclinicalpharmacistsinvolvedintheworkoftheDepartmentofCardiology,aresummarizedbelow.1AmethodroundsMondaytoSaturdaymorninginvolvedashiftofCardiology,listenphysicianshiftchange,focusingonthenightandthedayofcriticallyillpatientsadmittedtohospital,aftertheshift,followedbythecompetentphysicianroundsthroughtherounds,accumulatingsupplementspecialistmedicalknowledge,graspthekindofclinicalindicatorsandchangesincondition,clinicalthinkingtrainingforclinicalrationaldruguseprovideeffectivehelp.Inadditiontoparticipationinclinicalroundspharmacists,butalsoforspecializedpharmacyrounds,forspecialpopulations,criticallyillpatientswithcomplextreatmentprograms,theoccurrenceofseriousadversereactionsinpatientswithmedicinesshouldfocusonobservationandwritingmedicationrecord.Medicationhistorywrittencontentshouldcoverpatientswithgeneralinformation,hospitalnumber,historyofpresentillness,pasthistory,allergies,medicationhistory,clinicaldiagnosis,thispatientmedicationrecords,physicalexaminationsituation,thecorrespondingindicatorclinicalexamination,laboratoryexaminations,medication2logs,summarizingdrugtreatment.2contentinclinicalpractice2.1roundscontentRoundsbeforeunderstandingthepatient’scondition,includingthechiefcomplaint,historyofpresentillness,pastmedicalhistory,medicationhistory,clinicaldiagnosis,examinationresultsandthemaindrugsusedafteradmission,andmaketheappropriaterecords.Roundsconcernpatientswithdrugefficacy,adversereactionsthatoccurredasktheirpatientstoimprovethesituation,thecurrentsituationforthepatient,toassistphysiciansinthetreatmentplan.physicianroundsaremoreconcernedaboutthepatient’smedicalhistory,clinicalefficacy,pharmacistscouldfocusonmedicationhistory,historyofadversereactionsbydrugsshape,color,packaging,tradenamesandotherinformation,tips,guidepatientsaspossibletoprovideadetailedmedicalhistory,allergies,historyofadversereactionstoassistclinicianstolearnmoreaboutthepatient’scondition.2.2participateintheformulationofdrug3programFortheexistenceofirrationaldruguse,suchasrepeateddruguse,drugselectionandirrational,unreasonablesolvent,thereisabigliverandkidneytoxicity,drugdosageerrors,etc.,toreporttothedoctoranddiscuss,developsolutions.2.3andtimelycommunicationwiththedepartmentdirectorAsdepartmentdirectorworkloadandlesstimeintheBranch,andthuslesstimetocommunicateinordertobetterenablethedepartmentdirectortounderstandandsupportclinicalpharmacistswork,irregularcollectthelatestinformationondrugsfortheirinformation,suchasdrugadverseeventreporting,pharmacovigilance,druginformation,thelatestmedicationguid...

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