1例难治性癌痛的药物转换及药学监护
Drug Conversion and Pharmaceutical Monitoring of a Case of Refractory Cancer Pain
何素梅 1仇俊兰 2施怡 1张冠英 1江翊国1
作者信息
- 1. 南京大学医学院附属苏州医院,药学部,江苏苏州 215153
- 2. 南京大学医学院附属苏州医院,肿瘤科,江苏苏州 215153
- 折叠
摘要
目的 探讨临床药师在难治性癌痛患者中的个体化药学服务,为该类患者药学监护提供参考.方法 通过参与1 例晚期胃癌伴难治性癌痛患者出现阿片类药物耐受后的药学监护,临床药师对其镇痛方案分析,综合疼痛评估,及时优化给药方案,将吗啡转换为氢吗啡酮,快速有效地控制疼痛.结果 患者疼痛缓解,未出现爆发痛,患者生活质量改善.结论 临床药师对难治性癌痛患者开展目标性药学服务,不断提高专业能力,在疼痛治疗团队中发挥了重要的协作作用.
Abstract
OBJECTIVE To explore the individualized pharmaceutical services provided by clinical pharmacists in patients with refractory cancer pain,providing reference for pharmaceutical care of such patients.METHODS By participating in pharmaceutical monitoring of a patient with advanced gastric cancer and refractory cancer pain who developed opioid tolerance,the clinical pharmacists analyzed her previous pain relief plans,comprehensively evalua-ted the pain,applied optimum regimen to clinic,converted morphine into hydromorphone,and achieved rapid and ef-fective pain control.RESULTS Patient pain was relieved,and her living quality improved obvious-ly.CONCLUSION Clinical pharmacists provide targeted pharmaceutical services to patients with refractory cancer pain,and playing an important collaborative role in the pain treatment team.
关键词
临床药师/难治性癌痛/氢吗啡酮/药学监护Key words
Clinical pharmacists/Refractory cancer pain/Hydromorphone/Pharmaceutical care引用本文复制引用
出版年
2024
NETL
NSTL
万方数据