Drug Conversion and Pharmaceutical Monitoring of a Case of Refractory Cancer Pain
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.
Clinical pharmacistsRefractory cancer painHydromorphonePharmaceutical care