Clinical pharmacists participate in optimizing medication plans from different perspectives in the oncology department
Objective To summarize the work experience of clinical pharmacists in optimizing drug treatment plans in the oncol-ogy department,and promote rational drug use in clinical practice.Method Clinical pharmacists participated in the optimization of patient medication plans from different perspectives,and participated in the use of ribavirin in one case of esophageal cancer with her-pes zoster,where symptoms did not improve;One case of lung cancer accompanied by pulmonary and urinary tract infections,with no improvement in urinary tract symptoms after using cefoperazone sulbactam;One patient with breast cancer had bone marrow suppres-sion and blood flow infection after chemotherapy,and was still feverish after receiving 2 g of cefoperazone sulbactam ivgtt q 12h for 3 days;One case of gastric cancer with heart valve disease,long-term use of warfarin anticoagulation,and gum bleeding after taking capecitabine were reported in four cases.Result In all four cases,the optimization plan proposed by the clinical pharmacist was ad-opted by the doctors.In Case 1,after adjusting ribavirin to acyclovir,the herpes disappeared;Case 2:After switching from cefoperazone sulbactam to piperacillin tazobactam,both lung and urinary symptoms improved significantly;Case 3 changed the usage of cefoperazone sulbactam from q12h to q8h,and the body temperature returned to normal;Case 4 reduced the daily dose of warfarin from 3.75mg to 3.125mg,with no further bleeding in the gums.Conclusion Clinical pharmacists can participate in the optimization of medication plans from the aspects of drug indications,pharmacokinetics,interactions,and infection sites,providing reference for pharmacists to participate in the optimization of drug treatment plans and better ensuring patient medication safety.
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