Whole-course pharmaceutical care for a patient with anti-γ-aminobutyric acid B receptor encephalitis and medication analysis
A 67-year-old male patient was admitted to the hospital because of paroxysmal limb convulsions for 2 weeks,and was diagnosed as anti-γ-aminobutyric acid B receptor encephalitis.He developed status epilepticus,pulmonary infection,hypoproteinemia,and coagulation disorder,etc during the immunotherapy after the admission.Based on the patient's condition,clinical pharmacists suggested giving methylprednisolone and intravenous immunoglobulin for immunotherapy,meropenem(1 g q8h ivgtt)for anti-infective therapy,polyene phosphatidylcholine for liver damage,ambroxol combined with budesonide for improving lung function,and low molecular weight heparin calcium for prevention of thrombosis.The nutrition condition and electrolyte balance of the patient was also closely monitored by clinical pharmacists.Finally,the patient was discharged with improved condition after the whole-course pharmaceutical care.
anti-γ-aminobutyric acid B receptor encephalitiswhole-coursepharmaceutical caremedication analysis