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目的:探讨对老年慢性心力衰竭患者进行药学监护的重点和方法。方法:临床药师从老年慢性心力衰竭患者的病理生理特点出发,针对应用利尿药、β受体阻断药和洋地黄等药物进行阐述,分析和总结老年慢性心力衰竭患者药学监护的重点和方法。结果:临床药师应从药物治疗的安全性和有效性两方面着手,包括随访患者的电解质、肝肾功能等指标,以其特殊病理生理状态下的药物选择及剂量调整为切入点,通过监护疗效、规避可能出现的不良反应,开展个体化的药物监护。结论:临床药师的药学服务在药物合理安全运用、治疗及给药方案的优化上发挥了积极作用。
Objective: To explore the key points and methods of pharmacy care in elderly patients with chronic heart failure. Methods: Based on the pathophysiological characteristics of elderly patients with chronic heart failure, clinical pharmacists elaborated on the application of diuretics, beta-blockers and digitalis drugs to analyze and summarize the key points and methods of pharmaco-intensive care in elderly patients with chronic heart failure. Results: The pharmacist should start with the safety and effectiveness of drug treatment, including electrolyte, liver and kidney function, follow-up of patients with special pathophysiological state of the drug selection and dose adjustment as the starting point, through the curative effect, Avoid possible adverse reactions, to carry out individualized drug custody. Conclusion: Pharmacological services of clinical pharmacists play a positive role in the rational and safe use of drugs, treatment and optimization of drug delivery regimens.