OBJECTIVE： To investigate the thoughts and ways of clinical pharmacist in nephrology department to review medical orders， and to provide reference for rational drug use in nephrology department. METHODS： Based on specific cases of nephrology department， the thoughts and ways of clinical pharmacist in nephrology department to review medical orders were investigated from several aspects， including whether the therapeutic drugs had covered all the problems， drug duplication， drug selection， usage and dosage and course of treatments， drug interaction and compatibility. RESULTS & CONCLUSIONS： By establishing rigorous and systematic review thinking mode， based on their professional specialty， clinical pharmacists of nephrology department can sort the reviewing thought， fill in the gaps of medical orders reviewing and enhance the ability of participating in the clinical practice.