OBJECTIVE: To provide the new idea for clinical pharmacists providing pharmaceutical care in oncology department. METHODS: Applying the principles and methods of clinical pathway, the pharmaceutical care of anti-tumor drugs could be divided into before medication, during medication, after medication and patient education, according to the sequence of taking medicine. On the basis of evidence-based medicine, the care contents of each unit were established, and the pharmaceutical care pathway (PCP) was formed. During chemotherapy duration for a breast cancer metastasis patient with liver function injury, clinical pharmacists conducted pharmaceutical care for drug pretreatment, ADR monitoring and disposal, patient education, as well as put forward the proposal of drug treatment as supplementing calcium, adjusting the dose of epirubicin and paclitaxel targeting on PCP of zoledronic acid, epirubicin and paclitaxel. RESULTS: Physicians adopted the pharmacist’s recommendations. The patient suffered from joint and muscle pain during chemotherapy, and the symptom was relieved after symptomatic treatment by celecoxib; chest and back discomfort was relieved significantly after chemotherapy, and the disease condition kept stable. The patient was discharged from the hospital. CONCLUSIONS: PCP focus on the time, content and countermeasures of pharmaceutical care, the program and treatment results of pharmaceutical care, and promote standardization, formalization, simplification and procedure of pharmaceutical care. Clinical pharmacists conduct individualized pharmaceutical care rapidly targeting on PCP so as to deepen the communication of clinical pharmacists with physicians, nurses and patients, and promote the development of pharmaceutical care smoothly.
关键词
临床药师抗肿瘤药物药学监护药学监护路径
Keywords
Clinical pharmacistAnti-tumor drugsPharmaceutical carepharmaceutical care pathway
Participation of clinical pharmacists in pharmaceutical care for a patient with Mycobacterium abscess infection after the resection of intervertebral schwannoma
1例乳腺癌合并静脉血栓栓塞患者的抗凝方案优化
临床药师参与1 例高龄患者治疗的药物重整
1例NK/T细胞淋巴瘤伴糖尿病患者的药学监护
1例奥沙利铂致过敏反应患者的药学监护
Related Author
WU Yanyan
WANG Can
YANG Xinwei
KONG Wenqiang
HU Xuelian
LI Chenlu
PAN Hongming
SHEN Lirong
Related Institution
Dept. of Pharmacy, Second Affiliated Hospital, Army Medical University
Dept. of Pharmacy, Chongqing Health Center for Women and Children/Women and Children’s Hospital of Chongqing Medical University