OBJECTIVE: To explore the role of clinical pharmacists in therapy for patient with interstitial lung disease (ILD) induced by erlotinib. METHODS: Clinical pharmacists participated in the therapy for ILD in a patient receiving erlotinib target treatment after thoracic vertebra and lumbar radiation, analyzed the cause of ILD and suggested to stop taking imipenem and cilastatin sodium, fluconazol and erlotinib according to lab indexes and patient’s symptom; took prednisone 30 mg,po,qd, for anti-inflammation instead of methylprednisolone; adjusted the dose of prednisone to 40 mg/d, and additionally took Carbocisteine oral solution 10 ml,tid, for improving respiratory symptom; panipenem betamipron 1 g,ivgtt,bid, instead of piperacillin sodium and sulbactam sodium. RESULTS: Physicians adopted the suggestions of clinical pharmacists, and the symptom of anhelation and double pneumonia recovered; discharged medication plan was erlotinib 150 mg,po,qd. CONCLUSIONS: The patient with radiation history easily suffers from ILD when using erlotinib, and should use erlotinib carefully in the clinic. Clinical pharmacists participated in drug therapy and promote safe and rational use of drugs in the clinic.
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
基于问题学习教学法用于临床药师培训的实践与探索
1例NK/T细胞淋巴瘤伴糖尿病患者的药学监护
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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