WANG Yan,ZHU Shaohui,YANG Jianing,et al.Pharmaceutical practice of clinical pharmacist participation in a patient with Epstein-Barr virus encephalitis[J].ZHONGGUO YAOFANG,2023,34(24):3060-3063.
WANG Yan,ZHU Shaohui,YANG Jianing,et al.Pharmaceutical practice of clinical pharmacist participation in a patient with Epstein-Barr virus encephalitis[J].ZHONGGUO YAOFANG,2023,34(24):3060-3063. DOI: 10.6039/j.issn.1001-0408.2023.24.19.
Pharmaceutical practice of clinical pharmacist participation in a patient with Epstein-Barr virus encephalitis
To investigate the role of clinical pharmacists in the treatment of a patient with Epstein-Barr (EB) virus encephalitis.
METHODS
2
Clinical pharmacist participated in drug diagnosis and therapy for a patient with EB virus encephalitis. According to the physiological characteristics of the disease and the pharmacokinetic-pharmacodynamic characteristics of antibiotics, clinical pharmacists suggested that the dose should be adjusted as ceftriaxone 2 g, q12 h+meropenem 2 g, q8 h. Based on the uncontrolled infection of the patient, pharmacists suggested that ceftriaxone should be stopped and vancomycin 1 million U and q12 h should be used as alternative therapy. According to the results of etiology, pharmacists suggested that acyclovir should be discontinued and replaced with ganciclovir 5 mg/kg, q12 h. The electrolyte disturbance of the patient may be adverse drug reactions caused by Mannitol injection, it was recommended to stop the drug.
RESULTS
2
The clinician followed the advice of the clinical pharmacists. After treatment, the patient improved and was discharged.
CONCLUSIONS
2
Clinical pharmacists can carry out pharmaceutical care for patients with EB virus encephalitis, assist physicians in optimizing the treatment plan of patients, and ensure the effectiveness and safety of drug treatment.
关键词
EB病毒性脑炎临床药师药学监护
Keywords
clinical pharmacistpharmaceutical care
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