OBJECTIVE: To explore the mode, methods and role of clinical pharmacists providing pharmaceutical care for patients with natural killer/T-cell lymphoma (NK/TL) complicated with diabetes. METHODS: Clinical pharmacists participated in SMILE chemotherapy plan for a NK/TL patients with diabetes mellitus, evaluated potential chemotherapy risk during first chemotherapy, implemented individual medication monitoring and put forward suggestion. It included insulin injection 4 U, ivgtt, to control the increase of blood glucose induced by dexamethasone; sodium bicarbonate 40 ml, ivgtt, bid to alkalize urine; allopurinol 0.1 g, po, tid to inhibit uric acid; fluid infusion 4 000 ml/d to prevent renal failure; mesna 0.4 g/time to protect urinary passage; monitorring potential allergic reaction and arrest of bone marrow; providing medication education on the application of calcium folinate in SMILE chemotherapy regimen. RESULTS: Physicians adopted the suggestions of clinical pharmacist, and chemotherapy was carried out smoothly. No ADR was found, and patients manifested good medication compliance. CONCLUSIONS: Clinical pharmacists participate in chemotherapy, evaluate potential risk and provide individual medication monitoring, which optimize therapy plan, reduce medication risk and guarantee the safety of drug use.
关键词
NK/T细胞淋巴瘤临床药师药学监护
Keywords
Natural killer/T-cell lymphomaClinical pharmacistPharmaceutical care