nlwxpearo
Joined: 13 Dec 2010
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Location: England
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 Posted: Sun 7:39, 20 Mar 2011 Post subject: Clinical pharmacists involved in clinical treatmen |
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Clinical pharmacists involved in the feelings and experiences of clinical medicine
Hospital Pharmacy of the majority of workers in the rational use of drugs has been carried out as the core content of clinical pharmacy practice work. l Several clinical circumstances irrational drug use varieties of combination therapy over 1.1 combined reported incidence of adverse drug reactions :1-5 ,6-4.2% 10 to 7.4%, l1 ~ 15 species was 24.2%, adverse reaction rates increase with the type of combination therapy and more. 1.2 The misuse of antibiotics has led to drug resistant bacteria continue to emerge. Currently more than 25% of pneumococcal penicillin resistance, which makes the drug in clinical acute otitis media has become more complex. ... Clinical rounds in the author recorded the abuse of antibiotics as a typical case: Lee ×, male, 20/12 months, the clinical diagnosis of antimicrobial drugs, which later appeared in patients with symptoms of flu fever, the family that is self-given antibiotics, which become multi-drug resistant, only sensitive, but tetracyclines, quinolones children should not be used in patients allergic to vancomycin, teicoplanin and vancomycin have cross-allergic. 1.3 unreasonable combination therapy with the increasing variety of drugs, drug interactions between more and more attention, in this respect more advanced research tools, research has been extended to drug-drug, food, tobacco , wine, tea, clinical reagents, herbal ingredients in Chinese herbal medicine, and even the interaction between drugs and excipients. The interaction of the drug in vitro incompatibility also numerous,[link widoczny dla zalogowanych], such as: quinolones, erythromycin and other liquids are used on demand are often overlooked in the clinical variability caused by drugs can not be used. 2, the difficulties faced by clinical pharmacists of clinical medicine is a combination of new medical discipline in recent years, its main task is to further clinical pharmacists work closely with the physicians involved in clinical program design and implementation of drug treatment to help clinicians choose drugs and rational drug use. 2.1 The structure and level of clinical pharmacists unsatisfactory knowledge of the current chemical-based clinical pharmacy education, the lack of clinical diagnosis and drug therapy, clinical medicine knowledge. The author, for example, received a four-year undergraduate pharmacy education, which are all based on a brief medical science content, to work, and clinicians to discuss drugs, can only fly from the pharmaceutical point of view like to know if there is such obvious incompatibility the drug problem, and can not make real substantive recommendations. 2.2 The lack of full-time clinical pharmacists of our country because there is no clinical pharmacists in the preparation, job title, the majority of clinical pharmacists to the Pharmacy department part-time staff, the lack of full-time sex. The author, for example, although nominally a full-time clinical pharmacists, in fact,[link widoczny dla zalogowanych], still involved in the supply and dispensing drugs, and accounts for the absolute amount of time. 2.3 The lack of the necessary hardware and software in order to continuously improve the level of medical staff, the hospital purchased a large number of journals and information, but basically all for Clinical Medicine, pharmacy information magazine rare. Clinical pharmacists alone the level of existing knowledge and passion at work. 3 clinical pharmacists more in-depth discussion of clinical and urge physicians to collect pathogens in a timely manner and sent to sensitivity test, a comprehensive introduction to the drug characteristics of physicians to help physicians choose the most appropriate drugs and route of administration, in order to improve rational drug use levels. Practice has proved that the work of clinical pharmacists is indispensable, very meaningful. Under the ward clinical pharmacist in addition, the remaining time to prepare more positioning room or ward in the clinical pharmacology pharmacy. In the author's practice that their advantages and disadvantages, but relatively speaking, is more conducive to locate in the ward pharmacy work. Clinical Pharmacology located in the advantages of relatively free time,[link widoczny dla zalogowanych], access to information more convenient, the disadvantage is out of touch with the drugs,[link widoczny dla zalogowanych], there is no perceptual knowledge of drugs. The clinical pharmacist in the ward based clinical pharmacy pharmacy more conducive to work. However, the present knowledge of the structure of clinical pharmacists has become a block does not match the depth of clinical pharmacy a major obstacle to speed up the updating of knowledge, clinical knowledge,[link widoczny dla zalogowanych], clinical pharmacists increase the gold content, has become an urgent task. Clinical Pharmacists, too, must have a certain dedication, knowledge structure, especially at this stage has not yet reached a certain level of clinical pharmacists, it is imperative to sacrifice some of his spare time.
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