摘要
目的:探讨糖尿病肾病患者开始血液透析后血糖管理的特殊性,评价此类特殊人群血糖调整的治疗方案。方法:通过对1例开始血液透析的糖尿病肾病患者进行药学监护、全程参与及紧急事件处理,分析该例患者药物调整方案,并提出建议。结果:重新调整降糖方案,及时有效地应对血糖波动,患者血糖得到了较好的控制。结论:血液透析易导致患者发生低血糖,糖尿病肾病血液透析患者血糖的调整方案应实行个体化治疗。临床药师在整个治疗过程中充分运用药学知识,协助临床医师制定与完善治疗方案,在临床药学护理中发挥了重要作用。
Objective： To explore the clinical characteristic and the particularity of blood glucose control of a hemodialysis patient with diabetic nephropathy（DN） and to evaluate the therapeutic regimen for the control of blood glucose of this special population. Methods： The adjustment of therapeutic regimen for this patient was analyzed by the implementation of pharmaceutical care for a patient with DN who started hemodialysis and the full participation in the emergency treatment and a suggestion was then proposed. Results： The blood glucose level of the patient was better controlled by readjusting glucoselowering regiment and timely and effectively responding the fluctuations of blood glucose. Conclusion： Hypoglycemia would be easily induced by hemodialysis to the DN patients, to whom the adjustment of blood glucose-lowering regiment should be individualized. Clinical pharmacists should make full use of their advantages in drug characteristics to assist clinicians in formulating and improving treatment plans so as to play an important role in clinical pharmaceutical care.
作者
张寒娟
相湘
娄海奎
院江丽
ZHANG Hanjuan;XIANG Xiang;LOU Haikui;YUAN Jiangli(Department of Pharmacy,the Seventh People＇s Hospital of Zhengzhou City,Zhengzhou 450016,China)
出处
《上海医药》
CAS
2018年第11期79-81,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
糖尿病肾病
血液透析
低血糖
临床药师
diabetic nephropathy
hemodialysis
hypoglycemia
clinical pharmacist
