Cohen M R
Quakertown Community Hospital, PA 18951.
Hosp Pharm. 1990 Aug;25(8):745-6.
This article describes one hospital's system of providing epoetin therapy for patients with renal failure undergoing dialysis. Nurses complete a drug dosing worksheet which alerts pharmacists to the need for both epoetin and iron dextran doses. The patient's weight and hematocrit are included on the form as are initial dose calculations made by the nurse. Pharmacists use this information for patient monitoring and double checking dose calculations. Then individually packaged unit dose injectables are prepared by pharmacy for use by nurses. A drug use evaluation for epoetin assures that appropriate use criteria are fulfilled when epoetin is used.
本文介绍了一家医院为接受透析的肾衰竭患者提供促红细胞生成素治疗的系统。护士要填写一份药物剂量工作表，以此提醒药剂师注意促红细胞生成素和右旋糖酐铁剂量的需求。表格中包含患者的体重和血细胞比容，以及护士进行的初始剂量计算。药剂师利用这些信息对患者进行监测并复核剂量计算。然后药房准备好单独包装的单位剂量注射剂供护士使用。对促红细胞生成素进行的药物使用评估可确保在使用促红细胞生成素时符合适当的使用标准。
