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[药剂师对癌症化疗的管理]

[Management of pharmacists on the cancer chemotherapy].

作者信息

Inoue Tadao

机构信息

Dept. of Pharmacy, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan.

出版信息

Gan To Kagaku Ryoho. 2004 Jan;31(1):11-6.

Abstract

The duties of hospital pharmacists include drug dispensing, drug management, preparation of injections, drug information provision, in-hospital preparation, drug management guidance (centering on patient compliance instructions), tests and research, and education. The Department of Pharmacy conducts most of these activities, which are not noticed by other medical staff. As members of medical care teams, pharmacists must share information and perform their jobs from a pharmaceutical viewpoint in order to fulfill their duties as drug specialists, which include management of patient conditions, patient-oriented patient compliance instructions, risk management, management of dosages and administration methods for anticancer drugs during cancer chemotherapy, discovery of the initial symptoms of adverse drug reactions and prevention of adverse drug reactions to obtain the optimum effect, education on self-care after discharge from the hospital, and evaluation of drug economics for cancer chemotherapy. It is important that they acquire sophisticated expertise and stay in as close contact as possible with patients and their families.

摘要

医院药剂师的职责包括药品调配、药品管理、注射剂配制、提供药品信息、院内制剂、药品管理指导(以患者依从性指导为核心)、检测与研究以及教育。药房部门开展其中大部分活动,而这些活动并未受到其他医务人员的关注。作为医疗团队成员,药剂师必须共享信息并从药学角度开展工作,以履行其作为药物专家的职责,包括病情管理、以患者为导向的患者依从性指导、风险管理、癌症化疗期间抗癌药物剂量及给药方法的管理、发现药物不良反应的初始症状以及预防药物不良反应以获得最佳效果、出院后自我护理教育以及癌症化疗的药物经济学评估。他们掌握精湛的专业知识并尽可能与患者及其家属保持密切联系非常重要。

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