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老年癫痫的管理:相关问题

Managing epilepsy: issues in the elderly.

作者信息

Marasco Richard A, Ramsay R Eugene

机构信息

Pharmaceutical Care and Management Services, Valdosta, GA, USA.

出版信息

Consult Pharm. 2009 May;24 Suppl A:17-22.

PMID:19555151
Abstract

OBJECTIVES

To describe key factors that can affect treatment of epilepsy in the elderly. To outline steps to reduce or discontinue antiepileptic drug therapy in those who have been seizure-free. To design a care plan for a resident with a diagnosis of epilepsy.

DATA SOURCES

Live symposium presentation based on clinical practice and research.

CONCLUSIONS

Treating and managing epilepsy in the elderly may be complicated by confounding factors, including comorbidities and polypharmacy. Special attention must be paid to reduce drug interactions and monitor for effectiveness and toxicity. Consultant pharmacists play a key role in managing patients with epilepsy, and nursing facilities should strive to integrate consultant pharmacists into all stages of care plan development and revision.

摘要

目标

描述可能影响老年癫痫治疗的关键因素。概述在无癫痫发作患者中减少或停用抗癫痫药物治疗的步骤。为一名诊断为癫痫的住院患者制定护理计划。

数据来源

基于临床实践和研究的现场研讨会报告。

结论

老年人癫痫的治疗和管理可能因混杂因素而变得复杂,包括合并症和多种药物治疗。必须特别注意减少药物相互作用,并监测疗效和毒性。顾问药师在癫痫患者管理中发挥关键作用,护理机构应努力将顾问药师纳入护理计划制定和修订的各个阶段。

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