Clinical Pharmacy Practice Manager, Department of Pharmacy, Brigham and Women's Hospital, Boston, MA 02115, USA.
J Clin Pharm Ther. 2009 Dec;34(6):613-21. doi: 10.1111/j.1365-2710.2009.01040.x.
To identify the many roles of the hospital pharmacist in improving the health and outcomes for in-patients experiencing episodes of hyperglycaemia.
Information for this article was selected from articles found on MEDLINE between 1998 and 2008 on the topics of hospital management of hyperglycaemia and type 2 diabetes. The article was further developed according to the clinical experiences of the author.
When discussing the identification and treatment of hyperglycaemia in hospitalized patients, it is important to include the many aspects of glycaemic control that can be provided by hospital pharmacists. These include tasks such as patient screening and identification, monitoring glycaemic parameters, documenting therapy and therapeutic end points, and evaluating prescribing habits. Risk evaluation, guideline implementation, and a coordinated multi-disciplinary approach to discharge planning can be used to improve diabetes management by incorporating the entire hospital health-care team in patient care and education.
Hospital pharmacists should develop and implement protocolized care for the management of patients with hyperglycaemia throughout the institution in order to optimize the efficacy and safety of insulin therapy.
明确医院药师在改善经历高血糖症发作的住院患者的健康和结局方面的多种角色。
本文信息选自 1998 年至 2008 年 MEDLINE 上有关医院高血糖管理和 2 型糖尿病主题的文章。根据作者的临床经验进一步发展了这篇文章。
在讨论住院患者高血糖的识别和治疗时，重要的是要包括医院药师可以提供的许多血糖控制方面。这些包括患者筛选和识别、监测血糖参数、记录治疗和治疗终点以及评估处方习惯等任务。风险评估、指南实施以及协调多学科的出院计划方法可以通过将整个医院医疗保健团队纳入患者护理和教育中来改善糖尿病管理。
医院药师应制定和实施针对整个机构高血糖患者管理的规范化护理方案，以优化胰岛素治疗的疗效和安全性。
