Lahijani Sheila C, Harris Kirk A
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305, USA.
Department of Psychiatry, Rush University, 1725 West Harrison Street, Suite 955, Chicago, IL 60612, USA.
Crit Care Clin. 2017 Jul;33(3):713-734. doi: 10.1016/j.ccc.2017.03.008. Epub 2017 Apr 25.
Psychiatric medications are used commonly in hospitalized patients and are particularly indicated in patients who are critically ill to manage many conditions. Due to their many indications in the intensive care unit (ICU), psychiatric medications should be closely monitored in these medically compromised patients for adverse reactions and medical complications because they may affect essentially all organ systems. These range from life-threatening reactions to other less significant effects, such as sedation, to other detrimental complications, such as pancreatitis. Knowledge of psychopharmacology as well as the diagnosis and treatment of these complications is imperative in treating patients in the ICU.
精神科药物在住院患者中普遍使用,对于患有多种病症的重症患者尤其适用。由于其在重症监护病房(ICU)有诸多适应证,在这些存在医学问题的患者中,应密切监测精神科药物的不良反应和医学并发症,因为它们可能影响几乎所有器官系统。这些不良反应范围从危及生命的反应到其他不太严重的影响,如镇静作用,再到其他有害并发症,如胰腺炎。了解精神药理学以及这些并发症的诊断和治疗对于治疗ICU患者至关重要。