Higgins C
Nurs Times. 1996;92(8):40-1.
Clinical laboratories are frequently asked to measure the concentration of drugs in blood and urine. Of the many thousands of drugs prescribed, however, the measurement of only a relatively small number provides useful clinical information. There are three main reasons for measuring drugs: to test patient compliance, to ensure that dosage is high enough to have therapeutic effect but sufficiently low to avoid toxicity and, finally, to identify drugs taken during deliberate or accidental overdose. This article is concerned with the last of these.
临床实验室经常被要求测定血液和尿液中的药物浓度。然而,在成千上万种处方药中,只有相对少数几种药物的测定能提供有用的临床信息。测定药物主要有三个原因:检测患者的依从性,确保剂量足够高以产生治疗效果但又足够低以避免毒性,最后,识别故意或意外过量服用的药物。本文关注的是最后一点。