粉碎药片给患有缺食症和肠道养的患者:挑战和考虑
Amie Blaszczyk1, Nicole Brandt2, Jeremy Ashley3
1Division of Geriatrics and Pediatrics, Department of Pharmacy Practice, Texas Tech University Health Sciences Center, Dallas, TX, USA.
Drugs & aging
|September 14, 2023
概括
吞障碍 (吞困难) 在老年人中很常见. 改变口服药物,如粉碎片,需要谨慎的策略,以确保患者的安全和治疗的有效性.
科学领域:
- 老年病的医生 老年病的医生
- 临床药房 临床药房
- 药理学 药理学是指药理学的学科.
背景情况:
- 缺食症越来越令人担忧,特别是在居住在长期护理机构的老年人中.
- 患有消化不良症的患者往往会管理多种伴随性疾病,需要药理治疗.
- 吞口服药物对患有失消症的人来说可能具有挑战性或不可能.
研究的目的:
- 审查当前关于向患有失消症的患者或关于肠道养的改变药物的管理的文献.
- 为这一群体提供基于证据的药物管理最佳实践建议.
主要方法:
- 关于粉碎药物,打开囊和肠道食的研究的文献综述.
- 对药物改变技术及其对药理动力学和药理动力学影响的分析.
- 检查在患有吞困难的患者中安全有效的药物管理策略.
主要成果:
- 不适当的药物改变可能导致剂量降低,药理动力学改变,有效性和安全性受到损害.
- 临床判断对于识别可粉碎药物,选择载具和管理多种药品至关重要.
- 多学科的团队方法对于制定个性化药物管理计划至关重要.
结论:
- 改变药物的安全和有效的管理,对于患有食障碍的患者,需要仔细考虑药物特性和患者特异性因素.
- 跨专业的合作对于优化吞障碍患者的药物治疗至关重要.
- 坚持最佳实践可以减轻与药物改变相关的风险,并改善患者的治疗结果.
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