患者的体重应包括在所有药物处方中
Lisa Lubsch1,2, Katelin Kimler3, Nicole Passerrello4
1Southern Illinois University Edwardsville School of Pharmacy, Edwardsville, Illinois (LL).
概括
准确的患者体重对于安全的药物剂量至关重要,特别是对于儿童. 要求所有处方的重量确保药剂师可以验证剂量,提高住院和门诊患者的患者安全.
科学领域:
- 药理学 药理学 是一个学科.
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 药物剂量经常依赖患者的体重来确定安全性和有效性.
- 住院患者设置强制记录体重,与常常被遗漏的门诊设置不同.
- 缺乏体重数据阻碍了社区药剂师验证基于体重的剂量的能力.
研究的目的:
- 为了强调患者体重在药物处方中的重要性.
- 倡导在所有处方中强制包括患者体重.
- 提高药物安全性和药剂师的验证能力.
主要方法:
- 审查目前在住院和门诊机构的处方实践.
- 分析药剂师在验证基于体重的剂量而不考虑患者体重时面临的挑战.
- 审查专业组织的建议,如儿童药房协会.
主要成果:
- 患者的体重在门诊处方中记录不一致.
- 药剂师在没有准确的患者体重数据的情况下,难以验证基于体重的剂量.
- 标准成年人剂量允许一些错误识别,与基于体重的儿科或成年人剂量不同.
结论:
- 在所有处方中要求患者体重 (以千克计) 对于住院和门诊护理都至关重要.
- 强制性体重记录提高了药剂师确保药物的安全和有效剂量的能力.
- 实施这一标准可以提高患者的安全性,特别是对于儿科患者.
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