心血管老年重症监护人群中的多药学:改善结果
Chloé Davidson Villavaso1, Shavonne Williams2, Tracy M Parker3
1Clinical Faculty, Tulane University School of Medicine, Heart and Vascular Institute, 1430 Tulane Avenue #8548, New Orleans, LA 70112, USA.
Critical care nursing clinics of North America
|October 14, 2023
概括
在重症监护中患有心血管疾病的老年人面临来自多种药物的风险. 与跨专业团队一起实施基于证据的处方和解除处方工具可以优化他们的护理.
科学领域:
- 老年医学 老年医学
- 心血管医学 心血管医学
- 关键护理医学 关键护理医学
背景情况:
- 密集或重症监护中的心血管老年人群对不良结果非常脆弱.
- 导致脆弱性的因素包括晚年,重症监护环境,老年综合征和多种慢性疾病.
- 多药性药物显著提高了这种患者群体中不良事件的风险.
研究的目的:
- 突出重症监护中的心血管老年患者的脆弱性.
- 强调多药在增加不良事件风险方面的作用.
- 倡导使用基于证据的工具来优化这一群体的药物管理.
主要方法:
- 对老年人心血管重症监护的现有文献的综述.
- 确定适当的处方和解除处方的工具和辅助工具.
- 强调药物管理的跨专业团队方法.
主要成果:
- 在重症监护中的脆弱的心血管老年患者有很高的不良结果风险.
- 多药性是该群体不良事件的主要原因之一.
- 基于证据的处方和解处方工具可用于指导实践.
结论:
- 优化在重症监护中的心血管老年患者的护理需要全面的方法.
- 实施基于证据的处方和解除处方工具至关重要.
- 包括患者及其支持系统在内的跨专业团队对于成功的药物管理和改善结果至关重要.
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