新生儿重症监护室中与药物相关问题的药物干预:发生率,类型和可接受性
Norhan Attia Ahmed1, Ehab Ahmed Fouad2, Osama M El-Asheer3
1Department of Clinical Pharmacy, Faculty of Pharmacy, Assiut University, Assiut, Egypt.
Frontiers in pharmacology
|June 14, 2024
概括
与药物相关的问题 (DRP) 在新生儿重症监护室 (NICU) 常见. 临床药剂师在识别和解决这些问题方面发挥着至关重要的作用,改善患者的治疗结果.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 临床药房 临床药房 临床药房
- 药物安全 药物安全
背景情况:
- 与药物相关的问题 (DRP) 是住院新生儿的一个重大问题,目前对其流行率的研究有限.
- 在多学科团队中集成的临床药剂师对于预防和减轻DRPs在这个脆弱人群中至关重要.
研究的目的:
- 在新生儿重症监护室 (NICU) 中识别和分类DRP.
- 确定导致新生儿DRP的因素.
- 记录药剂师行动的干预,结果,接受率和临床意义.
主要方法:
- 在埃及阿苏特大学儿童大学医院的NICU中进行了一项前性描述性医院研究.
- 数据收集时间为2023年8月至11月.
- 与毒品相关的问题使用欧洲制药护理网络 (PCNE) 分类V9.1.1.进行了分类.
主要成果:
- 在316名新生儿中,283名 (89.6%) 患有1723例DRP (平均每名患者5.5).
- 最常见的DRP类型是治疗有效性 (46.4%) 和治疗安全性 (26.4%),主要是由于剂量选择问题 (61.9%).
- 药剂师的干预导致了92%的DRP解决方案,接受率为98.8%,完全实施率为93%.
结论:
- 与药物相关的问题在NICU环境中非常普遍.
- 临床药剂师在识别和解决DRP方面发挥着重要作用.
- 住院时间和药物的数量等因素与DRP发生有显著的相关性.
相关概念视频
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
01:21Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
2.5K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
2.5K
01:28Drug Therapy
42
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
42
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:29Drug Delivery: Parenteral Route
492
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
492