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相关概念视频

Drug Therapy01:28

Drug Therapy

41
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
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Factors Affecting Drug Response: Overview01:21

Factors Affecting Drug Response: Overview

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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...
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Drug Dosage Regimen: Overview01:15

Drug Dosage Regimen: Overview

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A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
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Dosage Regimen: Fixed Dose01:01

Dosage Regimen: Fixed Dose

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Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
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Rational Dosage Regimen: Maintenance Dose and Loading Dose01:24

Rational Dosage Regimen: Maintenance Dose and Loading Dose

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A rational dosage regimen considers a drug's pharmacokinetics, including its absorption, distribution, metabolism, and elimination from the body. By understanding these factors, the appropriate dosage can be determined, and the dosing schedule can be designed to achieve and maintain the desired therapeutic effect while minimizing adverse effects.
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
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Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response01:15

Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response

53
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
53

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相关实验视频

Updated: Jun 18, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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对老年住院患者的药物优化协议有效性:一项随机临床试验

Kenya Ie1,2, Masanori Hirose1, Tsubasa Sakai1,2

  • 1Department of General Internal Medicine, St Marianna University School of Medicine, Kanagawa, Japan.

JAMA network open
|July 30, 2024
PubMed
概括

针对多种药物治疗的老年住院患者的多学科药物优化干预措施并没有减少医院访问或再住院. 然而,它有效地减少了处方药的数量,而没有增加不良事件.

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A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
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科学领域:

  • 老年病的医生 老年病的医生
  • 内部医学 内部医学
  • 临床药房 临床药房

背景情况:

  • 多药在老年住院患者中普遍存在,缺乏关于有效干预措施的共识.
  • 在老年患者中管理多种药物会带来重大的临床挑战.

研究的目的:

  • 评估一个多学科的基于团队的药物优化策略.
  • 评估对多药性老年人的生存,非预定的住院和再住院的影响.

主要方法:

  • 开放式随机临床试验,涉及442名老年住院患者 (≥65岁) 服用≥5种药物.
  • 干预组接受了多学科团队的药物审查 (STOPP/START标准) 和优化建议.
  • 对照组接受了通常的护理;结果在12个月后进行评估.

主要成果:

  • 干预组在出院,6个月和12个月时显示出潜在不合适药物的显著减少.
  • 在组之间 (49.3%对51.5%) 的初级综合结果 (死亡,非预定的访问,再住院) 中没有发现显著差异.
  • 干预和通常护理组之间的不良事件是相似的.

结论:

  • 多学科药物优化并没有减少老年多药性住院患者的死亡率,非预定的访问或再住院.
  • 干预成功地减少了处方药的数量,但没有对临床结果产生负面影响.
  • 进一步的研究可能会探索为这个人群量身定制的抑郁症描述策略.