在一般外科诊所中药物使用和潜在的药物相互作用:一项描述性研究
Sevgi Teker Yıldırım1, Şevket Cumhur Yeğen2, Songül Tezcan3
1Marmara University Institute of Health Sciences, Clinical Pharmacy Department, Istanbul, Turkey.
Heliyon
|March 3, 2025
概括
这项研究发现,在一般外科手术后的患者中,药物使用量增加和潜在的药物相互作用 (pDDI). 建议使用临床药房服务,以提高手术环境中的药物安全性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 手术护理 手术护理
背景情况:
- 在外科手术过程中,外科药房对于优化药物安全性和以患者为中心的护理至关重要.
- 在外科诊所评估药物使用模式和潜在的药物相互作用 (pDDI) 对于改善患者的治疗结果至关重要.
研究的目的:
- 评估药物使用情况,并确定一般外科诊所内的潜在药物相互作用 (pDDI).
- 了解手术对药物治疗方案和相关风险的影响.
主要方法:
- 在土耳其的一家整体外科诊所进行了一项前性描述性研究.
- 从95名患者收集了手术前和手术后药物使用的数据.
- 使用Lexicomp数据库确定了潜在的药物相互作用 (pDDI).
主要成果:
- 与手术前期 (4.5) 相比,手术后期 (5.7) 中药物的平均数量显著增加.
- 在手术后的医生订单中,比在手术前的医生订单中观察到更高的pDDI发病率.
- 66.3%的患者至少有一种并发症,影响了药物管理.
结论:
- 手术后药物的增加可能导致pDDI的风险更高.
- 在外科诊所实施临床药房服务可以促进安全和合理的药物使用.
- 在术后护理中,积极管理并发病症和多种药物的管理至关重要.
相关概念视频
Factors Influencing Drug Absorption: Disease States and Pharmacology
399
Multiple disease states can significantly influence the oral drug absorption process by affecting blood flow and the functionality of the gastrointestinal (GI) system. Various GI diseases, including conditions that alter GI motility, such as diarrhea, decreased acid secretions (achlorhydria), and infections, have been associated with reduced drug absorption.
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
399
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
39
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
39
Combined Effects of Drugs: Synergism
3.7K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
3.7K
Drug Therapy
34
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
34
Factors Affecting Drug Response: Overview
1.8K
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...
1.8K
Drug Dosage Regimen: Overview
3.4K
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...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.4K


