在CKD中优化综合药物管理:将药剂师纳入脏护理团队的机会
Joanna Q Hudson1, Alex R Chang2, Amanda J Condon Martinez3
1The University of Tennessee Health Science Center, Memphis, TN.
概括
综合药物管理 (CMM) 优化了慢性病 (CKD) 患者的药物治疗. 将药剂师纳入多学科团队是改善患者治疗结果和护理质量的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 综合药物管理 (CMM) 对于优化患者护理至关重要,特别是在慢性病患者 (CKD) 中.
- 慢性病患者通常由于多种并发症而具有复杂的药物治疗方案,增加了药物治疗问题的风险.
- 包括药剂师在内的多学科以团队为基础的护理越来越被认为是有效的CKD管理的关键.
研究的目的:
- 突出CMM在CKD患者护理中的重要性.
- 强调药剂师在多学科团队中的作用,以优化CKD的药物治疗.
- 支持药剂师融入脏护理,以改善患者的治疗结果.
主要方法:
- 审查当前关于CMM和CKD护理的文献和指南.
- 分析药剂师参与多学科脏护理团队的好处.
- 讨论了促进CKD中CMM实施的倡议.
主要成果:
- CMM确保了药物的适当性,有效性,安全性和服药性.
- 将药剂师整合到CKD护理团队中可以提高患者的支持,并减少医疗保健提供者的压力.
- 基于价值的护理模式为科药剂师创造了机会.
结论:
- CMM是为患有慢性病的人提供高质量的护理的重要组成部分.
- 多学科合作,特别是与药剂师合作,对于解决CKD中药物复杂性至关重要.
- 通过最佳药物管理促进脏健康倡议促进药剂师参与,以成功实施脏疾病中的CMM.
相关概念视频
01:18Chronic Kidney Disease IV: Nursing Management
287
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
287
01:28Chronic Kidney Disease III: Interprofessional Care
319
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
319
01:25Drug Dosing in Renal Diseases: Dose Adjustments Based on Drug Clearance and Elimination Rate Constant
186
In patients with renal disease, dosage adjustments are necessary to maintain therapeutic plasma drug concentrations and prevent toxicity or subtherapeutic exposure. Renal impairment alters drug pharmacokinetics, especially in conditions like uremia, where changes such as prolonged elimination half-life and altered apparent volume of distribution can significantly affect drug disposition. These changes require careful modification of the dosing regimen to achieve the desired clinical...
186
01:20Acute Kidney Injury V: Interprofessional Care
268
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
268
01:22Acute Kidney Injury VI: Nursing Management
359
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
359
01:17Factors Affecting Renal Clearance: Renal Impairment
399
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
399