住院瘤患者的药物相关问题,特别关注放射治疗单位:对瘤药房实践的影响
Katarzyna Regulska1,2, Marcin Michalak3, Beata Janiszewska4
1Hospital Pharmacy, Greater Poland Cancer Centre, Garbary 15 Street, 61-866 Poznan, Poland.
概括
几乎所有住院的癌症患者都会出现与药物相关的问题 (DRP),特别是那些使用质子抑制剂 (PPI) 和抗菌药物的患者. 针对性的药物审查对于瘤药房有效管理这些风险至关重要.
科学领域:
- 在瘤学瘤学.
- 临床药理学 临床药理学
- 医药护理 医药护理 医药护理
背景情况:
- 与药物相关的问题 (DRP) 是癌症护理中的一个重要问题,特别是有限的药房资源.
- 优先考虑高风险患者群体的药物治疗监测是必不可少的.
研究的目的:
- 在住院成人癌症患者中识别和分类DRPs.
- 分析与该人口中DRP相关的因素.
主要方法:
- 对31名成年癌症患者进行了回顾性,高风险的队列研究.
- 基于疑似与药物治疗有关的问题的药物评估.
- 使用制药护理网络欧洲版本9.1.1.的DRP的分类.
主要成果:
- 94%的患者 (29/31) 至少有一次DRP.
- 最常见的DRP涉及质子抑制剂 (PPI),抗微生物药物和精神病药物.
- 在患有功能障碍,多药 (≥10种药物) 和接受放射治疗的患者中观察到更高的DRP风险.
结论:
- 怀疑并发症的住院瘤患者面临DRP的高风险.
- 瘤药房对药物的有针对性审查是减轻风险的合理方法.
- 药房干预的优先领域包括放射治疗,功能障碍,多药,抗菌剂和PPI使用.
相关概念视频
Nursing Ethical Principles II
2.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.3K
Pharmaceutical Poisoning: Potential Scenarios
39
Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
39
Radiological Investigation III: Pulmonary Angiogram and PET Scan
535
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
535
Cancer Therapies
10.3K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
10.3K
Drug Therapy
331
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
331
Drug Dosing: Geriatric Patients
328
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
328


