碘对比剂全程化药学服务共识
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篇名: 碘对比剂全程化药学服务共识
TITLE: Consensus on whole-process pharmaceutical care for iodine contrast medium
摘要: 目的 探讨碘对比剂全程化药学服务模式,促进碘对比剂的临床合理使用。方法中国医药教育协会临床合理用药专业委员会和广东省药学会用药评价与临床科研专家委员会组织国内专家,成立《碘对比剂全程化药学服务共识》工作组,针对碘对比剂的发展历程、适应证、禁忌证、不良反应、药物相互作用、特殊人群用药、药学服务等进行文献检索、循证分析和研讨,梳理全程化药学服务的内容与流程,最终形成共识。结果制定的碘对比剂全程化药学服务共识包括检查前对患者、肾功能、合并用药和水化方案的评估,检查中有无发生对比剂外渗或发生(可疑)急性不良反应,检查后的观察时间点和随访等内容,以药学服务流程图展示各阶段的具体工作,并形成用药监护记录表用以记录工作情况。结论本共识构建了碘对比剂全程化药学服务体系,为临床医生、护理人员合理使用该类特殊药品提供了科学依据,也为药师进行相关药学服务提供了参考。
ABSTRACT: OBJECTIVE To explore the whole-process pharmaceutical care model of iodine contrast medium and promote the rational clinical use of iodine contrast medium. METHODS Clinical Professional Committee on Rational Drug Use of China Medical Education Association and Expert Committee on Drug Evaluation and Clinical Research of Guangdong Pharmaceutical Association organized domestic experts to establish a working group on the Consensus on the whole-process pharmaceutical care for iodine contrast medium. The working group conducted literature searches, evidence-based analysis, and discussions on the development process, indications, contraindications, adverse drug reactions, drug interactions, drug use for special population, pharmaceutical care, and other key topics to summarize the content and process of the whole-process pharmaceutical care for iodine contrast medium. This consensus was ultimately formed. RESULTS The consensus on whole-process pharmaceutical care for iodine contrast medium included an evaluation of the patient, renal function, combined drug use, and hydration regimen before examination, the presence of contrast agent extravasation or suspected acute adverse reactions during examination, observation time points and follow-up after examination, and the presentation of specific work in each stage through pharmaceutical care flowchart. The medication monitoring record form was also formed to record the work situation. CONCLUSIONS The consensus has established a whole-process pharmaceutical care system for iodine contrast medium, providing scientific evidence for clinical physicians and nursing staff in the rational use of such special drugs, and also serving as a reference for pharmacists in providing related pharmaceutical care.
期刊: 2024年第35卷第01期
作者: 中国医药教育协会临床合理用药专业委员会;广东省药学会用药评价与临床科研专家委员会
AUTHORS: Clinical Professional Committee on Rational Drug Use of China Medical Education Association, Expert Committee on Drug Evaluation and Clinical Research of Guangdong Pharmaceutical Association
关键字: 碘对比剂;合理用药;药物不良反应;药学服务;全流程;共识
KEYWORDS: iodine contrast medium; rational drug use; adverse drug reactions; pharmaceutical care; whole-process; consensus
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