1例精氨酸输液不当导致皮肤坏死的治疗实践
投稿时间:2015-08-24  修订日期:2016-01-05  点此下载全文
引用本文:白雪,何秋毅.1例精氨酸输液不当导致皮肤坏死的治疗实践[J].药学实践杂志,2016,34(2):179~180
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作者单位
白雪 贵州省人民医院药剂科, 贵州 贵阳, 550002 
何秋毅 中山大学附属第一医院药学部, 广东 广州, 510080 
中文摘要:目的 探讨防范高渗性药物输液不当造成不良事件的措施。方法 临床药师参与救治1例精氨酸输液不当导致皮肤坏死的患者,分析该不良事件发生的原因,并提出解决办法及预防措施。结果 经硫酸镁外敷、清创减压、防感染等处理后,患处淤紫全部吸收,创面恢复佳。结论 应加强审核医嘱的环节,临床药师辅助医生用药,保障患者用药安全。
中文关键词:精氨酸  高渗  皮肤坏死
 
A case study: the therapeutic experience for skin necrosis caused by improper arginine infusion
Abstract:Objective To discuss the measures to prevent adverse events caused by misused hyperosmolar drugs. Methods Clinical pharmacists were involved in the treatment of one case of skin necrosis caused by hyperosmolar arginine infusion, analyzing the cause of the adverse events and proposing solutions and preventative measures. Results Treatment includs external application of Epson salt,debridements,infection prevention and so on were implemented. All bruises were absorbed with good wound healing. Conclusion Clinical pharmacist should play a role in examining prescriptions and ensuring drug safety for patients.
keywords:arginine infusion  high-permeability  skin necrosis
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