- 期刊
器官移植病人之臨床藥事照護：以肺臟移植病人為例
Clinical Pharmacy Services in Organ Transplant Recipients: Taking Lung Transplant Recipient as an Example
摘要
「器官移植照護」是一個需要充分發揮團隊合作的醫療照護，本文藉由案例說明藥師於肺臟移植團隊共同照護病人時所扮演的角色與任務。41歲女性，因淋巴血管平滑肌肉增生症（lymphangioleiomyomatosis, LAM）導致肺衰竭，於2018年6月4日進行肺臟移植。藥師依團隊建議執行移植後藥事照護，提供免疫抑制劑及相關用藥之療效與不良反應監測，並提供用藥建議與劑量調整。住院期間發生免疫抑制劑之藥物濃度不穩定與藥物相關的不良反應，經由藥師協助監測並提供用藥建議後，以提高病人用藥安全和降低不良反應發生為目標，在長達27天團隊合作的努力下，病人順利出院，改門診追蹤。
並列摘要
＂Organ transplant care＂ is a medical care that requires full teamwork. This article illustrates the role and tasks that a pharmacist played in the care of patients with lung transplant. A 41-year-old female who had pulmonary failure due to lymphamgioleiomyomatosis underwent a lung transplant on June 4, 2018. The pharmacist performed the posttransplant pharmaceutical care according to the medical team's recommendation. The pharmacist monitored the efficacy and adverse reaction of immunosuppressants and concurrent drugs and recommended alternative medications and adjusted dosage. During the hospitalization period, the drug concentration of the immunosuppressants was unstable and the drug-related adverse reactions were monitored by the pharmacist, aiming at improving patient medication safety and reducing adverse reactions. After the 27-day teamwork efforts, the patient was successfully discharged and followed up at the outpatient clinic.