Pharmaceutical care on an old patient with acute exacerbation of chronic obstructive pulmonary diseases
TANG Li-xia
ZHOU Shu-hua
JIANG Xue-hong
JIANG Guo-hua
Abstract：One 89-year-old female patient was admitted to hospital mainly because of cough, phlegm, chest tightness, wheezing for 10 years and aggravation for 5 days. Clinical diagnosis was acute exacerbation of chronic obstructive pulmonary diseases, chronic pulmonary heart diseases, typeⅡrespiratory failure, etc. After hospitalization, the patient received the anti-infection therapy with ceftazidime, cefoperazone and sulbactam sodium, imipenem and cilastatin sodium, teicoplanin, lfuconazole, piperacillin and tazobactam in succession;antiasthmatic therapy with doxofylline, ipratropium bromide, budesonide;expelling phlegm therapy with ambroxol;improving heart function therapy with diuretic. During the treatment, clinical pharmacist suggested using imipenem and cilastatin sodium as well as teicoplanin, adjusted the dose of teicoplanin and diuretic, monitored the adverse drug reactions of cefoperazone and sulbactam sodium, imipenem and cilastatin sodium as well as teicoplanin, regularly detected the changes of blood electrolyte, provided medication education to the patient, helped nurses to control drop speed. The patient was in a stable condition and discharged at 26th day.
Keywords：Acute exacerbation of chronic obstructive pulmonary diseasesClinical pharmacistPharmaceutical care
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 315-317 )