Pharmaceutical care on a child with postoperative complications of ventricular septal defect
WANG Yan-fei
LI Ze
SHI Guo-bing
ZHAO Qing-chun
Abstract：One 11-month-old male patient was admitted to hospital due to cold and heart murmur. The result of the ultrasonic cardiogram showed ventricular septal defect. The patient was admitted for repair of ventricular septal defect. After the operation, the patient was complicated by lung infection, secondary pulmonary hypertension and supraventricular tachycardia. Cefoperazone/sulbactam was empirically given to the patient for lung infection. Considering the results of drug sensitive test and age, clinical pharmacist suggested the antibiotic should be adjusted to meropenem. On the base of ambrisentan and alprostadil, it was suggested that the inhaled iloprost should be included in the treatment of secondary pulmonary hypertension. Esmolol and amiodarone were used for anti-arrhythmic therapy. The blood pressure, heart rate, hemogram and body temperature were regularly monitored, meanwhile the drug-related ADRs were also concerned about during the whole drug treatment by the clinical pharmacist. Finally the patient discharged with stable situation.
Keywords：Ventricular septal defectPostoperative complicationsPharmaceutical careClinical pharmacist
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 164-166 )