药物治疗之探讨课件.ppt

1、2005/4/20 22005/4/20 52005/4/20 8nEstablishing the patient record(資料建立)nOrganizing the patient record(整合資料)nSystematic approaches to patient therapy assessment (系統性達到評估)2005/4/20 92005/4/20 102005/4/20 112005/4/20 122005/4/20 132005/4/20 142005/4/20 182005/4/20 192005/4/20 20nAssessment 1.a problem

2、is drug induced(ADR)?（問題是因藥物副作用所引起的嗎？）2.Whether drug therapy is required?（需要藥物治療嗎？）3.assess the current therapy for appropriateness（評估目前治療之適當性）-Are all the drugs necessary?（所有的藥都需要嗎？）-Is this the drugs of choice for the patient?（是首選藥物?）-Is this the correct dose?（劑量適當嗎？）-Is this the correct dosage fo

3、rm?（劑型適當嗎？）-Is this the best schedule?（是最好之給藥時間嗎？）-Is the duration of therapy appropriate?（治療期間之長短妥當嗎？）n 2005/4/20 212005/4/20 242005/4/20 262005/4/20 272005/4/20 282005/4/20 292005/4/20 302005/4/20 31From:A method of documenting pharmaceutical care utilizing pharmaceutical diagnosis.Stephen C.Hurle

4、y.19982005/4/20 32 以以medical diagnosis為主為主強調強調therapeutic problemmore detail than PWDTmore lengthySOAP Expanded-SOAP FARM PWDT PMDRP PCP From:A method of documenting pharmaceutical care utilizing pharmaceutical diagnosis.Stephen C.Hurley.19982005/4/20 33Stephen C.Hurley.19982005/4/20 34 Suggested Ph

5、armaceutical DiagnosesRelated to the prescriptionSubtherapeutic doseExcessive doseExcessive/Insufficient duration of useSuboptimal dosage scheduleSuboptimal dosage form or routePoor cost-effectivenessFinancial burden/Unidentified medicationUnclear or incomplete prescription/Not receiving Related to

6、evaluation of drug therapyUntreated health problemNeed for prophylactic/preventative/Continuation/or maintenance therapySuboptimal responseQuestionable or uncertain indication/Alternate drug of choiceTherapeutic duplication/Pharmacokinetic evaluation Related to adverse effects of drug therapyAdverse

7、 drug reactionPotential contra-indicationPontential adverse drug/diet interationPontential adverse drug/drug interationPontential adverse drug/laboratory interation Related to monitoringInadequate characterization of a health problemInadequate monitoring of clinical dataExcessive monitoring of clini

8、cal dataUnfinished trial of drug therapyRelated to patient factorsPoor compliance Excessive utilizationProblematic substance useDetrimental physical dependenceImproper storage Related to patient counselingDeficient counseling 2005/4/20 362005/4/20 372005/4/20 382005/4/20 402005/4/20 412005/4/20 422005/4/20 432005/4/20 44 Thank You !