以MDX查詢藥物資訊

以MDX查詢藥物資訊

案例分享

國立成功大學(xué)附設(shè)醫(yī)院藥劑部鄭清鳳藥師April26,2006應(yīng)用MDX於藥事服務(wù)藥品諮詢藥理作用用法副作用注意事項(xiàng)臨床藥事服務(wù)藥事委員會(huì)新藥申請(qǐng)之評(píng)估處方集編輯藥品副作用評(píng)估疑義處方評(píng)估藥物致畸性諮詢服務(wù)病患用藥衛(wèi)教藥袋標(biāo)示病患第一次來成大醫(yī)院求診，以前一直有服用一藥品叫作「Benicar」，請(qǐng)問院內(nèi)有否此藥品？Olmesartan(Benicar)有病患服用acetaminophen自殺，請(qǐng)問其解毒劑acetylcystein

應(yīng)給多少劑量？LOADINGDOSEof150mg/kgin200mLofD5Wover15minFIRSTMAINTENANCEDOSEof50mg/kgin500mLofD5Wover4hoursSECONDMAINTENANCEDOSEof100mg/kgin1000mLofD5Wover16hoursAcetaminophenpoisoning:I.V.(unlabeled):Loadingdose:140mg/kg,followedby70mg/kgq4h,foratotalof13doses(loadingdoseand48hroftreatment);infuseeachdoseover1hr.Loadingdoseof150mg/kgin200mLofD5Wover15min1stmaintenacedoseof50mg/kgin500mLofD5Wover4hours2ndmaintenancedoseof100mg/kgin1000mLofD5Wover16hoursFORTY-EIGHTHOURPROTOCOL(notastandarddosingregimen):Dilute20%solution1:5inD5Wandgiveslowlyoveronehour.Theinitialdoseis140mg/kg,followedby70mg/kgq4hforatotalof13doses(Smilksteinetal,1991).病患有蠶豆癥，可不可以服用Uroprin(Phenazopyridine；永信藥廠/臺(tái)灣)?我的朋友從國外帶回一罐藥，推薦給我服用，請(qǐng)問這個(gè)藥的作用是甚麼？

(Nestmann

Nieren-TonikumS)Bruchkraut

Hauhechelwurzel

醫(yī)院新進(jìn)一藥品Cymbalta(Duloxetine)，此藥品之特色在哪裏？病人抱怨服藥後嘴巴很乾，請(qǐng)問其服用的藥品中會(huì)不會(huì)造成口乾的副作用？Lipitor

(Atorvastatin)AdalatOROS(Nifedipine)Bokey(Aspirin)Micardis(Telmisartan)Repaglinide(NovoNorm)可不可以與gemfibrozil(Lopid)一起服用？

Severity CONTRAINDICATED MAJOR MODERATE MINORSignificanceRatingSeverityDocumentation1MajorSuspectedor>2ModerateSuspectedor>3MinorSuspectedor>4Major/ModeratePossible5MinorPossibleAnyUnlikely醫(yī)師開給我類固醇(prednisolone)每次一顆，一天三次；今天早上的藥量忘了服用，怎麼辦？今天早上忘記服用Clomiphene，晚上可以補(bǔ)服嗎？ClomipheneDRUGDEXDRUGEVALUATIONSPatientInstructionsUSPDI(R)AdviceforthePatient(R)ProperUseofThisMedicineIfaDoseisMissed:Takethemisseddoseassoonasyouremember.-Tellyourdoctorifyouhavemissedanydoses,becausethismayaffectyourtreatment.Ifyoumissadoseofthismedicine,takeitassoonaspossible.Ifyoudonotrememberuntilitistimeforthenextdose,takebothdosestogether;thengobacktoyourregulardosingschedule.Ifyoumissmorethanonedose,checkwithyourdoctor.院內(nèi)Wintermin(Chlorpromazine)已停用，若病患有打嗝癥狀，有其它替代藥可使用嗎？Amiodarone(Cordarone

）注射劑應(yīng)如何配製？可否與抗生素ceftriaxone加在一起施打？Martindale(amiodarone)Martindale(amiodarone)USP-DI(amiodarone)患者因Wilson’sdisease，長(zhǎng)期服用Penicillamine300mgqd，目前準(zhǔn)備懷孕，不知可否繼續(xù)服用？或者有其它代用藥物？D:Thereispositiveevidenceofhumanfetalrisk,butthebenefitsfromuseinpregnantwomenmaybeacceptabledespitetherisk(