"Try to do subtraction as much as possible", Xiehe Pharmacist and Physician jointly served the "multi -illness common" group

The Yangtze River Daily Da Wuhan client on September 23 "I have hypertension, hyperlipidemia, diabetes, and the kidneys have problems. I have to take more than a dozen medicines every day. It is really miserable." On September 21, Huazhong University of Science and Technology On the side of the clinic hall of the Affiliated Union Hospital, pharmacy experts jointly conducted a free clinic with general medical experts. An old man came with a bunch of medicines and health products from many hospitals and pharmacies. There are really a lot of patients like him who are confused by medication. Everyone lined up in order to consult in order. Opposite the pharmacy on the other side of the outpatient clinic, Xiehe Pharmaceutical Clinic is also receiving patients with appointment registration.

The Pharmaceutical Clinic of Xiehe Hospital receives the patient's "asking" every day.

Pharmacist "in front of the front" patients take less detours

Two days in September are closely related to the safety of medication. September 17th is the "World Patient Safe Day" and September 25 is "World Pharmacist Day". Safety guardian god of medication.

On the eve of "World Pharmacist Day", Xiehe Hospital conducted a joint free consultation with pharmacy experts and general medical experts.

At the free consultation site, patients expressed their demands for the safety of medication. A middle -aged lady said that after reading the expert outpatient clinic to take the medicine, I still want to take the medicine upstairs, and then consult the expert to be solid, but the second consultation room not only waits for a long time, but also affects the subsequent patient consultation. Essence She said: "After the pharmacy clinic is opened by Xiehe Hospital, you can directly ask the pharmacist, which is convenient and assured." It is understood that Xiehe Pharmaceutical Clinic has been opened for nearly two years. Patients with medical treatment on the same day can be registered for consultation and medication. Register, make a special trip to adjust the medication.

Zeng Fang, deputy director of the Ministry of Pharmacy of Xiehe Hospital, is a free consultation of the patient.

"Xiehe Pharmacist has settled in various departments to participate in the entire process of outpatient and inpatient diagnosis and treatment." According to Zeng Fang, deputy director of the Pharmacy Department of Xiehe Hospital, the hospital moved the control port of the safety and reasonable medication. Some pharmacists have already conducted audit check through informatization, and they will take effect and transmit it to the pharmacy after passing the audit. "If the patient pays the medicine, and then the pharmacist discovered the problem, it will greatly affect the medical experience." Zeng Fang said that the pharmaceutical barrier movement can be controlled by the drug taboos and drug interactions. Let patients take less detours.

Jointly serving the general doctors to serve the "sickness common" crowd

The theme of "World Pharmacist Day" this year is "united to ensure the health of patients". The Department of Pharmaceuticals of the Pharmaceutical Department of Pharmaceuticals specially combined with the general medical department to serve patients.

Modern medical specialties are more and more detailed, and the study of single diseases is infinitely deepened. As an organic whole, people also need a comprehensive judgment of multiple disciplines. The Department of Medicine has thus becoming an emerging discipline, and the serving the full life cycle of the service person is healthy. Among them, the elderly who are "commonly ill" have become the focus of the crowd.

"In common chronic diseases such as hypertension, coronary heart disease, diabetes, kidney disease, and chronic obstruction, the elderly often develop 2-3 or more. . "Professor Peng Wen of Xiehe General Medical Medicine introduced that the hospital was stationed in the backbone pharmacist, and the pharmacist checked the house, prescribed prescription, and followed the management of patients with the general physician. Essence

Professor Peng Wen of Xiehe General Medicine was a free consultation for patients.

"Try to do subtraction for patients is the purpose of the pharmacy consultation." Peng Wen said for example that he had encountered an old man with hypertension, hyperlipidemia, diabetes, and obese. Eat more than a dozen medicines and health products, and the risk of interaction in different specialty drugs has the risk of interaction. As a general physician, Peng Wen comprehensively judged that the old man suffered from metabolic syndrome, which should also prevent cardiovascular and cerebrovascular accidents while lowering blood pressure, sugar reduction, and lipids. She and the pharmacist jointly formulated a joint medication plan, which not only reduced the amount of medication, but also increased significantly.

The pharmacist reminds: pay attention to these misunderstandings

On the same day, the pharmacists found that the patients had a lot of misunderstandings. Zeng Fang reminded the patient to pay attention to the following misunderstandings:

Do not take the medicine. Some patients are obsessed with "three points of medicine". When they see the bad reactions in the instructions, they are scared and dare not insist on eating. For example, when they see hormones, they are afraid. I have to use more medicines to remedy; some patients are "eating to the end". They do not follow the doctor's advice and come to the hospital to review in time, and cannot track the effect. Zeng Fang said that no drug is absolutely safe. The pharmaceutical manual provides all adverse reaction information as a statutory document, but in fact, the best solution given by physicians and pharmacists will minimize the risk of side effects.

The long -term illness may not be a good doctor. Zeng Fang said that in clinical practice, some patients with pressure -degradable drugs "every high" added the medicine to reduce the medicine by themselves, but increased the instability of blood pressure. Some patients mistakenly understood the "combination of Chinese and Western medicine". When they caught a cold, they went to the pharmacy to buy hot medicines, cold medicines, and proprietary Chinese medicines, which caused gastrointestinal reactions and liver damage caused by excessive amounts of acetaminol. Some traditional Chinese medicine also contains anticoagulant components, causing side effects such as anti -coordination.

Zeng Fang also reminded patients to pay attention to some drug custody details. For example, the shelf life of water -type drugs only refers to before Kaifeng, and once the shelf life is not more than 1-2 weeks after Kainen.

For the patient who likes to treat the refrigerator as a drug storage box, Zeng Fang said that "most drugs are suitable for normal temperature drying environment."Some "sugar friends" asked, "What should I do if the insulin is too 'Ice'?" Zeng Fang explained: It should be kept in the refrigerator when the insulin is not opened to keep it for a long time, and it can be stored at room temperature after opening."Cold" such as discomfort.(Changjiang Daily reporter Roland correspondent Nie Wenwen Zhao Ying) [Editor: Yu Lina]

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