"Thanks to the pharmacist, I have been able to take the medicine recently, and my physical strength feels slightly better than before after the diet adjustment." On the 28th, Mr. Luo, a peritoneal dialysis patient, expressed his gratitude to Li Lulu, a pharmacist in charge of the Abdominal Dialysis Pharmacy Nutrition Clinic of Wuhan First Hospital, during a telephone follow-up visit.
Due to chronic kidney disease, Mr. Luo has been undergoing peritoneal dialysis in Wuhan First Hospital, and will go to the hospital's abdominal dialysis clinic every month to prescribe relevant drugs and perform tests and assess the condition according to the doctor's instructions. When he visited the doctor half a month ago, the doctor of the abdominal dialysis clinic found that Mr. Luo had a bad appetite, did not want to eat, and he always remembered more drugs to take every day, so he recommended him to the abdominal dialysis pharmacy nutrition clinic of the hospital.
Pictured: The pharmacist in charge sits in charge of the abdominal dialysis pharmacy nutrition clinic
Li Lulu, a pharmacist in charge of the Abdominal Dialysis Pharmacy nutrition clinic of Wuhan First Hospital, patiently communicated with Mr. Luo to learn more about the drugs he took every day, and gave professional pharmacy evaluation and drug reorganization. Mr. Luo reported that his skin was currently severely itchy, and Li Lulu told him that this may be related to high blood phosphorus. When asked about the use of his phosphorus-lowering drug lanthanum carbonate chewable tablets, Mr. Luo told the truth, it turned out that he felt that the drug particles were too large, and he had a foreign body feeling when swallowing, and he had stopped using the phosphorus-lowering drug lanthanum carbonate chewable tablets for nearly a month.
"The medication is not taken in a regulated manner, resulting in poor control of blood phosphorus." Li Lulu suggested that Mr. Luo bring his own medicine crusher to assist in crushing and then take it, and combed through all his medications again, reorganized the 8 drugs he had to take, and made a medication schedule for him so that he could adhere to the medication at a glance.
Figure: Medication and medication schedule formulated by li lulu, the pharmacist in charge, for patients
After sorting out the medication, pharmacist Li Lulu found that Mr. Luo's recent appetite was not good, albumin levels were also low, and anemia, and after discussion with nutrition pharmacist Yang Xiangyu, he conducted a nutritional assessment on Mr. Luo. After assessment, Mr. Luo's daily dietary intake was unbalanced, especially the intake of foods rich in protein and iron was seriously insufficient, Yang Xiangyu pharmacist gave nutritional dietary guidance, and recommended personalized recipes for three meals a day, informing gradual improvement. Combined with Mr. Luo's high phosphorus problem, he was given a dietary guide to limit phosphorus.
Pictured: The pharmacist in charge gives the patient dietary guidance and personalized recipe recommendations
It is understood that the Wuhan First Hospital Abdominal Dialysis Pharmacy Nutrition Clinic has been open since September 2021, specifically for peritoneal dialysis patients to provide pharmacy assessment, drug education, nutritional intervention, follow-up guidance in four aspects of the whole process of pharmaceutical services, running for more than half a year by patients well received and welcomed, has benefited many patients like Mr. Luo, but also carried out 5 online and offline education classes, and doctors to help patients with abdominal dialysis effectively manage diseases, standardized use of drugs, by patients unanimously praised.
Hu Song, director of the Department of Pharmacy of Wuhan First Hospital, introduced that peritoneal dialysis is one of the alternative treatment methods for end-stage renal disease, but dialysis patients have many complications, multiple diseases coexist, multiple drugs are taken together, and long-term medication leads to complex drug treatment programs, and there are many potential drug problems. In addition, dialysis patients are very likely to lead to malnutrition due to reduced nutrient intake, high catabolic status, and loss of dialysis nutrients, which is an independent risk factor for death in dialysis patients, and the incidence of malnutrition in peritoneal dialysis is as high as 18%-56%. Therefore, medication and nutritional management of patients on peritoneal dialysis are particularly important.
Hu Song said that since the establishment of the pharmacy clinic in 2015, the hospital has accumulated a total of 12,100 times of pharmacy guidance and evaluation for patients, which has become an important direction for the development of pharmacy in the hospital. The Abdominal Dialysis Pharmacy Nutrition Clinic is composed of two senior renal professional pharmacists and parenteral nutrition professional pharmacists to help patients with medication and nutrition management, and forms a close trinity of doctor's disease assessment, pharmacist drug and nutrition assessment, and nurse nursing evaluation with medical care, which helps the management of chronic diseases, especially various dialysis complications, multi-dimensional protection of patient medication safety, and improves prognosis.
Source: Jingchu Network (Hubei Daily Network)
Reporter: Huang Tao Correspondent: Zhang Mengshi, Lingling
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