Pharmaceutical Care for One Patient with Breast Cancer Complicated with Multiple Metastases by Clinical Pharmacists_West China Medical Journal

Authors：

 SUNJia-jing , ZENGYong , ZHENGYong-chi

Pharmaceutical Department, Dujiangyan People's Hospital, Dujiangyan, Sichuan 611830, P. R. China;

Corresponding?author：

Keywords：

Clinical pharmacists; Breast cancer; Cancer pain; Blood glucose; Hand-foot syndrome

DOI：

10.7507/1002-0179.20150541

Video：

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Objective To explore the role of clinical pharmacists in caring for one patient with breast cancer complicated with multiple metastases. Methods Clinical pharmacists monitored the entire treatment process of a patient with breast cancer complicated with multiple metastases. Blood glucose level was recorded, and the pharmacists evaluated the patient's pain, gave appropriate doses of cancer pain drugs, and responded positively to the hand-foot syndrome (HFS) induced by chemotherapeutic drugs. Results With the participation of the pharmacists, clinicians adjusted the medication. Ideal control of cancer pain and blood glucose was achieved with successful chemotherapy, and HFS fully recovered. Conclusion Pharmaceutical care by clinical pharmacists can assist clinicians to ensure the safety and effectiveness of drug use.

Citation： SUNJia-jing, ZENGYong, ZHENGYong-chi. Pharmaceutical Care for One Patient with Breast Cancer Complicated with Multiple Metastases by Clinical Pharmacists. West China Medical Journal, 2015, 30(10): 1887-1890. doi: 10.7507/1002-0179.20150541 Copy

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1. 黃哲宙, 陳萬青, 吳春曉, 等. 中國女性乳腺癌的發病和死亡現況——全國32個腫瘤登記點2003-2007年資料分析報告[J]. 腫瘤, 2012, 32(6):435-439.
2. 徐揚, 鄭文莉. 乳腺癌骨轉移的治療進展[J]. 中國療養醫學, 2013, 22(8):697-698.
3. Lee SJ, Park S, Ahn HK, et al. Implications of bone-only metastases in breast cancer:favorable preference with excellent outcomes of hormone receptor positive breast cancer[J]. Cancer Res Treat, 2011, 43(2):89-95.
4. 錢南萍, 魏潤新, 許靜. 臨床藥師對腫瘤科藥物治療的藥學監護[J]. 中國藥房, 2011, 22(10):954-956.
5. 吳東媛, 朱小紅, 陳智博, 等. 臨床藥師在腫瘤患者治療中的實踐體會[J]. 中國藥房, 2010, 21(14):1343-1344.
6. 柯靜, 王林海, 于慧斌, 等. 臨床藥師參與卡培他濱片用藥監護實踐的心得體會[J]. 中南藥學, 2013, 11(7):559-560.
7. 魯光平, 潘驥群, 周雪峰, 等. 卡培他濱單藥維持治療晚期轉移性乳腺癌療效觀察[J]. 實用腫瘤雜志, 2013, 28(5):516-519.
8. 中國抗癌協會. 乳腺癌診治指南與規范[J]. 中國癌癥雜志, 2013, 23(8):665-667.
9. Tassinari D, Drudi F, Rosati M, et al. The second step of the analgesic ladder and oral tramadol in the treatment of mild to moderate cancer pain:a systematic review[J]. Palliat Med, 2011, 25(5):410-423.
10. 嚴敏. 癌痛規范化治療及2010年《NCCN成人癌痛臨床實踐指南》 (中國版)解讀[J]. 現代實用醫學, 2012, 24(2):127-129.
11. 陳強, 林小燕, 施純玫. 腫瘤內科醫囑速查手冊[M]. 北京:化學工業出版社, 2012:56.
12. 袁紅梅, 李曉紅, 王慧敏. 希羅達聯合多西他賽治療乳腺癌的不良反應觀察及護理[J]. 中國醫藥指南, 2013, 11(32):235-236.
13. 史筱倩, 翁秀華. 1例合并高血壓、糖尿病的結腸癌患者化療后血糖升高的藥學監護[J]. 中國藥業, 2013, 22(14):94-96.
14. 劉興龍. 唑來膦酸注射液對惡心腫瘤骨轉移的作用研究[D]. 河南:河南大學藥學院, 2012.
15. Hillner BE, Ingle JN, Berenson JR, et al. American society of clinical oncology guideline on the role of bisphosphonate s in breast cancer[J]. J Clin Oncol, 2000, 18(6):1378.

West China Medical Journal

Pharmaceutical Care for One Patient with Breast Cancer Complicated with Multiple Metastases by Clinical Pharmacists

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