サン調剤薬局

滋賀県守山市にある『サン調剤薬局』のブログ

投稿時間 : 22時40分03秒

カテゴリー : 指定なし(ブログ)

ジャンル : 日記

滋賀県守山市サン調剤薬局西川でございます。

滋賀も、ここ数日、台風接近に伴い、蒸し暑い日が続いています。

今週も金曜日に局内研修会を行いました。

 

今回は昨年春から秋にかけて通院してくれていた結核患者さんの振り返りです。

調剤に関する世間のバッシングは増えており、

某チェーン薬局社長の高収入の件、

「薬を数えて渡すだけの仕事」の割に高時給といった記事も目につきます。

この結核治療に携わった半年間は、

知識がなく、まさに記事の通り、一包化こそしたものの、「渡すだけ」。

次回、結核患者さんに出会う時には、

本当の意味で患者さんの役に立てるようにとの思いで行いました。

 

研修日時    9月13日金曜日13:00~13:30

研修参加者   8名(薬剤師7名、実習中学生1名)

研修タイトル  結核患者さんへの服薬支援

研修要旨    1、結核は医学の進歩と生活環境の改善により減少してきたが、再び増加に

            転じる動きをみせ、年間新規発症が3万人程度で推移している。高齢者や

            免疫の下がっている人は特に注意が必要である。

          2、咳や痰が長引いたり、微熱が続くようなら、まず結核を疑う必要がある。

          3、結核は半年から1年の多剤併用療法により治る病気である。

            H:イソニアジド

            R:リファンピシン

            Z:ピラジナミド

            E:エタンブトール

            S:ストレプトマイシン

            Zは高齢者や肝機能低下例では使用されない。

            EはSに変更が可能である。

          4、結核治療薬の代表的副作用は以下の通りである。

            H:末梢神経炎 VB6予防投与が行われる。

            R:肝機能異常、尿やコンタクトレンズのオレンジ色の変色。

            Z:尿酸値上昇。

            E:視力障害(4,5カ月後)⇒定期的な眼科受診。

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