Prescription of Renal Excretory Type Drugs for Patients with Decreased Kidney Function- Actual Situations and Problems to Be Solved
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- TANI Kahori
- Dept. of Pharmacy, Ibaraki Seinan Medical Center Hospital
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- NARUSHIMA Shunsuke
- Dept. of Pharmacy, Ibaraki Seinan Medical Center Hospital
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- YAMAGUCHI Keiko
- Dept. of Pharmacy, Ibaraki Seinan Medical Center Hospital
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- KOJIMA Wakako
- Dept. of Pharmacy, Ibaraki Seinan Medical Center Hospital
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- OGAWA Toshihito
- Dept. of Pharmacy, Ibaraki Seinan Medical Center Hospital
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- KIMURA Kiyomi
- Dept. of Pharmacy, Ibaraki Seinan Medical Center Hospital
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- ISAKA Shoichi
- Dept. of Pharmacy, Ibaraki Seinan Medical Center Hospital
Bibliographic Information
- Other Title
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- 当院における腎機能低下患者に対する腎排泄型薬剤の処方実態と課題
- トウ イン ニ オケル ジンキノウ テイカ カンジャ ニ タイスル ジンハイセツガタ ヤクザイ ノ ショホウ ジッタイ ト カダイ
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Abstract
This study was conducted with a view to improving medication management service by reviewing renal excretory drug prescription practices in our hospital for patients with decreased kidney function without intervention of pharmacists. The subjects were the outpatients to whom the doctors had prescribed drugs containing digoxin, cibenzoline, bezafibrate, levofloxacin, valaciclovir or dabigatran. We retrospectively reviewed their serum creatinine levels, sex, age, height, weight and the amount of the drugs prescribed. It was found that there are cases in which medication had been prescribed without serum creatinine testing or prescribed in excess of the amount needed. Furthermore, there were cases in which the renal function had been judged in all probability by age and serum creatinine levels alone. Based on these findings, we concluded that pharmacists should intervene in pharmacotherapy using renal excretory drugs. For the realization of this, it would be necessary to build a system within the Department of Pharmacy to support the pharmacotherapy.
Journal
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- JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 64 (1), 23-28, 2015
THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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Details 詳細情報について
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- CRID
- 1390282679891161728
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- NII Article ID
- 130005087463
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- NII Book ID
- AN00196216
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- ISSN
- 13497421
- 04682513
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- NDL BIB ID
- 026575490
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed