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Recently, the National Health Commission issued a notice on the “Regulations of the National Key Monitoring and Reasonable Use of Drugs Catalogue Adjustments”, and six types of drugs have been listed in the “Key Monitoring Drug Catalogue”
.
.
This six drugs comprising: an auxiliary drug, anti -tumor drugs, antimicrobials, proton pump inhibitors, glucocorticoids, parenteral nutrition drugs
.
Experts pointed out that these 6 types of drugs are commonly used in clinical practice, and doctors and pharmacists should focus on them when taking them
.
The areas that need to be paid attention to are:
.
Experts pointed out that these 6 types of drugs are commonly used in clinical practice, and doctors and pharmacists should focus on them when taking them
.
The areas that need to be paid attention to are:
1.
Antimicrobial drugs
Antimicrobial drugs
The following points should be paid attention to when using antimicrobial drugs:
The problem of unindicated medication is more prominent.
For example, if the cause of fever is unknown, antimicrobial drugs are found in the doctor's prescription.
If the patient is infected with viruses, fungi, etc.
, using antimicrobial drugs has no therapeutic effect, but it will induce drug-resistant strains
.
In particular, antimicrobial drugs for neonates and children must have clear indications and should not be used arbitrarily
.
For example, if the cause of fever is unknown, antimicrobial drugs are found in the doctor's prescription.
If the patient is infected with viruses, fungi, etc.
, using antimicrobial drugs has no therapeutic effect, but it will induce drug-resistant strains
.
In particular, antimicrobial drugs for neonates and children must have clear indications and should not be used arbitrarily
.
Preventive use of antimicrobial drugs should be stopped within 24 hours, and no more than 48 hours at the latest.
However, there is a general problem of "not stopping in time".
Extending the use of drugs will not increase the effect of preventing infections, but will only increase the induction of bacterial resistance.
Risk
.
However, there is a general problem of "not stopping in time".
Extending the use of drugs will not increase the effect of preventing infections, but will only increase the induction of bacterial resistance.
Risk
.
2.
Proton pump inhibitor
Proton pump inhibitor
Proton pump inhibitors (PPI) clinical application recommendations are as follows: Preventive use of proton pump inhibitors should be strictly controlled, and only one proton pump inhibitor needs to be used at a time
.
According to changes in the patient's condition, intravenous medication can be sequentially adjusted to oral medication.
When the patient's condition is stable, the medication can be gradually stopped
.
For long-term use of proton pump inhibitors, the principle of simplification of prescriptions should be adopted
.
It is not recommended to use proton pump inhibitors for routine prevention of chemotherapy-related nausea and vomiting.
It can only be used for short-term purposes when combined with upper gastrointestinal symptoms
.
.
According to changes in the patient's condition, intravenous medication can be sequentially adjusted to oral medication.
When the patient's condition is stable, the medication can be gradually stopped
.
For long-term use of proton pump inhibitors, the principle of simplification of prescriptions should be adopted
.
It is not recommended to use proton pump inhibitors for routine prevention of chemotherapy-related nausea and vomiting.
It can only be used for short-term purposes when combined with upper gastrointestinal symptoms
.
3.
Anti-tumor drugs
Anti-tumor drugs
Expensive new anti-tumor drugs, such as immunotherapy drugs and targeted therapy drugs, have become the focus of monitoring
.
Use under special circumstances requires sufficient evidence-based evidence
.
.
Use under special circumstances requires sufficient evidence-based evidence
.
Four, glucocorticoids
According to the "Guiding Principles for the Clinical Application of Glucocorticoids", the following points should be noted:
Strictly grasp the indications of glucocorticoid therapy, such as avoiding the use of glucocorticoids for the sole purpose of reducing fever and pain
.
.
Reasonably formulate glucocorticoid treatment plans, pay attention to comprehensive treatment of diseases , monitor the adverse reactions of glucocorticoids , and monitor the growth and development of children
.
.
Pay attention to discontinuation reaction and rebound phenomenon
.
.
In addition, supplementary drugs and parenteral nutrition drugs should also be strictly controlled to prevent drug abuse
.
(Headquarters CCTV reporter Mou Titi)
.
(Headquarters CCTV reporter Mou Titi)
Recently, the National Health Commission issued a notice on the “Regulations of the National Key Monitoring and Reasonable Use of Drugs Catalogue Adjustments”, and six types of drugs have been listed in the “Key Monitoring Drug Catalogue”
.
Medicine, medicine, medicine.
This six drugs comprising: an auxiliary drug, anti -tumor drugs, antimicrobials, proton pump inhibitors, glucocorticoids, parenteral nutrition drugs
.
Experts pointed out that these 6 types of drugs are commonly used in clinical practice, and doctors and pharmacists should focus on them when taking them
.
The areas that need to be paid attention to are:
Tumor tumor tumor.
Experts pointed out that these 6 types of drugs are commonly used in clinical practice, and doctors and pharmacists should focus on them when taking them
.
The areas that need to be paid attention to are:
1.
Antimicrobial drugs
1. Antimicrobial drugs
Antimicrobial drugs
The following points should be paid attention to when using antimicrobial drugs:
The following points should be paid attention to when using antimicrobial drugs: The problem of unindicated medication is more prominent.
For example, if the cause of fever is unknown, antimicrobial drugs are found in the doctor's prescription.
If the patient is infected with viruses, fungi, etc.
, using antimicrobial drugs has no therapeutic effect, but it will induce drug-resistant strains
.
In particular, antimicrobial drugs for neonates and children must have clear indications and should not be used arbitrarily
.
For example, if the cause of fever is unknown, antimicrobial drugs are found in the doctor's prescription.
If the patient is infected with viruses, fungi, etc.
, using antimicrobial drugs has no therapeutic effect, but it will induce drug-resistant strains
.
In particular, antimicrobial drugs for neonates and children must have clear indications and should not be used arbitrarily
.
Preventive use of antimicrobial drugs should be stopped within 24 hours, and no more than 48 hours at the latest.
However, there is a general problem of "not stopping in time".
Extending the use of drugs will not increase the effect of preventing infections, but will only increase the induction of bacterial resistance.
Risk
.
However, there is a general problem of "not stopping in time".
Extending the use of drugs will not increase the effect of preventing infections, but will only increase the induction of bacterial resistance.
Risk
.
2.
Proton pump inhibitor
2. Proton pump inhibitor
Proton pump inhibitor
Proton pump inhibitors (PPI) clinical application recommendations are as follows: Preventive use of proton pump inhibitors should be strictly controlled, and only one proton pump inhibitor needs to be used at a time
.
According to changes in the patient's condition, intravenous medication can be sequentially adjusted to oral medication.
When the patient's condition is stable, the medication can be gradually stopped
.
For long-term use of proton pump inhibitors, the principle of simplification of prescriptions should be adopted
.
It is not recommended to use proton pump inhibitors for routine prevention of chemotherapy-related nausea and vomiting.
It can only be used for short-term purposes when combined with upper gastrointestinal symptoms
.
.
According to changes in the patient's condition, intravenous medication can be sequentially adjusted to oral medication.
When the patient's condition is stable, the medication can be gradually stopped
.
For long-term use of proton pump inhibitors, the principle of simplification of prescriptions should be adopted
.
It is not recommended to use proton pump inhibitors for routine prevention of chemotherapy-related nausea and vomiting.
It can only be used for short-term purposes when combined with upper gastrointestinal symptoms
.
3.
Anti-tumor drugs
3. Anti-tumor drugs
Anti-tumor drugs
Expensive new anti-tumor drugs, such as immunotherapy drugs and targeted therapy drugs, have become the focus of monitoring
.
Use under special circumstances requires sufficient evidence-based evidence
.
.
Use under special circumstances requires sufficient evidence-based evidence
.
Four, glucocorticoids
Four, glucocorticoids According to the "Guiding Principles for the Clinical Application of Glucocorticoids", the following points should be noted:
Strictly grasp the indications of glucocorticoid therapy, such as avoiding the use of glucocorticoids for the sole purpose of reducing fever and pain
.
.
Reasonably formulate glucocorticoid treatment plans, pay attention to comprehensive treatment of diseases , monitor the adverse reactions of glucocorticoids , and monitor the growth and development of children
.
Disease disease disease adverse reactions adverse reactions adverse reactions Children Children Children.
Pay attention to discontinuation reaction and rebound phenomenon
.
.
In addition, supplementary drugs and parenteral nutrition drugs should also be strictly controlled to prevent drug abuse
.
(Headquarters CCTV reporter Mou Titi)
.
(Headquarters CCTV reporter Mou Titi)
