心臓リハビリテーションチームにおける薬剤師の役割

～脱水予見チェックシートの活用について～

抄録

The number of patients hospitalized for heart failure (HF) and the mortality of HF are increasing year by year. Treatments for HF are complex, and include medical measures, rehabilitation, diet remedies, and catheter treatment. Therefore, multi-disciplinary cooperation in the form of Cardiac Rehabilitation Teams is widespread. Patients hospitalized for acute decompensated HF are at significant risk of developing acute kidney injury (AKI). As a component of the management of hospitalized patients with acute decompensated HF or congestive HF, we have started to use a check sheet that promotes the recognition of dehydration when we perform pharmaceutical interventions. There were 33 and 32 hospitalized patients with such HF in the 8 months before and after the introduction of this check sheet, respectively, and 11 and three of them, respectively, developed AKI. Thus, the frequency of AKI was reduced by using our check sheet. Therefore, we consider that such a check sheet is useful in the treatment of patients hospitalized for acute decompensated HF or congestive HF.