处方医嘱的审查与点评要点目录一审核与点评过敏试验...........................................................................1（一）《处方管理办法》要求...................................................................1（二）《2005年版中国药典临床用药须知》规定..................................2（三）药品说明书中有关皮试的规定.......................................................4二审核与点评处方使用权限.................................................................13（一）《麻醉药品和精神药品管理条例》要求.....................................13（二）《抗菌药物使用指导原则》要求.................................................13（三）《糖皮质激素类药物临床应用指导原则》使用要求.................................................................................................................14三审核与点评注射剂分散媒.................................................................143.1不宜以葡萄糖注射液为溶媒的药品..................................................143.2不宜用氯化钠注射液做溶媒的药品..................................................183.3不适与钙制剂配伍的抗菌药注射剂..................................................201/2513.4溶媒使用量或配制的药物浓度..........................................................233.5输液速度..............................................................................................233.6输液配制六注意..................................................................................253.7附带溶媒注射液..................................................................................253.8药品可用溶媒......................................................................................30四审核与点评用药与临床诊断的一致性.............................................414.1年龄禁忌..............................................................................................414.2临床不对症用药问题..........................................................................524.3涉药医疗纠纷......................................................................................534.4药师的注意义务..................................................................................554.5用药与临床诊断不一致的处置——加强沟通..................................56五审核与点评给药剂量.........................................................................57（一）药物剂量与效应关系.....................................................................571药物量效关系.......................................................................................572药物量效关系的个体差异...................................................................593量效关系与连续用药...........................................................................624量效关系、药物剂型和给药途径.......................................................622/2515量效关系与年龄、性别.......................................................................62（二）处方用量差错与超剂量.................................................................632.1治疗窗大的超剂量问题......................................................................662.2治疗窗小的超剂量问题......................................................................672.3非线性药物动力特征的药物超剂量问题..........................................68附1.老幼用药剂量折算方法...........................................................
