{"id":258651,"date":"2022-07-11T09:34:58","date_gmt":"2022-07-11T08:34:58","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=258651"},"modified":"2022-07-11T09:43:11","modified_gmt":"2022-07-11T08:43:11","slug":"vseobecna-zdravotni-pojistovna-kontrola-leku-klinickym-farmaceutem","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=258651","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Kontrola l\u00e9k\u016f klinick\u00fdm farmaceutem"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h6 style=\"text-align: center;\">OT\u00c1ZKA T\u00ddDNE:<\/h6>\n<h6 style=\"text-align: center;\">Chci v\u011bd\u011bt, zda neberu moc l\u00e9k\u016f a nek\u0159\u00ed\u017e\u00ed se mi jejich \u00fa\u010dinn\u00e9 l\u00e1tky. M\u016f\u017eu si je nechat zkontrolovat tzv. na poji\u0161\u0165ovnu?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNoSpacing\">Ano, je to mo\u017en\u00e9. Od 1. 1. 2022 byl za t\u00edm \u00fa\u010delem zaveden nov\u00fd zdravotn\u00ed v\u00fdkon, a to pod n\u00e1zvem \u201eKonzili\u00e1rn\u00ed zhodnocen\u00ed medikace pacienta o\u0161et\u0159ovan\u00e9ho v r\u00e1mci ambulantn\u00ed p\u00e9\u010de klinick\u00fdm farmaceutem\u201c.<\/p>\n<p class=\"-wm-MsoNormal\">Tento v\u00fdkon je ur\u010den pro komplikovan\u00e9 pacienty v\u00a0ambulantn\u00ed p\u00e9\u010di.\u00a0<b>O zhodnocen\u00ed medikace si ale nem\u016f\u017ee pacient po\u017e\u00e1dat s\u00e1m, konzili\u00e1rn\u00ed zhodnocen\u00ed medikace mus\u00ed b\u00fdt v\u017edy indikov\u00e1no o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em.<\/b><b><\/b><\/p>\n<p class=\"-wm-MsoNormal\">Z\u00a0<b>ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed\u00a0<\/b>m\u00e1 pak takto indikovan\u00fd pacient n\u00e1rok na<b>\u00a0<\/b>zhodnocen\u00ed\u00a0medikace klinick\u00fdm farmaceutem, a to<b>\u00a0na specializovan\u00e9m\u00a0pracovi\u0161ti<\/b>\u00a0<b>klinick\u00e9 farmacie. Klinick\u00fd farmaceut p\u0159i tomto v\u00fdkonu\u00a0<\/b>identifikuje, posoud\u00ed a zhodnot\u00ed klinick\u00fd dopad u\u017e\u00edvan\u00fdch l\u00e9k\u016f a n\u00e1sledn\u011b \u0159e\u0161\u00ed prevenci \u010di p\u0159\u00edmo l\u00e9kov\u00e9 probl\u00e9my.\u00a0<b>Nejedn\u00e1 se o rady ohledn\u011b l\u00e9\u010div v l\u00e9k\u00e1rn\u00e1ch, a\u0165 u\u017e jsou na l\u00e9ka\u0159sk\u00fd p\u0159edpis nebo voln\u011b prodejn\u00e9.<\/b><\/p>\n<p class=\"-wm-MsoNormal\"><b>Doporu\u010den\u00ed klinick\u00e9ho farmaceuta vych\u00e1zej\u00ed z podrobn\u00e9 znalosti zdravotnick\u00e9 dokumentace pacienta<\/b>\u00a0(v\u010d. diagn\u00f3z, v\u00fdsledk\u016f laboratorn\u00edch vy\u0161et\u0159en\u00ed a test\u016f). Farmaceut vypracuje n\u00e1vrh \u0159e\u0161en\u00ed a tak\u00e9 vhodn\u00fd n\u00e1sledn\u00fd postup pro o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e, v\u010detn\u011b nap\u0159. \u00fapravy farmakoterapeutick\u00e9ho \u010di d\u00e1vkovac\u00edho re\u017eimu, n\u00e1vrhu alternativy vhodn\u011bj\u0161\u00edho l\u00e9\u010diva, l\u00e9kov\u00e9 formy \u010di zp\u016fsobu pod\u00e1n\u00ed l\u00e9\u010diva s\u00a0ohledem na zdravotn\u00ed stav pacienta atd.<\/p>\n<p class=\"-wm-MsoNormal\"><b>Co d\u011bl\u00e1 klinick\u00fd farmaceut?<\/b><\/p>\n<p class=\"-wm-MsoNormal\">Aktivn\u011b se pod\u00edl\u00ed na revizi a \u00faprav\u011b farmakoterapeutick\u00fdch re\u017eim\u016f pacient\u016f na klinick\u00fdch odd\u011blen\u00edch i\u00a0v\u00a0ambulanc\u00edch zdravotnick\u00e9ho za\u0159\u00edzen\u00ed:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpFirst\">posuzuje p\u0159\u00ed\u010dinn\u00e9 souvislosti mezi pot\u00ed\u017eemi pacienta a jeho sou\u010dasnou medikac\u00ed<\/li>\n<li class=\"-wm-MsoListParagraphCxSpMiddle\">sleduje medikaci pacienta a vypracov\u00e1v\u00e1 budouc\u00ed medika\u010dn\u00ed pl\u00e1n<\/li>\n<li class=\"-wm-MsoListParagraphCxSpMiddle\">vyhodnocuje d\u00e1vkov\u00e1n\u00ed l\u00e9\u010div, zp\u016fsob jejich pod\u00e1n\u00ed, indikaci u\u017e\u00edv\u00e1n\u00ed a ne\u017e\u00e1douc\u00ed \u00fa\u010dinky<\/li>\n<li class=\"-wm-MsoListParagraphCxSpMiddle\">zhodnocuje mo\u017en\u00e9 ne\u017e\u00e1douc\u00ed l\u00e9kov\u00e9 interakce \u2013 tzn. upravuje medikaci tak, aby byla co nej\u00fa\u010dinn\u011bj\u0161\u00ed a pacientovy l\u00e9ky se neduplikovaly \u010di se vz\u00e1jemn\u011b nevylu\u010dovaly<\/li>\n<li class=\"-wm-MsoListParagraphCxSpMiddle\">ve spolupr\u00e1ci s odd\u011blen\u00edm klinick\u00e9 biochemie a mikrobiologie na z\u00e1klad\u011b aktu\u00e1ln\u00edch laboratorn\u00edch v\u00fdsledk\u016f pacienta navrhuje \u00fapravu medikace tak, aby u pacienta nedoch\u00e1zelo k\u00a0l\u00e9kov\u00fdm probl\u00e9m\u016fm a minimalizovaly se dopady vedlej\u0161\u00edch \u00fa\u010dink\u016f l\u00e9\u010div<\/li>\n<li class=\"-wm-MsoListParagraphCxSpLast\">pom\u00e1h\u00e1 l\u00e9ka\u0159\u016fm stanovit, kter\u00e9 l\u00e9ky by byly pro pacienta nejvhodn\u011bj\u0161\u00ed<\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">Farmaceut nem\u016f\u017ee pacientovi l\u00e9ky p\u0159edepsat, ale m\u016f\u017ee v\u00a0l\u00e9k\u00e1rn\u011b, obvykle p\u0159i v\u00fddeji l\u00e9k\u016f na l\u00e9ka\u0159sk\u00fd p\u0159edpis, nahl\u00ed\u017eet do tzv.\u00a0<a href=\"https:\/\/www.epreskripce.cz\/co-je-sdileny-lekovy-zaznam\" target=\"_blank\" rel=\"noopener\"><strong>sd\u00edlen\u00e9ho l\u00e9kov\u00e9ho z\u00e1znamu<\/strong><\/a>\u00a0(pokud k\u00a0tomu pacient nevyslovil nesouhlas).<\/p>\n<p><strong>(tz-vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":258654,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2022\/07\/11\/r\u00e1m-poradna.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/258651"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=258651"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/258651\/revisions"}],"predecessor-version":[{"id":258653,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/258651\/revisions\/258653"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/258654"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=258651"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=258651"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=258651"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}