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患者女性，34岁，因“乏力、食欲缺乏4年，发热2日”来诊。患者因慢性肾衰竭（尿毒症期），行规律血液透析5个月。2日前受凉后出现发热、咳嗽咳痰，最高体温38.9℃。查体：体温38.6℃，血压160/100mmHg（1mmHg=0.133kPa），咽部充血，双侧扁桃体Ⅲ度大，表面有大量脓点，双肺呼吸音粗，湿啰音明显。实验室检查：透析前血肌酐650μmol/，血红蛋白61.9g/L。肾内科临床药师给予患者的建议中，需除外A、因患者血色素低，应适当补充铁剂 B、血液透析容易丢失水溶性维生素，应适当补充维生素B或维生素C C、因磷不能被透析清除而蓄积，长期血症会出现心力衰竭、心律失常等并发症，建议患者使用磷结合剂 D、因患者贫血，可适当给予患者促红细胞生成素 E、患者上呼吸道感染，可给予患者头孢呋抗感染治疗 尿毒症患者并发感染时，可按正常剂量使用的药物有A、氨苄西林 B、羧苄青霉素 C、氨基糖苷类 D、磺胺类 E、先锋霉素类
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