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NICU Primer for Pharmacists
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Review
NICU Primer for Pharmacists By. Amy P. Holmes The Pharmaceutical Journal 8 MAR 2016Reviewer: Laurence A. Goldberg Many hospital pharmacists have little or no formal training in neonatology yet they are faced with providing pharmaceutical care to this vulnerable group of patients. This book offers a comprehensive overview of therapeutics and neonatal care that goes beyond weight-based dosing. It includes optimal drug selection with correct dosing, appropriate drug dilutions, dosing adjustments as patients mature or gain or lose weight, treating multiple pathologies, dramatic growth, organ maturation or damage, and maximising survival without long-term damage and neurological developmental delays. Premature babies are at high risk for developing hypothermia, hypoglycaemia, electrolyte imbalance, hyperbilirubinaemia, respiratory distress syndrome, patent ductus arteriosus, infections, necrotising enterocolitis and intraventricular haemorrhage. The chapter authors assume that the reader has had little or no exposure to neonatology, therefore a large part of the book offers basic information on these conditions or describes scenarios that make common diseases different in the neonatal population. After a brief introduction to the diseases, there follow paragraphs on incidence, pathophysiology and treatment, along with advice on when to treat, how to treat and how to monitor the patient. Some but not all chapters describe the presentation and diagnosis of the disease. The chapters are well referenced and further reading is suggested. Advertisement Other chapters deal with general neonatal intensive care unit (NICU) considerations; developmental pharmacology, pharmacokinetics and pharmacodynamics; parenteral nutrition and drugs in lactation. After reading the chapter on parenteral nutrition, a pharmacist should be able to calculate and prepare the daily requirements for a neonatal patient, be aware of the stability of the compounded solution, understand the potential complications of parenteral nutrition and the infection risk and know where to look for potential interactions with other medicines. This book offers baseline information and can help to familiarise students and pharmacists who have no experience in neonatology with this special group of patients. It should not be used as a sole source of information. Referral to more detailed information is essential for pharmacists working with this group of vulnerable patients. (Laurence A. Goldberg Pharmaceutical Journal 2016-03-08) NICU Primer for Pharmacists By Amy P. Holmes __________________________________________________________ Doody’s Review Services, April 2016 Reviewer , Tracy Hampton, PharmD (Temple University Hospital), , Description , Many pharmacists working in hospital pharmacies have little or no formal training in neonatology, yet they are tasked with dispensing medications to this fragile group of patients. This comprehensive overview of pharmacological treatment and neonatal care gathers the information pharmacists, students, and residents need in one place. This is also available as an ebook., , Purpose , The author strives to "give the pharmacy student an introduction to the NICU," and to "provide an overall understanding of the most common disease states in the neonatal population as well as the role of the most commonly used pharmaceutical agents in the NICU." This will be useful to share with the pharmacy students on their one day in the satellite of a teaching hospital. It exposes them to the fundamental topics that are not discussed due to time constraints., , Audience , The author wrote this book for "pharmacists who do not usually work in a NICU, pharmacy students, and residents as an introduction to NICU for learners." The information is presented in a highly accessible format, allowing users to answer an immediate question during practice, or giving them a general place to start on their knowledge quest. The suggested references can be used to delve into the details when necessary. This title was written for pharmacists by a pharmacist who knows there is not always time to sift through a detailed reference to make a decision. It was also written by an educator wanting students to gain an appreciation of the dosing complexity of the NICU patient that extends beyond a weight-based dose., , Features , The book starts with necessary abbreviations, definitions, and key general information. Each subsequent chapter is devoted to a different disease state in the newborn (e.g., patent ductus arteriosus). The chapters are informative, but succinct. It becomes obvious that great lengths were taken to avoid overlapping material. If two disease states could occur in tandem, the book directs readers to the corresponding chapter. The charts and graphs are excellent as quick at-a-glance references. This is a rapidly changing field and this reference could become outdated quickly. For instance, if there is no consensus on a dosing regimen, that information is expressed along with regimens currently in use., , , Assessment , The beauty of this book is that it is not designed to be a detailed resource. But, by offering suggested readings, it does allow readers to gather additional details if needed or desired. This is a great source of quick NICU information. It fills a gap with a reference that gives anyone walking into a NICU for the first time a knowledge base on which they can build., , , ----------------------------------------------------------- Weighted Numerical Score: 3 Stars! (Tracy Hampton, PharmD (Temple University) Doody Review Services 2016-04-06)
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About the Author
Amy P. Holmes, PharmD, is a neonatal clinical pharmacy specialist at Novant Health Forsyth Medical Center in Winston Salem, North Carolina. She has practiced as a pharmacist for 20 years with the last 8 years being focused in neonatal critical care at Novant Health Forsyth Medical Center. Amy has a bachelor of science degree in pharmacy from University of North Carolina as well as doctor of pharmacy degree from the University of Maryland at Baltimore. Dr. Holmes serves as the Residency Program Director at Novant Health Forsyth Medical Center. She is active in state and national pharmacy organizations including the North Carolina Pharmacists Association and the Pediatric Pharmacy Advocacy Group.
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Product details
Paperback: 175 pages
Publisher: ASHP; 1 edition (December 1, 2015)
Language: English
ISBN-10: 1585284750
ISBN-13: 978-1585284757
Product Dimensions:
6 x 0.8 x 9.2 inches
Shipping Weight: 12.6 ounces (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
3 customer reviews
Amazon Best Sellers Rank:
#1,518,085 in Books (See Top 100 in Books)
The best review of NICU pharmacy practice I have read, and one of the best clinical reviews I have read. Chapters are well written, full of useful information and not too verbose.
This book was extremely helpful as I started working in the NICU! Now that I've worked there a few months, everything covered in the book was relevant. I would highly recommend this to new NICU pharmacists!
pretty handy and good
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