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The stakes are high, time is of the essence and every detail matters—yet neonatal pharmacology often has been a challenging and poorly understood area of pediatrics. Until now.
Many pharmacists working in hospital pharmacies today have little or no formal training in neonatology yet they are faced with dispensing medications to this fragile NICU population. NICU Primer for Pharmacists, by Amy P. Holmes, is a unique comprehensive overview of pharmacological treatment and neonatal care puts the information pharmacists, students, and residents need in one place, including strategies for:
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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.Excerpt. © Reprinted by permission. All rights reserved.:
Many pharmacists working in hospital pharmacies today have little or no formal training in neonatology yet they are faced with dispensing medications to this fragile NICU population. Some units have neonatal specialists that oversee medication-use practices; however, many units are too small to justify having the full time support of a specialist. Even in units where there is a specialist, they are not available 24/7 to—verify orders, mix IVs, and dispense medications. This book is meant as an introduction to the world of the NICU for those front-line pharmacists who serve NICU patients. Beyond checking for accuracy of weight-based dosing, this book strives 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.
In addition, this book serves as an introduction to NICU for pharmacy learners. For years I have struggled with finding the right reading assignments for students and residents taking my NICU rotation. Many of the textbook chapters and journal articles that I have used assume some baseline knowledge of neonatal medicine. Even the learner who has opted to take an elective course in pediatrics has had little or no exposure to neonatology. This book is meant as an introduction for these learners to serve as baseline information to familiarize them with this unique population and prepare them to delve into the primary literature.
Each chapter in this book gives basic information on disease states specific to the neonatal population or describes scenarios that make common disease states different in neonates. At the end of every chapter except the first one you will find a Suggested Reading list for those of you who choose to dig further into a particular topic. (The Suggested Reading for Chapter 1 is the rest of the book!) Chapter 1 does include a list of recommended neonatal references. These are “go to” resources that may be helpful in researching neonatal topics not found in this book.
In reading and using the NICU Primer for Pharmacists, you will see that neonates are not just small adults. They are a very unique and specialized patient population that warrants extra attention and care.
Amy P. Holmes
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