Neonatal Medications & Nutrition : A Comprehensive Guide / Edition 3

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Editorial Reviews

Barry Lawson
Neonatology is an ever-changing field of medicine. Practices thought to be standards of care are later found to have untoward side effects. One must be careful to use not only a common sense approach but also be fairly well versed in the latest research surrounding the different therapeutic modalities. These principles are extremely important in neonatal medication administration, a field that changes more rapidly than information can be disseminated. The authors attempt to present in an easy to access modality the ever changing information on many neonatal therapies. However, I think the authors do only a fair job in fulfilling their purpose. The target audience is neonatologists, pediatricians, ARNPs, and nurses. The book could also be of use to other subspecialists. An alphabetical display of commonly used drugs is nicely divided not only by name, but by therapeutic and physiologic function. This approach, however, lends itself to a bit of a cookbook mentality ("Hmm, I have a baby with congestive heart failure. Lets see what I can use for that..."). I'm sorry to say I did not like the book. Most of the information is correct although many of the references are old and have been disproved. The main parts that I do not like are the discussions of drugs totally out of context of their use. For instance, in their discussion of Amicar the authors mention its use as a blood modifier and discuss standard dosing and administration information. Unfortunately, most of the information given is for its use in adults, not neonates. When targeting this information toward neonatal practitioners there should be mention of its use in ECMO, only to be used with frequent determination ofbleeding times, and its use as a reversal of overheparinization. Their discussion makes it sound like you could pull it off the shelf like oregano. The authors also discuss dosing of Vitamin K orally without mentioning what the standard of practice is or the fact that many countries that used to use oral Vitamin K have reverted to IM administration secondary to increased risk of hemorrhagic disease of the newborn. They also mention drugs that aren't or shouldn't be used anymore (e.g., regitine, tolazoline, and cisapride) when safer alternatives are available. They also rely on dogma. An example is the mention of low dose dopamine for increasing renal perfusion without really discussing if it works or not. They also state that IVIG is used for neonatal sepsis, which is wrong. Overall, the authors use too much unsubstantiated information and too many outdated therapies. They don't even give a page to nitric oxide but give a three-page diatribe on THAM—and I haven't used that since 1982.
From The Critics
Reviewer: Barry Lawson, MD (Children's Hospital and Regional Medical Center)
Description: Neonatology is an ever-changing field of medicine. Practices thought to be standards of care are later found to have untoward side effects. One must be careful to use not only a common sense approach but also be fairly well versed in the latest research surrounding the different therapeutic modalities. These principles are extremely important in neonatal medication administration, a field that changes more rapidly than information can be disseminated.
Purpose: The authors attempt to present in an easy to access modality the ever changing information on many neonatal therapies. However, I think the authors do only a fair job in fulfilling their purpose.
Audience: The target audience is neonatologists, pediatricians, ARNPs, and nurses. The book could also be of use to other subspecialists.
Features: An alphabetical display of commonly used drugs is nicely divided not only by name, but by therapeutic and physiologic function. This approach, however, lends itself to a bit of a cookbook mentality ("Hmm, I have a baby with congestive heart failure. Lets see what I can use for that...").
Assessment: I'm sorry to say I did not like the book. Most of the information is correct although many of the references are old and have been disproved. The main parts that I do not like are the discussions of drugs totally out of context of their use. For instance, in their discussion of Amicar the authors mention its use as a blood modifier and discuss standard dosing and administration information. Unfortunately, most of the information given is for its use in adults, not neonates. When targeting this information toward neonatal practitioners there should be mention of its use in ECMO, only to be used with frequent determination of bleeding times, and its use as a reversal of overheparinization. Their discussion makes it sound like you could pull it off the shelf like oregano. The authors also discuss dosing of Vitamin K orally without mentioning what the standard of practice is or the fact that many countries that used to use oral Vitamin K have reverted to IM administration secondary to increased risk of hemorrhagic disease of the newborn. They also mention drugs that aren't or shouldn't be used anymore (e.g., regitine, tolazoline, and cisapride) when safer alternatives are available. They also rely on dogma. An example is the mention of low dose dopamine for increasing renal perfusion without really discussing if it works or not. They also state that IVIG is used for neonatal sepsis, which is wrong. Overall, the authors use too much unsubstantiated information and too many outdated therapies. They don't even give a page to nitric oxide but give a three-page diatribe on THAM:and I haven't used that since 1982.
Booknews
Monographs on some 150 drugs for neonatal intensive care unit use listed from A-V by generic name dominate the text, coupled with sections on nutrition and immunizations. The 17 appendices contain drug administration guidelines and worksheets. Also includes a continuing education home study course and foldout drug charts. The authors are pediatric specialists at the U. of California Irvine Medical Center. No publication date is given for the first edition. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9781887571104
  • Publisher: N I C U Ink Book Pub
  • Publication date: 12/28/2003
  • Edition description: New Edition
  • Edition number: 3
  • Pages: 805
  • Product dimensions: 6.32 (w) x 9.26 (h) x 1.43 (d)

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