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Doody ReviewsReviewer: Kim W. Benner, BS, PharmD (Samford University McWhorter School of Pharmacy)
Description: This is an update of a helpful reference on intravenous infusions for pediatric patients that was last published in 2007. This new version contains complete monographs on frequently used intravenous medications with information on dosing, infusions, additives, and compatibility.
Purpose: The editors state in the preface that the intent is to "improve medication use and delivery in children," which this ninth edition continues to do. They point out the inclusion of multiple new references, which is important when dealing with compatibility issues and off-label uses of medications in children.
Audience: Although it will be useful for any practitioners caring for pediatric patients — nurses, pharmacists, or physicians — it is clear that it will benefit primarily nurses and pharmacists as they prepare and infuse intravenous medications in pediatric patients. The three current editors are practicing pediatric pharmacists.
Features: This edition contains 200 drug monographs, 50 more than previous editions, which provide valuable information on the drug dose, administration, compatibility, appropriate diluent and infusion time, as well as routes of administration, concentrations, and warnings/precautions. New to this edition is a helpful section on extravasation treatment, medication error potential, and preparation and delivery, and a stronger section on contraindications and warnings. The monographs use shaded boxes every other line of text to maximize quick access to needed information. This, along with the large print, allows the practitioner to quickly and easily retrieve data. Ample references are provided at the end of the book, along with a quick reference index, even though the medications are listed in alphabetical order. Compatibility information is critical to clinicians administering multiple medications; while this book doesn't specifically review compatibility for each medication (there are other references for this information) , it does include parenteral nutrition compatibility. The only limitation is the lack of an electronic version that would allow for frequent updating of information as new data on compatibility became available.
Assessment: This book is specific to concerns clinicians have when dealing with pediatric patients and it is alone in its class. Similar books cover dosing in pediatrics (Pediatric Dosage Handbook , 17th edition, Takemoto et al. (Lexi-Comp, 2010) ) or intravenous compatibility (Trissel's Stability of Compounded Formulations , 4th edition, Trissel (American Pharmacists Association, 2009) ) , but this is the only one that deals with the limited fluid amounts, maximum doses, and limited intravenous sites pediatric practitioners often face in their patients. This ninth edition is essential with the advent of frequent new research.