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Established in its first two editions as the standard advanced pharmacotherapeutics text for nurse practitioners, students, and physician assistants this completely revised and updated new edition offers guidelines on prescribing drugs for over 50 common diseases and disorders. Organized by disorder rather than drug class this new edition includes algorithms and case studies that illustrate critical thinking aspects of prescribing, such as drug selection, lifespan considerations, therapeutic drug monitoring, adverse reactions, unexpected outcomes, and when to change therapy. The third edition includes coverage of pharmacogenomics and travel medicine. The section on Depressive Disorders discusses weaning patients from SSRIs and changing from one medication to another. Switching from brand names to generics is dicussed in various chapters.
Make the right drug choices for your patients.
Quick-access format, organized by body system rather than drug class, helps you locate and identify the best drug for a range of common conditions.
Selecting the Most Appropriate Agent sections in each chapter contain information on first-line, second-line, and third-line therapies, with rationales and an algorithm to help you choose the right agent.
Practical case studies, food–drug interactions, and concerns related to the geriatric client enhance your clinical judgment and promote safe and effective prescribing choices.
Current national treatment protocols and other guidelines help you refine drug selection, treat patients across the lifespan, accurately monitor drug therapy, avoid adverse reactions, and know what to do when front-line therapy fails to produce results.
NEW to the Third Edition . . .
Chapter on Pharmacogenomics that discusses the promises and pitfalls of this burgeoning area of study, from potential research and clinical applications to the importance of protecting patients’ genetic information from misuse
Travel Medicine chapter that includes information on vaccinations, altitude sickness, and jet lag; advice for travelers with diabetes, those with cardiovascular or pulmonary conditions, and pregnant travelers; information about bedbugs, traveler’s diarrhea, malaria, and yellow fever; and more
Reorganization of contents to group chapters concerning women’s health issues into a new Women’s Health section
New focus on switching from brand-name to generic drugs in various chapters
- Sales Rank: #11141 in Books
- Published on: 2011-12-29
- Ingredients: Example Ingredients
- Original language: English
- Number of items: 1
- Dimensions: 1.60" h x 8.40" w x 10.90" l, 4.60 pounds
- Binding: Paperback
- 1000 pages
Most helpful customer reviews
11 of 11 people found the following review helpful.
Outdated
By Alison
The book is poorly written. It contradicts itself EVERYWHERE. The majority of the material is over 11 years old. For example, in Unit 1, there are only 5 total citations out of >200 that are from after 2007. An example: the pediatrics portion still recommends use of nebulizers even though most hospital systems are phasing them out for spacers. I'm a certified asthma educator so I'll use the asthma as an example. Since I had been doing that job (2009) the American Lung Association had recommended spacer use for ALL ages regardless of "coordination". Theophylline which is rarely given anymore (and only as last line therapy) is mentioned as an option. There isn't a big focus on inhaled corticosteroid/LABA treatment at all (which is now recommended first line treatment for moderate persistent asthma). I mention this example because it's what I know. As I'm studying and reading the chapters I'm noticing references on drug therapy mainly from the late 90's early 2000's. I wonder how many lawsuits or changes in drug therapy across the board have been done since then. It just seems like it's setting us up for failure as practitioners using data that could possibly be contraindicated or since outdated. In the pain section, I was surprised there was no mention of wounded warriors as a special population (the majority of that data was also pre-Iraq war (2000-2002)). They only give "cancer pain" as chronic pain, which I suppose may be similar to the wounded warrior population... but I think it's a big enough population at this point in time that we would want to at least minimally address some of their needs. Think about it... no updates since Back Street Boys and N*Sync were still together. I'm not kidding! Another user mentioned that it seems like they wrote the book without checking with each other to see what guidelines each section writer was using; I would agree with that. Anyway, think twice before recommending this book for your class, or provide updates and test based on current evidence based practice. I took an advanced pharm class, and the school I'm attending now did not accept the transfer credits and I really liked how that professor ran it. Everything was based off of case studies and current practice rather than going by a specific book. I think I learned a lot more that way. Just my opinion.
Additional discrepancies: chapters 41 and 40. 41 calls effexor a 1st line drug for anxiety and lists it as an SSRI. It makes no mention of SNRIs as their own class. Hoeever, 40 calls it an SNRI and therefore a second line drug for depression.
Chapter 42: Insomnia. Under first line therapy, says benedryl is the only drug approved for pregnancy. Under "women" in the same chapter, it says that benedryl is a class C drug, ambien is class B and therefore the safest drug to give in pregnancy.
Insomnia chapter 42 again. Table 42.2 calls ambien a first line drug for insomnia. Under "second line" in the paragraphs it says it is a second line drug.
4 of 4 people found the following review helpful.
Typos and contradictions, not a good reference for practitioners
By TT
I rarely write review but this book is so bad that I have to share my opinion to warn others. Although many of us don't have a choice since it's required for our NP or PA programs, but if you have to buy this book, buy another better one to for cross reference. Plain and boring texts (without highlighted or bold letters) make it hard to read or pick out the salient points. Like other reviewers, I've found many serious typos and contradictions on almost every other chapter (e.i. an estrogen oral contraceptive dosage was mistakenly written in milligram instead of microgram - that's a huge typo for a pharm book!; some boxes said first-line therapy is this approach then the descriptive paragraph said something else; the sizes of A-delta fibers and C-fibers which conduct pain perception were confused with one another; and so on...).
I frequently had to clarify with my professors and they said, "Oh, the book has typos, refer to our updated Power Point slide instead." I'm at the point where I'm going to skip reading this book and just to stick to class Power Point to save my time, and I'll refer to another book if I need further clarifications. Lehne's Pharmacology for Nursing Care is a much better one.
24 of 24 people found the following review helpful.
Pharmatherapeutics for Advanced Practice
By Noreen
The content of the book is as expected, but I am highly frustrated at the charts and tables. The print on the charts/ tables are too small to read and when you try to enlarge the print, the letters appear really fuzzy. So basically, the charts and tables are useless. I wish I purchased the actual textbook rather than the kindle version. Kindle really needs to fix this because it is a terrible inconvenience for students! So I give poor reviews and do not recommend this kindle book to anyone...just buy the actual textbook!
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