ICU quick drug guide: first edition
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BOOK AND NEW MEDIA REVIEWS
ICU quick drug guide: first edition Jennifer Pai Lee (Editor); Elsevier, Philadelphia, PA, USA; price: CAD $65.99 (paperback); number of pages: 368; paperback. ISBN: 9780323680479
Najla Tabbara, PharmD
. Lisa Burry, PharmD
Received: 26 October 2020 / Accepted: 27 October 2020 Ó Canadian Anesthesiologists’ Society 2020
Because of the advances in evidence-based practice and increasing patient complexity, providing pharmaceutical care in a dynamic intensive care unit (ICU) can be challenging. Despite several published guidelines and drug handbooks, health care professionals lack a concise resource to obtain quick and accurate information regarding drug therapies. In its first edition, the ICU Quick Drug Guide provides a valuable overview of common disease states encountered in critically ill adults followed by the detailed pharmacotherapy principles applied when caring for these patients. This book features six clinical sections: 1) Cardiovascular Critical Care; 2) Endocrine, Gastrointestinal, and Hepatic Disorders; 3) Infectious Diseases; 4) Neurocritical Care; 5) Pulmonary Disorders; 6) Miscellaneous. Each section is divided into three to seven chapters of varying lengths depending on the complexity of the topic – i.e., as short as six pages for the chapter covering diabetic ketoacidosis and the hyperosmolar hyperglycemic state and as long as 54 pages for the chapter describing all infections (with the exception of abdominal infections, which are addressed in the preceding chapter). Dr. Jennifer Pai Lee, the book’s Editor, ensured that the chapters were organized into a consistent, easy-to-follow format that includes an overview of pathophysiology, diagnostics (including algorithms), goals of care, and management strategies (pharmacological and non-pharmacological). As expected from the book’s title, the highlight of this handbook is its presentation of detailed drug information. Prior to suggesting initiation of a new pharmacological intervention, the book reviews medication-induced causes of the conditions addressed and their possible mechanisms. N. Tabbara, PharmD (&) L. Burry, PharmD Department of Pharmacy, Mount Sinai Hospital, Toronto, ON, Canada e-mail: [email protected]
Reversible causes are also identified. This approach serves as an important reminder to clinicians that before prescribing additional medications to manage an acute condition, thorough assessment of current therapies may comprise effective patient management, thereby avoiding the possibility of prescribing cascades. The main features of each chapter are the medication tables that provide mechanisms of action and dosing (when applicable, the initial dosages, suggested titration, and target doses, as well as dosing considerations in patients with renal dysfunction and various renal replacement modalities). The tables also include pharmacokinetic and pharmacodynamic activities and important safety considerations such as contraindications and significant drug interactions. To ensure that readers are a
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