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Pediatric injectable drugs 10th edition (The teddy bear book) (Book review)

By Laurence A. Goldberg

An indispensable reference for practitioners in paediatrics

‘Pediatric injectable drugs 10th edition (The teddy bear book)’, Stephanie J. Phelps, Tracy M. Hagemann, Kelly R. Lee, A. Jill Thompson. Pp xxiv+796. Price $149. Maryland: American Society of Health-System Pharmacists; 2013. ISBN 978 1 58528 379 8

Over the past 20 years, this book has served as a valuable reference source for evidence-based information on paediatric injectable drugs. This latest edition has been revised to include 238 monographs of commonly used paediatric parenteral medications.

Twenty new monographs have been added since the previous edition was published and the existing monographs have been extensively reviewed and updated to include the most recent literature available.

Much of the information has been compiled in an evidence-based manner from primary literature, including case reports, observational reports and comparative trials. Many licensed medicines are not formally tested on children and lack rudimentary dosing information for paediatric use.

This book addresses this deficiency by compiling these case histories, accidental overdose reports and clinical studies into a single source of reference for licensed and unlabelled use of intravenous medicines in paediatric patients.

Unless otherwise specified, doses are banded into age groups. These age groups are as follows: neonates (premature and term), up to one month: infants, one to 24 months: children, two to 12 years: adolescents, 12 to 18 years. Where applicable, adult dosing is also provided.

Dosage is usually expressed as mg per kg per day in divided doses. Some doses require a calculation of body surface area or ideal body mass, and nomograms for carrying out these calculations can be found in the appendices.

Drugs requiring dosage adjustment in patients with renal or hepatic dysfunction and drugs requiring serum drug concentration monitoring are indicated. Miscellaneous information, such as sodium content, is included in the comments section of each monograph.

Information pertaining to adults is sometimes included as, in the absence of reports on paediatric use, adult data may be relevant and may be cautiously extrapolated to the paediatric population.

A comprehensive list of abbreviations and more than 4,800 references are included. This edition of the book is also available both as a mobile app and as an eBook.

This important book provides guidance to pharmacists and nurses who administer IV drugs to neonates, infants, children and adolescents. The four editors between them have over 75 years of paediatric pharmacy practice experience and this has contributed to a most thorough and comprehensive reference source.

‘Pediatric injectable drugs 10th edition’ is an indispensable reference for practitioners working in paediatrics. 

Laurence A. Goldberg is a pharmaceutical consultant from Bury, Lancashire.

Citation: The Pharmaceutical Journal DOI: 10.1211/PJ.2013.11128339

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