Lippincott Williams - Nursing2021 Drug Handbook

Chief Nurse: Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC

Product Director: Claudia Vaughn

Editor-in-Chief: Collette Bishop Hendler, RN, MS, MA, CIC

Clinical Editors: Joanna Cain, RN, BSN, BA; Lorraine Hallowell, RN, BSN, RVS; Linda Lee Phelps, DNP, RN; Janet Rader, RN, BSN; Dorothy Terry, RN; Leigh Ann Trujillo, RN, MSN

Managing Editors: Diane Labus, Ellen Sellers, Carla A. Rudoy Vitale, PhD

Editors: Karen C. Comerford, Mary T. Durkin

Editorial Assistants: Jeri OShea, Linda K. Ruhf

Art Director: Elaine Kasmer

Designer: Joseph John Clark

Production Project Manager: Kim Cox

Manufacturing Manager: Kathleen Brown

Production Services: Aptara, Inc.

2021 by Wolters Kluwer. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).

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Printed in China

NDH41-010520

ISSN: 0273-320X

ISBN-13: 978-1-9751-3839-4

ISBN-10: 1-9751-3839-2

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon health care professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data, and other factors unique to the patient. The publisher does not provide medical advice or guidance, and this work is merely a reference tool. Health care professionals, and not the publisher, are solely responsible for the use of this work, including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and health care professionals should consult a variety of sources. When prescribing medication, health care professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings, and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used, or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

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Anatomy of a monograph

Janine Barnaby, BS Pharm, RPh, BCOP

Manager, Outpatient Hospital Pharmacy

Lehigh Valley Hospital

Allentown, PA

David Bruch, BS, PharmD

Associate Lecturer

University of Wyoming School of Pharmacy

Laramie

Lawrence Carey, PharmD, RPh, BS

Clinical Professor of Pharmacy Practice

Director of Experiential Education

Associate Chair Pharmacy Practice

Temple University School of Pharmacy

Philadelphia, PA

Jason Cooper, PharmD

Clinical Pharmacist

Medical University of South Carolina

Charleston

Lana Gettman, PharmD

Associate Professor, Department of Pharmacy Practice

Harding University College of Pharmacy

Searcy, AR

Toshal S. Hallowell, PharmD

Pharmacist

Edward M. Kennedy Community Health Center

Worcester, MA

AnhThu Hoang, PharmD

Instructor, Faculty of Applied Health and Community Studies

Sheridan College

Brampton, Ontario, Canada

Rebecca Hoover, PharmD, MBA, BCPS

Assistant Professor

Idaho State University

Pocatello

Lenka Janecka, BSPharm, RPh, CRE

Clinical Consultant

New York, NY

Jill Krabak, PharmD, BSPharm

Pharmacist

Rite Aid

Scranton, PA

Chung-Shien Lee, PharmD, BCPS, BCOP

Assistant Professor

St. Johns University

Queens, NY

Hannah Livengood, PharmD

Formulary/Clinical Pharmacist

Health Partners Plans

Philadelphia, PA

Celia Lu, PharmD, BCACP

Assistant Professor

St. Johns University

Queens, NY

Kristy H. Lucas, PharmD, FCCP, CTTS

Professor, Pharmacy Practice Department

University of Charleston School of Pharmacy

Charleston, WV

Kimberly E. Ng, PharmD, BCPS

Assistant Professor

St. Johns University

Queens, NY

Michele Pisano, PharmD, BCGP, CDE

Associate Professor

St. Johns University, College of Pharmacy and Health Sciences

Queens, NY

Christine Price, PharmD

Clinical Coordinator, PGY1 Pharmacy Residency Director

Morton Plant Hospital

Clearwater, FL

Janet Rader, BSN, RN

Clinical Consultant

New Tripoli, PA

Melissa Rinaldi, PharmD

Clinical Pharmacist

Independence Blue Cross

Philadelphia, PA

Kerry Rinato, PharmD, BCPS

Clinical Pharmacist

Sunrise Hospital

Las Vegas, NV

Maha Saad, PharmD, BCGP, BCPS

Associate Clinical Professor

Co-Director, Drug Information Services

St. Johns University, College of Pharmacy and Health Sciences

Queens, NY

Michele F. Shepherd, PharmD, MS, BCPS

Clinical Specialist

Abbott Northwestern General Medicine Associates

Edina, MN

Michelle Smith, PharmD, BCPS, CPE

Consultant

Havre, MT

The best-selling nursing drug guide for 41 years, Nursing Drug Handbook is meticulously reviewed and updated annually by pharmacists and nurses to include the most current, relevant information that practicing nurses and students need to know to administer medications safely in any health care setting. As in previous editions, Nursing2021 Drug Handbook emphasizes nursing and safety aspects of drug administration without attempting to replace detailed pharmacology texts. Only the most essential information is included, and helpful graphic symbols, logos, and highlighting draw special attention to critical details that cant be overlooked.