Pharmacology for the Primary Care Provider , 4th Edition

By Marilyn Winterton Edmunds, PhD, ANP/GNP and Maren Stewart Mayhew, MS, ANP
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New Features


  1. UNIQUE! Full-color design and illustrations: The 4th edition features an all-new full-color design and illustration program that highlights the content that is most important for primary care prescribers to know.
  2. New drugs, drug classes, and therapeutic uses: The new edition is updated throughout to reflect the very latest FDA-approved drugs, drug classes, and therapeutic uses. Coverage of older, lesser-used drugs have been reduced or eliminated, and FDA-withdrawn drugs have been removed.
  3. New section on male hormone replacement therapies: Updated chapter on hormone replacement therapies now covers men as well as women.
  4. Updated coverage of the latest national clinical and evidence-based treatment guidelines: The book is updated throughout to reflect the very latest national clinical practice guidelines and evidence-based treatment guidelines to ensure that students are equipped with the most up-to-date evidence-based prescribing information. In particular, the 4th edition includes the latest clinical treatment guidelines for diabetes, which change frequently.
  5. Integrated and highlighted coverage of drug-herb and other alternative therapy interactions: To supplement the book's complementary and alternative therapies chapter (Chapter 8), clinically significant drug-herb/supplement interaction tables will be added throughout chapters and highlighted with a distinctive icon.
  6. Expanded emphasis on safety and evidence-based practice, consistent with QSEN: To address the growing problem of drug errors and to better align the book with the Quality and Safety Education for Nurses (QSEN) initiative, the book's emphasis on safe drug administration is enhanced with retooled, color-highlighted "Safety Alert!" and "Clinical Practice Alert!" features (formerly "Clinical Landmine"). The 4th edition also features a greater emphasis on the QSEN competency of evidence-based practice, with frequent reference throughout to reliance on the best research evidence.
  7. Reduced coverage of drugs not commonly seen in primary care: The new edition features reduced coverage of drugs not commonly seen in primary care.. This will allow an increased focus on need-to-know drug content for primary care practice.

7. Enhanced ancillary package emphasizing graduate-level QSEN KSAs : Enrollments in graduate-level nursing programs are surging dramatically, particularly in DNP programs. According to AACN, "In just five years, the number of schools offering the DNP has increased from 20 programs in 2006 to 153 programs in 2010, with another 106 programs in the planning stages. Last year [2010], enrollment in these programs grew by 35.3% with 7,034 students now enrolled in DNP programs" (AACN, available at According to Marilyn Edmunds, however, one result of this growth is a severe shortage of faculty in NP programs, leaving inexperienced faculty in dire need of limited but high-quality ancillary resources. The ancillary package for the 4th edition has been enhanced by revamping and expanding the existing Test Bank to improve the quality and number of questions.Improved chapter-opening Drug Overview tables: The Drug Overview tables, which serve as an advance organizer at the start of each chapter, have been enhanced with more intuitive "Top 100" icons that highlight the most commonly prescribed drugs, as well as an improved, colorful graphic design.

Key Features Retained

  1. Nurse practitioner focus: Written by Nurse practitioners for Nurse practitioners (as well as PAs), with an overall emphasis on patient teaching and health promotion, Edmunds & Mayhew focuses on the kinds of information that primary care providers need to know.
  2. Key drug approach: A "key drug" approach enables students to focus on the most representative, commonly used drugs in each class to promote learning of need-to-know information.
  3. Drug Overview tables: Drug Overview tables at the start of each chapter summarize key drugs for each chapter as an advance organizer and conceptual framework for each chapter.
  4. Emphasis on the "Top 100" most prescribed drugs: Focuses valuable teaching and study time on the most important, need-to-know drug information
  5. Consistent chapter organization: A consistent organization from chapter to chapter facilitates understanding and learning of key concepts.
  6. Highlighted content on patient teaching and drug adherence: Highlighted content on patient teaching and adherence to the drug regimen emphasizes the primary care provider's role in patient teaching, an increasingly integral role in an era when patients and caregivers are now being called upon to do more to manage their own health.
  7. Drug therapy for special populations: Extensive coverage of drug therapy for special populations (e.g., geriatric, pediatric) alerts the primary care provider to special considerations based on age, pregnancy, race, etc.
  8. Emphasis of health promotion: Consistent with the health promotion emphasis that is characteristic of nurse practitioners in the primary care setting, the book emphasizes how to help patients stay well and improve their health, as well as preparing practitioners to treat illness with drug therapy.
  9. Clinical alerts: "Safety Alert!" and "Clinical Practice Alert! features (formerly "Clinical Landmines") highlight essential safety and clinical practice information that primary care providers must remember in order to practice safely and effectively.

Written by and for nurse practitioners, and also suitable for physician's assistants, Pharmacology for the Primary Care Provider, 4th Edition focuses on what you need to know to safely and effectively prescribe drugs for primary care. An emphasis on patient teaching helps you gain patient adherence to prescribed drug regimens, and guidelines for health promotion help in maintaining and improving your patients' health. Now in full color, this edition expands the book's emphasis on the QSEN priorities of safety and evidence-based practice, and adds coverage of new drugs, new drug classes, and new therapeutic drug uses. Written by leading nurse practitioner authorities Marilyn Winterton Edmunds and Maren Stewart Mayhew, Pharmacology for the Primary Care Provider teaches principles of pharmacotherapeutics using today's most commonly used drugs.

Key Features
    • A Key Drugs focus highlights the most commonly used and most representative drugs of each major drug class - with particular emphasis on the top 100 most commonly prescribed drugs.
    • Emphasis on patient teaching helps you communicate with patients and family caregivers to promote adherence to the drug regimen.
    • Emphasis on health promotion describes how to help patients stay well and improve their health, including coverage of immunizations and biologicals, vitamins, weight management, and smoking cessation.
    • Evidence-Based Decision-Making and Treatment Guidelines chapter (11) provides practical guidelines for using the best current research evidence to make decisions about the care of individual patients.
    • Extensive coverage of drug therapy for special populations such as geriatric and pediatric patients includes considerations related to age, pregnancy, race, and other factors.
    • UNIQUE! Coverage of prescriptive practice includes topics such as prescriptive authority, role implementation, and the role of nurses (NPs, CNMs, CRNAs, and CNSs) and physician assistants in writing prescriptions.
    ISBN 9780323087902
    Author Information By Marilyn Winterton Edmunds, PhD, ANP/GNP, Adjunct Faculty, School of Nursing, Johns Hopkins University, Baltimore, Maryland; Editor, JNP: The Journal for Nurse Practitioners. and Maren Stewart Mayhew, MS, ANP, Nurse Practitioner, The Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Walter Reed Army Medical Center, Rockville, Maryland
    Table of Content


    Unit 1: Foundations of Prescriptive Practice
    1. Prescriptive Authority and Role Implementation: Tradition vs. Change
    2. Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and CNSs) and Physician Assistants

    Unit 2: Pharmacokinetics and Pharmacodynamics
    3. General Pharmacokinetic and Pharmacodynamic Principles
    4. Special Populations: Geriatrics
    5. Special Populations: Pediatrics
    6. Special Populations: Pregnant and Nursing Women

    7. Over-the-Counter Medications
    8. Complementary and Alternative Therapies

    Unit 3: The Art and Science of Pharmacotherapeutics
    9. Establishing the Therapeutic Relationship
    10. Practical Tips on Writing Prescriptions
    11. Evidence-Based Decision-Making and Treatment Guidelines
    12. Design and Implementation of Patient Education

    Unit 4: Topical Agents
    13. Dermatologic Agents
    14. Eye, Ear, Throat, and Mouth Agents

    Unit 5: Respiratory Agents
    15. Upper Respiratory Agents
    16. Asthma and Chronic Obstructive Pulmonary Disease Medications

    Unit 6: Cardiovascular Agents
    17. Hypertension and Miscellaneous Antihypertensive Medications
    18. Coronary Artery Disease and Antianginal Medications
    19. Heart Failure and Digoxin
    20. ß-Blockers
    21. Calcium Channel Blockers
    22. ACE Inhibitors and Angiotensin Receptor Blockers
    23. Antiarrhythmic Agents
    24. Antihyperlipidemic Agents
    25. Agents that Act on Blood

    Unit 7: Gastrointestinal Agents
    26. Antacids and the Management of GERD
    27. Histamine-2 Blockers and Proton Pump Inhibitors
    28. Laxatives
    29. Antidiarrheals
    30. Antiemetics
    31. Medications for Irritable Bowel Syndrome and Other Gastrointestinal Problems

    Unit 8: Renal/Genitourinary Agents
    32. Diuretics
    33. Male Genitourinary Agents
    34. Drugs for Urinary Incontinence and Urinary Analgesia

    Unit 9: Musculoskeletal Agents
    35. Acetaminophen
    36. Aspirin and Nonsteroidal Antiinflammatory Drugs
    37. Disease-Modifying Antirheumatic Drugs and Immune Modulators
    38. Gout Medications
    39. Osteoporosis Treatment
    40. Muscle Relaxants

    Unit 10: Central Nervous System Agents
    41. Medications for Attention Deficit Hyperactivity Disorder
    42. Medications for Dementia
    43. Analgesia and Pain Management
    44. Migraine Medications
    45. Antiepileptics
    46. Antiparkinson Agents

    Unit 11: Psychotropic Agents
    47. Antidepressants
    48. Antianxiety and Antiinsomnia Agents
    49. Antipsychotics
    50. Substance Abuse

    Unit 12: Endocrine Agents
    52. Glucocorticoids
    52. Thyroid Medications
    53. Diabetes Mellitus Agents

    Unit 13: Reproductive System Medications
    54. Contraceptives
    55. Hormone Replacement Therapy - NEW Title/Focus!
    56. Drugs for Breast Cancer

    Unit 14: Antiinfectives
    57. Principles for Prescribing Antiinfectives
    58. Treatment of Specific Infections and Miscellaneous Antibiotics
    59. Penicillins
    60. Cephalosporins
    61. Tetracyclines
    62. Macrolides
    63. Fluoroquinolones
    64. Aminoglycosides
    65. Sulfonamides
    66. Antitubercular Agents
    67. Antifungals
    68. Antiretroviral Medications
    69. Antiviral and Antiprotozoal Agents

    Unit 15: Health Promotion
    70. Immunizations and Biologicals

    71. Weight Management
    72. Smoking Cessation
    73. Vitamins and Minerals

    Publication Date 01-07-2013
    Pages 870
    Trim 276 x 216 (8 1/2 x 10 7/8)
    Stock Status In Stock
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