Important Correction Notice – NICU Primer for Pharmacists
The American Society for Health-System Pharmacists (ASHP) has issued an important recall and correction notice for NICU Primer for Pharmacists by Amy P. Holmes.
On page 29, Chapter 3, Parenteral Nutrition, under the heading “Macronutrients: Carbohydrates” in the published book, the examples of typical glucose infusion rates (GIR) appear as “mg/kg/hr“. The corrected version of these rates should be in “mg/kg/min”.
The corrected paragraph substituting the correct units of "mg/kg/min" should read as follows:
Dextrose is a major component in a neonate PN. It should provide 40 to 50% of total calories from the PN. Dextrose concentration typically ranges from 10 to 15%. Specific patient populations such as infants of diabetic mothers may require higher dextrose concentration and glucose infusion rates (GIR), which are important in starting and advancing PN. Normal starting GIR is 3 to 5 mg/kg/min and is advanced by 2 to 3 mg/kg/min to a maximum of 10 to 12 mg/kg/min. When advancing dextrose and IV fluid rates, pharmacists should remember that both affect GIR. In some instances if both dextrose and IV fluid goals are increased at the same time, this may increase GIR by more than 2 to 3 mg/kg/min. Every 1 gram of dextrose provides 3.4 kcal. Blood glucose is monitored for hypo- and hyperglycemia.
The actual equation on page 30 that would be used to calculate an individual neonatal GIF is CORRECT.
For print copy purchasers:
If you have a print copy of NICU Primer for Pharmacists, the publisher asks that you return the copy to ASHP. ASHP will send you a corrected copy at no charge. For shipping the book to ASHP, please call 866-279-0681 or email ASHP at [email protected] for a prepaid shipping label.
For ebook purchasers:
Please delete your current ebook file for this title. To receive a corrected ebook file, go to your ebook library at ebooks.ashp.org.