Fundamentals of Pharmacology, 9th edition

Published by Pearson Education Australia (May 10, 2022) © 2022

  • Shane Bullock Monash University
  • Elizabeth Manias Melbourne University , The University of Melbourne

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Title overview

For undergraduate and postgraduate students in the health science disciplines

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It is designed to establish a foundational knowledge of pharmacology - the study of drug and medication actions and interactions. Students of other health disciplines whose roles involve pharmacological therapy (such as pharmacy, podiatry, optometry, paramedic and physiotherapy), as well as those studying basic science, should find much of the material relevant to their studies. Qualified health professionals may also find this textbook useful as a part of their continuing professional education and postgraduate studies.

Philosophically, our goal is to empower health professionals through an understanding of the fundamental scientific principles of pharmacology that inform clinical practice. To promote understanding, we believe that the effects of medicines on physiological and pathophysiological processes have to be clearly explained. We have included a small amount of chemistry and biochemistry where appropriate to facilitate this understanding. With a greater appreciation of the action of medicines and their target tissues, the reader should be able to deduce what therapeutic and adverse effects to expect, as well as the precautions and contraindications to consider. We have sought to balance the pharmacology content with considerations associated with clinical practice in the most readable way.

Where possible, we have tended to describe the important characteristics of medicine groupings rather than focus on individual agents. We have used prototypes and common generics as examples. The rationale for this approach is that new medicines are regularly entering the market while older agents are removed. The average practitioner cannot possibly keep up with all these changes. However, if a student knows which grouping a new agent belongs to, the principal characteristics of the medicine can be easily deduced.

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Key features

  • Concept maps - Shows the links between the pharmacology and pathophysiology of common conditions
  • Specific icons - Visual ways to identify whether medicines are available in Australia and/or New Zealand
  • Clinical management boxes - Highlights clinical applications of theory and uses the clinical decision-making framework in a step-by-step process for care of the person
  • Case studies - Gives students the opportunity to apply theoretical knowledge to real-world scenarios in a low-stakes environment, thereby developing important critical thinking and analysis skills.
  • Review questions - Consolidation of student's learning

New to this edition

  • Framework change: Focuses on a body systems approach - A systems approach in nursing is one that organises health assessment around different body systems, such as cardiac, respiratory, neurological, gastrointestinal, urinary, and musculoskeletal systems. Moving to a systems-based approach will help students navigate the content easier and find what they need more quickly.
  • New section - Inflammation, immunity and cancer - Content and flow fit better within this new section allowing for a better learning experience for the learner.
  • Streamlining of content topics and chapters - As this product is designed to establish foundational knowledge of pharmacology, this edition has focused on streamlining the content to core needs. As such, there has been integration of some topics into current chapters and removal of content some instances.
    • Removed
      • The roles and responsibilities of health professionals in medicine adherence, education and advocacy, will be removed as this is usually covered in other nursing titles
      • Management of common adverse drug reactions, as this was causing confusion for students
      • Drug development and evaluation, as the focus is on drug safety.
      • Drug abuse in sport - not core content for target audience
    • Integrated
      • An introduction to chemical mediators
      • Histamine and antihistamine (taken in within the 'inflammatory' part of the text)
      • Prostaglandins and serotonin
      • Nitric oxide and the endothelins (taken in within another part of the text)

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Table of contents

  • SECTION I AN INTRODUCTION TO SOCIOCULTURAL ASPECTS, LAW AND ETHICS
  • 1 Sociocultural aspects
  • 2 Health professionals and the law
  • 3 Ethical issues in health care
  • SECTION II MEDICINE ADMINISTRATION AND PROFESSIONAL RESPONSIBILITIES
  • 4 Medicine formulations, storage and routes of administration
  • 5 The clinical decision-making process
  • 6 Medicine administration strategies and documentation
  • 7 Medication errors
  • SECTION III GENERAL ASPECTS OF PHARMACOLOGY
  • 8 Drug nomenclature
  • 9 Pharmacokinetics
  • 10 Pharmacodynamics
  • 11 Pharmacogenetics
  • 12 Drug interactions
  • 13 Pharmacokinetic factors that modify drug action
  • 14 Paediatric and geriatric pharmacology
  • SECTION IV TOXICOLOGY
  • 15 Poisoning and envenomation
  • 16 The management of acute clinical overdose
  • 17 Contemporary substances of abuse
  • 18 Medicine safety
  • SECTION V AUTONOMIC PHARMACOLOGY
  • 19 General aspects of neuropharmacology
  • 20 Adrenergic pharmacology
  • 21 Cholinergic pharmacology
  • SECTION VI NEUROPHARMACOLOGY
  • 22 Antipsychotic agents
  • 23 Anxiolytics and hypnotics
  • 24 Antidepressants and mood stabilisers
  • 25 Neurodegenerative disorders
  • 26 Antiseizure agents and muscle relaxants
  • 27 Central nervous system stimulants
  • SECTION VII PAIN AND ANAESTHESIA
  • 28 Analgesics
  • 29 Migraine and other headaches
  • 30 General anaesthesia
  • 31 Local anaesthesia
  • SECTION VIII INFLAMMATION, IMMUNITY AND CANCER
  • 32 Anti-inflammatory agents
  • 33 Antigout medicines
  • 34 Antihistamines
  • 35 Immunomodulating agents
  • 36 Cancer chemotherapy
  • SECTION IX CARDIOVASCULAR AND RESPIRATORY PHARMACOLOGY
  • 37 Dyslipidaemia
  • 38 Antihypertensive agents
  • 39 Antianginal agents
  • 40 Anticoagulant, antiplatelet, fibrinolytic and haemostatic agents
  • 41 Diuretics and other renal medicines
  • 42 Heart failure
  • 43 Antidysrhythmic agents
  • 44 Fluid and potassium imbalances
  • 45 Anti-anaemic agents
  • 46 Medicines used in obstructive and restrictive lung
  • SECTION X THE MODULATION OF GASTROINTESTINAL FUNCTION
  • 47 Coughs, colds and respiratory allergy medicines
  • 48 Gastrointestinal tract medicine
  • 49 Antiemetic agents
  • 50 Enteral and parenteral nutrition
  • SECTION XI ENDOCRINE AND METABOLIC PHARMACOLOGY
  • 51 Pituitary conditions
  • 52 Thyroid conditions
  • 53 Diabetes mellitus and blood glucose management
  • 54 Adrenal cortex conditions
  • 55 Gonadal conditions
  • 56 Bone disorders
  • 57 Obesity
  • SECTION XII ANTIMICROBIAL PHARMACOLOGY
  • 58 Introduction to antimicrobial therapy
  • 59 Antibacterial agents
  • 60 Antituberculotic and antileprotic agents
  • 61Antiseptics and disinfectants
  • 62 Antiparasitic agents
  • 63 Antiviral agents
  • 64 Antifungal agents
  • SECTION XIII SPECIAL TOPICS IN PHARMACOLOGY
  • 65 Skin conditions
  • 66 Ophthalmic medicines
  • 67 Herbal medicines
  • APPENDICES 
  • A Common prescription terminology
  • B SI units
  • C Medicine calculations
  • D Common symbols used in medication charts
  • E Important herbal medicine interactions

Author bios

Professor Shane Bullock has been involved in the education of health professionals and science students for more than 30 years. He is currently the Head of the Monash University School of Rural Health, involved in rural health workforce preparation and development. Shane is the co-author of two Australian textbooks, Fundamentals of Pharmacology, now in its 9th edition, and Psychopharmacology for Health Professionals. He has also published a number of journal articles on health professional education and health service delivery.

Elizabeth Manias is a registered nurse and a pharmacist. Her areas of interest include medication safety, medication adherence, communication processes between health professionals, patients and family members, and patient safety and risk management. Her work also involves examining organisational and environmental aspects of patient safety, and consumer participation in care. She employs diverse research methodologies when undertaking research, including interventional studies, ethnographic approaches, clinical audits and the validation of risk assessment tools. Elizabeth is very passionate about developing, testing and implementing practices aimed at improving patient safety, and facilitating patient and family engagement in health care. She also enjoys working with clinicians to improve healthcare. Elizabeth is an advocate for supporting students in their learning to facilitate high quality patient care.

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