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6) Pregnancy Calculator:
calculates the important dates for pregnant patients.
Quantitative Beta HCG ranges are also included.
Whether you know the either the 1st Day LMP, the number of weeks
pregnant, or due date, this module will quickly calculate the
other two. For example if your patient told you their 1st Day
LMP, by entering that date you will be told the number of weeks
currently pregnant and the due date, plus the expected B-HCG
range. Simply play with this module as it is self explanatory.
7) RSI Wizard: provides
information and calculations on dosing of drugs for intubation
for both adult and pediatric patients.
Head Injury Example: A head injured male weighing 70 kgs arrives
at ER with diminished mental status. The decision is made that
he should be intubated prior to head CT. There is papilledema on
a fundoscopic exam so both Lidocaine and Mannitol are desired as
adjuncts, Versed for sedative, Morphine for Narcotic, and
Succinylcholine for paralytic.
Select RSI Wizard, then enter 70, select Kilograms and press ‘Enter’.Select
Lidocaine & Mannitol from the Adjunct menu
Select Versed (Midazolam) from Sedation
Select Morphine from Narcotic
Select Succinylcholine from the Paralytic menu
Select the ‘Result’ button.The results page displays both
the standard dosing range for both mL of drug and the mg amount.
Importantly, if your patient is a child the results also
recommend the Broselow Drawer by the color, along with estimated
tube size for everything from ET Tube to urinary catheter size.
E.g. 20 kg:
"Tube Size Info: Color
Code = Blue; ETT 5.0-5.5; Laryngoscope: 2 Miller/Mac; Stylet: 14
French, ETT Depth Insertion 15-16.5 cm, LMA
2.5 Max air in cuff =
14ml, Suction
Cath: 10 French, IV Cath: 18-20, Butterfly: 21-23, NG Tube:
12-14 French, Urine Cath: 10-12 French, Chest Tube 24-32
French."
This
module makes a stressful situation less stressful, allowing more
focus on patient care rather than spending precious time calculating
drug doses.
8) Toxicology: provides
information on most common poisonings with the ability to
calculate antidote dosing, plus provides all local poison center
numbers throughout the United States.
Antifreeze Poisoning Example: An 8-year-old weighing 34 kg
presents with his mother 2 hours after drinking approximately 8
ounces of antifreeze.
Select Toxicology, and then select the
Poisoning/Ingestions/Bites section.
Select Ethylene Glycol (Antifreeze).
The most pertinent information is then provided including
mechanism of the toxicity, clinical findings, laboratory
findings, recommended laboratory tests to be taken, recommended
treatment/antidote detailing both oral and intravenous methods
of treating this poisoning, along with useful tips and
management information.
In this example, after following the recommended urine test you
decide the child will require an antidote. You would note that
options for treatment include Fomepizole or Ethanol. You opt for
Fomepizole so would then proceed to our antidote section to
calculate dosing.
Select the ‘Back’ button, then enter the Antidote
sectionSelect 34 then Kilograms, then Press ‘Enter’Select
Fomepizole (Antizol)The results then display the calculated
result, with the standard Dosing, mixing instructions, and
Infusion
instructions. In this case you would note that initial dosing
should be 15 mg/kg, followed by 10mg/kg q12 hrs x 4 doses, then
15mg/kg q12 hrs. This should be mixed 1 gram in 100mL of NS or
D5W and be infused over 30 minutes IV, and should be continued
until ethylene glycol levels are below 20 mg/dL.
With all poisonings you should consider consultation with your
regional poisoning center for both initial and continuing
management. To find the phone number of the local Poison Center,
press the ‘Back’ button, then select the Phone Number
section and select your state.
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