Title: MICROMEDEX
1MICROMEDEX 2.0
- ?????,????!
- (Not Searching. Finding.)
2????,??MICROMEDEX 2.0
???????? ?????????? ????????
3????MICROMEDEX 2.0http//www.thomsonhc.com/micro
medex2/librarian
4????
- MicroMedex
- ????
- ??MicroMedex 2.0
- ???????????
- ?????????????
- ??MicroMedex 2.0
- ????
5MicroMedex
- ????????????MICROMEDEX?????????,???????????7,000?
???????????????????,????????,??????????? - ?????????Micromedex??????????????????????????????
??????????,??????????????????????,?????????,??????
????????????? - ??????????MICROMEDEX?????????????????????????????
????,??????85?????,??????700?????,??????100???,?1
0??????,???,?45?????Micromedex???????????
6???????
Literature Surveillance
- ?????????????????????????????????
- ??????
- ?????
- ??????????????????????????
- ???????????????,?MICROMEDEX?????????????????!
-
Literature Evaluation
Write Content
Review Content
External Review
Final Review and Publish
7??????????
- ????(Drug complenmentary medicine)
- ??????(Patient Education)
- ??????(Disease Management)
- ?????(Toxicology)
8????
- MOBILE?????MicroMedex
- MY SUBSCRIPTION????????
- MICROMEDEX GATEWAY????
- LOG OUT?????
- HELP????
??????
???
?????????????
9- ???iPhone, iPad, Blackberry, Android??
- ????,??????????(Palm OS, Pocket PC)
- ????????????????????????????
- ????????????
10MY SUBSCRIPTION
11??MicroMedex 2.0
- ?????
- ??????
- ????
- ????
- ???????
- ??????
- ??????
- ????
- ????
- ????
- ?????
- ????
- ????
- ????
12?????????
- ?????
- ?????????????
- ?????????
- ?????????
- ?????/??
- treatment for hypertension
- dosing for propofol
13(No Transcript)
14????
15Drug Dashboard?????
1.?????
????????????????????????????
2. ??????
3.????-??????????
16?????????
????10???,???????????, ?????????????
DrugPoints??????,???????????????????????????
???????
17????(DrugPoint)
???????
?????????
??????
????????????
?????
?????????????
??
18????(DrugDex)
???????????
?????????????????
????????????????????
????
?????????PubMed????
19????
????????
????????
??
20?????????????????
21(No Transcript)
22???????????
23Highlights ????
??????,?????????????
??????????????
?DrugDex??????????????
24???????????
25???????????
26?????????????
?????????????
27Martindale Information????????
?????????????
??
28Index Nominum
????5,300????,42,000?????????????????????????????
29Index Nominum
???????? ?????/???????
30??????????
????????????????????????
31????????
???????? ?????????????
?????
???????????
?????????
???????????
32????
Heart
fail
33(No Transcript)
34(No Transcript)
35(No Transcript)
36View detailed document
37Clinical Checklist
38(No Transcript)
39?????
nilo
40(No Transcript)
41??????????
42(No Transcript)
43(No Transcript)
44???
- Drug Interactions??????
- Trissels2 IV Compatibility???????
- Drug Identification????
- Tox Drug Product Lookup???????
- Drug Comparison????
- Red Book Online??????
- Calculators??????????
- ??????????
45??????
war
- ?????????
- ?????
- ?????
- ?????
- ????????
46ginse
47penic
48(No Transcript)
49(No Transcript)
50(No Transcript)
51(No Transcript)
52(No Transcript)
53?????????
- ?????????
- ??Y?????????????
- ?????????
- ??????????????
hep
54????
?????????????????????????????????
55????
- ????????
- ????????????
- ?????2?,???????20???
56??????????
- ????????
- ???
- ???????
- ?????
- ??????
- ??????
- ??????
57????
58?????????
- Scenario
- 78 year old male with a history of hypertension
and Alzheimer disease admitted for fever,
hypertension, and atrial fibrillation. - Admitting physician starts patient on intravenous
(IV) potassium chloride, IV diltiazem, IV
rocephin, and ordered urine cultures. - You want to double-check the IV compatibility of
all prescribed drugs.
59?????????
- ??78?????????????????,????????,???????????????????
???(IV)???,?????,IV???,???????????????????????
60???????
- Select Trissels 2 IV Compatibility from the
toolbar and build the IV profile with - Diltiazem HCL
- Potassium chloride
- Rocephin
- Click Submit Compatibility
61(No Transcript)
62??????
- Scenario
- 35 year old female presents to ED with a high
fever and no other symptoms. - When interviewed about current medications, the
patient hands you a box of pills. - You are able to identify all but one, which has
an imprint of MRK on one side and 951 on the
other - You want to identify the unknown pill.
63??????
- 35?????????,????????????????????,???????????????
??????????,??????? MRK,?????951???????????
64???????
- Select the Drug Identification link on the
toolbar. - Type the imprint on the pill
- MRK (side 1)
- 951 (side 2) and click SEARCH.
- Select the COZAAR (United States) link to view
drug info and drug image.
65(No Transcript)
66Calculators
- Scenario
- A new patient (72 kg) is admitted to the CICU.
Due to a high risk of cardiac arrest, the
patient's nurse wants to have a pre-printed list
on the bedside chart, including all "code"
medications that might be needed, the proper
dosage and administration rate of each, and any
dilution or other preparation information needed. - This exercise will test for knowledge of using
the ACLS/PALS Dosing calculator.
67Calculators
- ??72????,???CICU???????????????????????,??????????
??????????????,??????????,??????,??????????????,
?????????????????????ACLS/Â PALS??????
68???????
- Select Calculators from the toolbar.
- Select ACLS/PALS Guidelines.
- Click Adult, enter patient weight (72 kg)
- Click Submit
- Enter a patient name.
- Click the Print link to print full guidelines.
69(No Transcript)
70LAB INFORMATION
- Scenario
- You have an infant patient and have been asked to
collect blood for a blood culture test. You want
to know - 1. How much blood is needed for this test
- 2. What tube to use
71LAB INFORMATION
- ???????,??????????????????1???????????2????????
????
72???????
- In the search field type blood cu, select Blood
culture and click Search. - Select the Blood culture link.
- Select Collection/ Storage Information from the
left hand navigation list. - Scroll to the Guidelines for infants.
73DRUG COMPARISIONS
- Scenario
- A 49 yr/old male presents in the ER with chest
pain that has been occurring over the past 48
hours. The patients history includes coronary
artery disease, gastro esophageal reflux disease
(GERD), asthma, and hypertension. - His current medications include Advair Diskus 1
inhalation twice daily, albuterol PRN, aspirin
325mg daily, Plavix 75mg daily, Prilosec 20mg
daily, and Singulair 10mg daily. The nurse
determines that the patient is 14 days post-op
from a percutaneous transluminal coronary
angioplasty (PTCA). - The patient is negative for an acute MI, but the
physician has also ordered a CBC with
differential, bleeding time, and hepatic function
panel to rule out potential bleeding due to
concomitant anticoagulant therapy. - The nurse wants to check monitoring parameters
for Plavix and Prilosec, and potential drug-drug
interactions for all of the patients medications.
74DRUG COMPARISIONS
- ?49?????,??????????48????????????
- ?????,????????,??????(GERD),???????????????
- Advair Diskus1???,????
- albuterol PRN????PRN
- aspirin????????325mg
- Plavix????75????
- Prilosec????20????
- Singulair???10mg???
- ????????14?????????????????(PTCA)???????????????,
????????CBC,????,??????,?????????????????????????
???Plavix and Prilosec?????????,??????????????????
???
75???????
- Monitoring Parameters
- Select the Drug Comparison tool from the toolbar.
- Add Prilosec and Plavix to compare monitoring
parameters for the two medications. - Click SUBMIT
- Select Administration/Monitoring link to jump
to specific information about monitoring
parameters. Scroll through the monitoring section
or select View Detailed Information in DRUGDEX
for more detailed information.
76???????
- Interactions
- Select Drug Interactions from the toolbar.
- Search for Advair Diskus, albuterol, Plavix,
aspirin, Prilosec, and Singulair. - Click SUBMIT
- There is a major interaction for the concurrent
use of Plavix and Prilosec. - There is a minor interaction for the concurrent
use of aspirin and Plavix.
77DRUG DOSING
- Scenario
- A nurse from 4N has a patient that is being
started on nilotinib hydrochloride for chronic
myeloid leukemia as a result of intolerance to
matinib. The physician orders 400mg orally every
12 hours and serial electrocardiograms for the
patient. - The nurse has never given this medication before
and wants to confirm the ordered dosage and
monitoring parameters. - The nurse also wants to know when the
electrocardiograms (ECG) should be completed and
why.
78DRUG DOSING
- ??4N?????????????nilotinib hydrochloride
- ??????????,?????matinib?
- ????????12?????400??????????????????????,???,????
???????????????????????(ECG)????????
79???????
- In the search field type dosage of nilo, and
select nilotinib hydrochloride. - Click SEARCH
- Select the Adult Dosing link to confirm the
correct dosage of nilotinib hydrochloride - Click on the ADMINISTRATION/MONITORING link in
the outline on the left hand side of the page - Expand the Monitoring information bar for
information on monitoring parameters and
information on the frequency of ECGs - For more detailed information about the ordered
serial ECGs and other monitoring parameters
select the View Detailed Information in DRUGDEX
located towards the top of the monitoring section
80DISEASE
- Scenario
- You are an oncology nurse, and you are interested
in learning more about the most recent guidelines
for treating nausea and vomiting in chemotherapy
and radiotherapy patients.
81DISEASE
- ?????????,?????????????????????????????????
82???????
- In the search field type guidelines for nausea
and vomiting and select Search. - On the intermediate search results page select
CHEMOTHERAPY AND RADIOTHERAPY TREATMENT
GUIDELINES FOR NAUSEA AND VOMITING. - You are provided with a drug consult that
addresses the most recent guidelines for treating
nausea and vomiting. - These guidelines are used as the standard of care
for cancer patients and offer factual information
on the incidence of nausea and vomiting due to
various chemotherapeutic agents as well as the
best practices in preventing and treating it.
83DIRECT TO TOPIC DRUG SEARCH
- Scenario
- A physician is treating a 52 year old female with
type 2 diabetes and read that the FDA recently
approved bromocriptine for treatment of diabetes.
The physician needs up to date information on
bromocriptine to determine if it would be
appropriate for the patient.
84DIRECT TO TOPIC DRUG SEARCH
- ?????????52???2????????? FDA??????????????????????
????????????????????
85???????
- Type indicat, pause and select indication for.
- Type a space and type Bromoc, pause and select
Bromocriptine - Click Search
- The result page opens to the FDA-Labeled
Indication section of the Bromocriptine summary
document - Select the View Detailed information in DRUGDEX
to view more detailed information
86??????
- ???????(??)?? ??
- FlySheet Information Services (Shanghai), Inc.
- info_at_flysheet.com.cn
- ????86-21-52980395
- Â ????86-10 65383610 ??86-10-65383602