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MICROMEDEX

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Title: MICROMEDEX


1
MICROMEDEX 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
  • ????

5
MicroMedex
  • ????????????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)

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????
  • MOBILE?????MicroMedex
  • MY SUBSCRIPTION????????
  • MICROMEDEX GATEWAY????
  • LOG OUT?????
  • HELP????

??????
???
?????????????
9
  • ???iPhone, iPad, Blackberry, Android??
  • ????,??????????(Palm OS, Pocket PC)
  • ????????????????????????????
  • ????????????

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MY SUBSCRIPTION
11
??MicroMedex 2.0
  • ?????
  • ??????
  • ????
  • ????
  • ???????
  • ??????
  • ??????
  • ????
  • ????
  • ????
  • ?????
  • ????
  • ????
  • ????

12
?????????
  • ?????
  • ?????????????
  • ?????????
  • ?????????
  • ?????/??
  • treatment for hypertension
  • dosing for propofol

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????
15
Drug Dashboard?????
1.?????
????????????????????????????
2. ??????
3.????-??????????
16
?????????
????10???,???????????, ?????????????
DrugPoints??????,???????????????????????????
???????
17
????(DrugPoint)
???????
?????????
??????
????????????
?????
?????????????
??
18
????(DrugDex)
???????????
?????????????????
????????????????????
????
?????????PubMed????
19
????
????????
????????
??
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?????????????????
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???????????
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Highlights ????
??????,?????????????
??????????????
?DrugDex??????????????
24
???????????
25
???????????
26
?????????????
?????????????
27
Martindale Information????????
?????????????
??
28
Index Nominum
????5,300????,42,000?????????????????????????????
29
Index Nominum
???????? ?????/???????
30
??????????
????????????????????????
31
????????
???????? ?????????????
?????
???????????
?????????
???????????
32
????
Heart
fail
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View detailed document
37
Clinical Checklist
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?????
nilo
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??????????
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???
  • Drug Interactions??????
  • Trissels2 IV Compatibility???????
  • Drug Identification????
  • Tox Drug Product Lookup???????
  • Drug Comparison????
  • Red Book Online??????
  • Calculators??????????
  • ??????????

45
??????
war
  • ?????????
  • ?????
  • ?????
  • ?????
  • ????????

46
ginse
47
penic
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?????????
  • ?????????
  • ??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

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??????
  • 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.

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66
Calculators
  • 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.

67
Calculators
  • ??72????,???CICU???????????????????????,??????????
    ??????????????,??????????,??????,??????????????,
    ?????????????????????ACLS/ 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.

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70
LAB 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

71
LAB INFORMATION
  • ???????,??????????????????1???????????2????????
    ????

72
???????
  1. In the search field type blood cu, select Blood
    culture and click Search.
  2. Select the Blood culture link.
  3. Select Collection/ Storage Information from the
    left hand navigation list.
  4. Scroll to the Guidelines for infants.

73
DRUG 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.

74
DRUG 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.

77
DRUG 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.

78
DRUG DOSING
  • ??4N?????????????nilotinib hydrochloride
  • ??????????,?????matinib?
  • ????????12?????400??????????????????????,???,????
    ???????????????????????(ECG)????????

79
???????
  1. In the search field type dosage of nilo, and
    select nilotinib hydrochloride.
  2. Click SEARCH
  3. Select the Adult Dosing link to confirm the
    correct dosage of nilotinib hydrochloride
  4. Click on the ADMINISTRATION/MONITORING link in
    the outline on the left hand side of the page
  5. Expand the Monitoring information bar for
    information on monitoring parameters and
    information on the frequency of ECGs
  6. 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

80
DISEASE
  • 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.

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DISEASE
  • ?????????,?????????????????????????????????

82
???????
  1. In the search field type guidelines for nausea
    and vomiting and select Search.
  2. On the intermediate search results page select
    CHEMOTHERAPY AND RADIOTHERAPY TREATMENT
    GUIDELINES FOR NAUSEA AND VOMITING.
  3. You are provided with a drug consult that
    addresses the most recent guidelines for treating
    nausea and vomiting.
  4. 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.

83
DIRECT 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.

84
DIRECT TO TOPIC DRUG SEARCH
  • ?????????52???2????????? FDA??????????????????????
    ????????????????????

85
???????
  1. Type indicat, pause and select indication for.
  2. Type a space and type Bromoc, pause and select
    Bromocriptine
  3. Click Search
  4. The result page opens to the FDA-Labeled
    Indication section of the Bromocriptine summary
    document
  5. 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
  •  ????86-10 65383610 ??86-10-65383602
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