Medical

Quick Reference

4) Quick 'Drug' Reference/ IVF/ Electrolytes...

BE SURE TO INCLUDE IN YOUR PHYSICAL EXAMINATION/MEDICAL QUESTIONAIRRE FORM THE FOLLOWING INFORMATION :

Include any medications, prescription or non-prescription, alcohol, or drugs that you are now taking or plan to take during your treatment.

Note if you are pregnant, or if you are planning to become pregnant while you are taking the medication.

Note if you are breast-feeding an infant.

http://pdr.net/login/Login.aspx

http://pharmrep.findpharma.com/ ( Pharm -Rep) 

http://nofreelunch.org/

 

Insulin Pen Devices

 

http://www.nursingconsult.com/nursing/index

 

http://www.lexi.com/

http://www.pharmacytimes.com/***

http://www.barksdale.af.mil/library/factsheets/factsheet.asp?id=5012 ******

Includes all drug compatibility information under the Administer monograph ... PDR Guide to Drug Interactions, Side Effects & Indications - Thomson PDR ...

Mosby's Nursing Drug Reference

http://www.medscape.com/druginfo/druginterchecker

http://www.herbmed.org/     http://www.naturaldatabase.com/(S(1nljhf55j3lstmajlyiydo45))/home.aspx?cs=&s=ND      http://naturalstandard.com/

http://www.factsandcomparisons.com/

http://quikmeds.com/

http://www.prescribingreference.com/ixbin/hixclient?_IXDB_=empr&search-form=login/login2.htm&_IXSESSION_=&submit-button=search (MPR)********

JCCC DRUG FORMULARY 2006 REVISED 12/05**********************************

http://cancerweb.ncl.ac.uk/cgi-bin/omd?query=acetaminophen ( Drug Dictionary)

http://www.havaizleme.com/drugs-and-medications/ (A-Z)

http://www.accessdata.fda.gov/scripts/cder/ob/default.cfm (Generic Substitution)

 

https://www.rxevent.org/

http://www.drugs.com/    http://www.drugstore.com/   http://www.pqri.org/

http://www.ahrq.gov/qual/pillcard/pillcard.htm ( Pill card)

http://www.webmd.com/drugs/search.aspx?stype=DRUG&query=IBUPROFEN ( Otc drugs)***

http://www.consultantlive.com/display/article/10162/37649 ( Drug therapy in the elderly: Avoiding adverse effects)

http://www.consultantlive.com/display/article/10162/37454 ( Prescribing for elderly patients; beware of pitfalls; Table.)

Genetic variant may increase risk of myopathy in patients taking statins, study suggests. "A variation in the DNA code of a gene called SLC01B1 has been responsible for 60 percent of the myopathy cases in people taking high dose statin therapy." This gene "regulates the uptake of statins into the liver, and the genetic variant seems to affect its function, causing higher levels of the statin to be present in the blood."

http://www.fpnotebook.com/PHA.htm ( System-wise)

http://www.studystack.com/studytable-29583 ( How do drugs work?)

http://medicine.iupui.edu/flockhart/table.htm ( Cytochrome P450 Enzymes and their Inhibitors/ Inducers)

http://members.aol.com/pocketpeds/pages/online.htm ( Peds- Drug Guide)

http://www.cvpharmacology.com/mechanism_classes.htm ( Cardiovascular Pharmacology)

http://www.usask.ca/pediatrics/services/pain/policies/PEDIATRIC_ANALGESIC_DRUG_DOSAGE_GUIDELINES.pdf ( Ped Analgesic Drug Chart)

http://www.arthritis.org/matching-conditions-to-meds.php ( Conditions/ Drugs)

http://www.healthsquare.com/aindex/aa-af.htm ( A-Z)

http://jama.ama-assn.org/cgi/content/extract/301/8/900 (EVIDENCE-BASED MEDICINE); http://www.cebm.net/

 

http://jama.ama-assn.org/cgi/content/full/301/8/865  (Conservative Prescribing)

 

http://www.ashp.org/mngrphs/ahfs/ ( Meds)

 

http://copays.org/    http://cdfund.org/     http://www1.va.gov/health/index.asp    http://rxassist.org/     https://www.pparx.org/Intro.php ( Prescription Assistance).

 

http://www2.caremark.com/naco/    http://www.medicarerights.org/rxchart_states.html

 

https://online.epocrates.com/public/portkey/?monograph=formularies&src=PK ( Formulary Look-up)*****

 

http://nacds.org/

http://ncpanet.org/

http://nationalerx.com/

http://www.walmart.com/pharmacy

http://209.85.165.104/search?q=cache:_GhPSW_I5scJ:www.macdill.af.mil/shared/media/document/AFD-060808-013.doc+amoxil+250/5&hl=en&ct=clnk&cd=44&gl=us ****

https://www.pfizerpro.com/content/home.jsp (Patient Assistance Programs)

https://online.epocrates.com/noFrame/ **************************DRUGS

http://dictionary.infoplease.com/sig ( sig.)

http://www.medscape.com/viewarticle/575036 ( Nephrotoxicity)

http://cme.medscape.com/viewarticle/577357 ( Digoxin Toxicity)

http://www.fda.gov/ohrms/dockets/AC/05/slides/2005-4194S1_04_Gage_files/frame.htm ( Warfarin Pharmacogenetics).

http://www.rxlist.com/narcan-drug.htm ( Naloxone)

http://antibiotics.emedtv.com/amoxicillin/amoxicillin.html

http://freebies.about.com/od/healthfreebies/p/atdg.htm (Arthritis Drug-Guide)

http://www.medscape.com/viewarticle/587711 (ICU sedation--midazolam vs. dexmedetomidine)

http://www.hiv-druginteractions.org/

http://www.pharmacist.com/am/template.cfm?Section=Home2

 

MEDICATIONS USED IN ADULT CODE BLUE EMERGENCIES ---

 

Pharmacist Online Resources - Parenteral Therapy **** 

Intravenous Medication Administration Guidelines    Adult critical care medications for continuous IV infusion      Intravenous Dilution Standards - GlobalRPh 

Restricted Administration Drug Tables     Critical Care Drug Monographs     ICU Meds Intravenous Drip Rate Calculator      http://www.globalrph.com/drip.htm ( IV Drip-Rate Calculator)

Massachusetts General Hospital Intravenous Medication Reference      Intravenous Phenytoin / Fosphenytoin Administration Guideline       BCCA Cancer Drug Manual

_________________________________________________________________________________________________________________________________________

http://www.methodistmd.org/pdf/osets/404-QM-(12-20-06).pdf ( NSTEMI/ Unstable Angina)

http://www.fda.gov/medwatch/

__________________________________________________________________________________________________________________________________________

Sample Admission Orders:

http://suttermedicalcenter.org/ordersforms/files/Orders/05030_01_pmaicu.pdf (Sample/ ICU admission orders)********

http://webmedia.unmc.edu/intmed/geriatrics/reynolds/pearlcards/hospitaladmissions/hospitaladmission.pdf (Hospital Admission Orders)***********

http://webmedia.unmc.edu/intmed/geriatrics/reynolds/pearlcards/hospitaladmissions/hospadm_pearlcard.htm (HAO)**********

http://www.palmspasadena.com/gedownload!/DIABETIC%20KETOACIDOSISUNCONTROLLED%20DIABETES.pdf?item_id=624024&version_id=624025 ( DKA; Admission Orders sample)*********

http://www.perinatology.com/protocols/DKAset.htm (DKA--Pregnancy)

http://cme.medscape.com/viewarticle/703184 (Insulin Detemir)

Give D50 using formula :( 100 - BG) x 0.3 = # cc of D50 to be given IV Push.

http://74.125.47.132/search?q=cache:nUQ2rHUlCOYJ:www.adaendo.com/bode/orders.pdf+4+meq+per+lt+of+blood+glucose+equals&cd=3&hl=en&ct=clnk&gl=us (Insulin Drip Orders: Sample)

 

 

http://74.125.47.132/search?q=cache:APl4rwToQCsJ:www.ihs.gov/nonmedicalprograms/nc4/Documents/Pneumoniaadmissionorders(PIMC).doc+admission+orders+for+pneumonia&cd=1&hl=en&ct=clnk&gl=us (Admission Orders/ Pneumonia)

 

http://www.calgaryhealthregion.ca/clin/cme/cpg/COPDAdmissionOrders.pdf (Admission orders/ AECOPD)

 

 

http://www.walgreens.com/library/encyclopedia/1/contentlist.jsp?doctype=&subcontent=Disease&sectionname=Diseases%20and%20Conditions&alpha=A (A-Z)

______________________________________________________________________________________________________________________

MEDS USED IN ARTHRITIS:

http://www.arthritistoday.org/treatments/drug-guide/index.php (A-Z)

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-nsaids.php (NSAIDS);

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=NSAIDs

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=analgesics (Analgesics);

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-analgesics.php

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-corticosteroids.php (Corticosteroids);

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=corticosteroids

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-biologics.php (Biologics);

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-biologics.php

http://cme.medscape.com/viewarticle/706293 (MTX--AE)

 

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=fibromyalgia (Fibromyalgia Meds);

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-fibromyalgia-medications.php

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=dmards (DMARD);

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-dmards.php

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=osteoporosis (OP Meds)

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-osteoporosis-medications.php

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=gout (Gout Meds);

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-gout-medications.php

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-sjogrens-medications.php (Sjogren’s Syndrome Meds);

http://www.arthritistoday.org/treatments/drug-guide/types-of-drugs/drug-guide-sjogrens-medications.php

 

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=corticosteroids (CS)

http://cme.medscape.com/viewarticle/705170 (Diclofenac Sodium)

 

http://www.arthritistoday.org/treatments/drug-guide/drug-news-and-updates/general-medications/food-drug-interactions.php (Beverages that block meds)

___________________________________________________________________

http://members.aol.com/pocketpeds/pages/drugs/pp31.htm ( Peds/ Pain, Fever, Arthritis)

Postmarket Drug Safety Information for Patients and Providers

 

http://www.arthritis.org/matching-conditions-to-meds.php ( Matching conditions to Meds)***

http://www.merck.com/mmhe/sec09/ch121/ch121c.html ( Peptic Ulcer/ Drugs)

Rx Wizard      http://www.rxlist.com/script/main/hp.asp

 

http://www.medscape.com/viewarticle/580063 ( TNF -a Inhibitors)

http://www.medindia.net/doctors/drug_information/home.asp ( A-Z)

http://www.medindia.net/drugs/drug_toxicity/home.asp ( Drug Toxicity)

http://www.nabp.net/ ( NABP)

http://articles.moneycentral.msn.com/Insurance/InsureYourHealth/13WaysToSaveOnPrescriptions.aspx***

http://www.rxaminer.com/consult/consult_mydrugs.asp ( Generic/ Brand Drugs)

http://www.freemedicinefoundation.com/contact_us.html?gclid=COCbu-20rJICFQv_sgodDCncRg ***

http://www.prescribingreference.com/        ***

http://www.barksdale.af.mil/library/factsheets/factsheet.asp?id=5012

http://www.moodyservices.com/pdfs/Formulary.pdf

http://members.aol.com/pocketpeds/pages/omcc.htm ( Peds)

http://www.pdr.net/login/Login.aspx?engine=adwords!8815&keyword=PDR&match_type=&gclid=CP6IsOLzwo8CFQwsOAodpSAXcw ***

 

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers),

your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

 

http://www.merck.com/mmpe/sec21/ch326/ch326c.html ( Rumack-Mathew Normogram for Acetaminophen...)

http://www.fpnotebook.com/PHA.htm ***************************Miscellaneous

http://www.medscape.com/viewarticle/546258 ( ADE)

http://www.emedicine.com/quickref.shtml   (TOOLS)

http://www.needymeds.com/ ****

http://www.webmd.com/drugs/

http://www.medscape.com/viewprogram/5533 ****************

http://knowledge.emedicine.com/splash/shared/etools/index.htm  ************

http://www.manuelsweb.com/nursing.htm  Emergency meds infusion Dosage***********
 
 
https://www.pparx.org/Intro.php          http://www.phrma.org/  ( Prescription Assistance)
http://rxassist.org/           http://rxhope.com/    
http://caqh.org/  ( Verifying Pt eligibility & benefits).
 
http://www.nida.nih.gov/  ( Drugs of Abuse)
http://www.nlm.nih.gov/medlineplus/druginformation.html **********************************************************
 
Orange Book Query http://www.fda.gov/cder/ob/default.htm

Orange Book Current Cumulative Supplement
http://www.fda.gov/cder/orange/obcs.pdf  PDF
http://www.fda.gov/graphics/pdf.gif

Orange Book - Information and Data Files
http://www.fda.gov/cder/orange/obreadme.htm

Orange Book Monthly Additions and Deletions
http://www.fda.gov/cder/rxotcdpl/pdplarchive.htm

Paragraph IV Patent Certifications
http://www.fda.gov/cder/ogd/ppiv.htm

(updated)
 
http://www.fda.gov/cder/drug/DrugSafety/DrugIndex.htm ( Patient Information Sheets) *************************
http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm  ( FDA approved  DRUG products).***************

http://www.intmed.mcw.edu/AntibioticGuide.html

http://www.pdrhealth.com/drugs/rx/rx-a-z.aspx

http://www.pdrhealth.com/drugs/otc/otc-a-z.aspx

http://www.medscape.com/viewarticle/566289 (SE of Anti-Obesity Drugs)

http://www.fingertipformulary.com/

http://www.fdhc.state.fl.us/Medicaid/index.shtml

 

 

http://seniorhealth.about.com/cs/prescriptiondrugs/a/htn_drug.htm (HTN Drugs/ Classification).

     Beta blocker - Wikipedia, the free encyclopedia

http://www.ndep.nih.gov/media/diabetes/WTMD/diabets_suppl_3.htm (HTN meds) **********

http://www.cvpharmacology.com/vasodilator/vasodilators.htm (VD)

 

     http://cme.medscape.com/viewarticle/702395 (SSRIs--Serotonin Syndrome)

http://www.webmd.com/parkinsons-disease/drug-treatments?page=2 (Classification;  Parkinsonian Drugs)

http://en.wikipedia.org/wiki/Neuroleptic_malignant_syndrome (NMS)

 

     http://www.pfizer.com/files/products/ppi_chantix.pdf (Varenicline)

     http://www.pfizer.com/files/products/uspi_chantix.pdf

 

     http://www.marvistavet.com/html/prednisone.html (Prednisone; Prednisolone).

     http://ratguide.com/meds/endocrine_hormones/prednisone_prednisolone.php

     http://asthma.emedtv.com/albuterol-inhaler/albuterol-inhaler-dosage.html (Albuterol)

     http://us.gsk.com/products/assets/us_ventolin_hfa.pdf (Ventolin Inhaler)

http://www.consumerreports.org/health/best-buy-drugs/steroid_asthma.htm (Inhaled Steroids/ Dosage)

http://www.asthma.partners.org/newfiles/InhaledSteroids.html

http://asthma.emedtv.com/salmeterol/salmeterol-dosing.html (Salmeterol Inhalation)

http://www.pslgroup.com/dg/b1b1e.htm (Salmeterol dosage/ Children)

http://www.healthdigest.org/drug-prescribing-database/salmeterol-xinafoate-2102.htm (Salmeterol Dose/ Adults & Children)

     http://www.hhsc.state.tx.us/HCF/vdp/Criteria/antichoa.html (Ipratropium/ Tiotropium)

http://www.arizonacert.org/consumers/safe-med-use.htm (Safe Medication Use).

Drugs with Black Box Warnings Black Box Warning information ...*****************

http://www.insulindevice.com/ (Insulin Delivery Systems)
http://www.depo-medrol.com/depomedrol/depomedrol.portal (Depo-Medrol/ Methyl prednisolone IM & IA injection indications).
http://www.rxoutreach.com/en/ (Medicine Coverage for needy patients)
http://www.fpnotebook.com/REN98.htm (Calcium Replacement).
http://www.fpnotebook.com/REN105.htm (Potassium Replacement).
http://www.fpnotebook.com/REN106.htm  (Tx of Magnesium Deficiency).
http://www.consultantlive.com/display/article/10162/1165197?pageNumber=2 ( Dosing of agents used to correct Hyperkalemia)******  K
http://barttersite.com/ (port-a -cath, Mg, K)
http://www.emedicine.com/ (electrolytes, other topics)

http://www.medscape.com/viewarticle/703445 (Hyponatremia/ Tolvaptan)

http://www.mc.vanderbilt.edu/surgery/trauma/Protocols/ElectrolyteReplacement.pdf (K Replacement);   http://www.meistermed.com/mobile/lm/index.htm

http://www.napavalley.edu/Projects/1846/Fluid_and_electrolytes_handout.pdf

http://www.patientcareonline.com/patcare/article/articleDetail.jsp?id=391516  ( Adult Maintenence Fluids; Tx of 'life -threatening' electrolyte abnormalities) ****

http://www.athleteinme.com/articleview.aspx?id=313

http://web.indstate.edu/mary/Fluidlytecf/index.htm

MedlinePlus: Fluid and Electrolyte Balance

Fluids & Electrolytes           (www.ecu.edu)
http://enw.org/Electrolytes.htm

http://www.tjc.edu/nursing/PatriciaCryer/fluid__electrolytes.htm

http://vitualis.wordpress.com/2006/05/01/maintenance-iv-fluids-in-euvolaemic-adults/ *****;   http://www.globalrph.com/calculators.htm (Calculators)

http://www.fpnotebook.com/CVCh10.htm (FP notebook);  http://www.fpnotebook.com/PED.htm  ( PEDS) ; http://www.medcalc.com/pedifen.html   ( Fluids & Electrolytes)

http://www.intmed.mcw.edu/clincalc/creatinine.html;   http://www.fpnotebook.com/REN70.htm (Creatinine Clearance);  http://nephron.com/preESRDcalc.html (For those with Kidney Disease)

http://www.kdp-baptist.louisville.edu/renalbook/ (Renal Drug Dosing);   http://www.globalrph.com/renal_dosing_protocols.htm (Renal Drug Dosing);  http://www.globalrph.com/frames.cgi?url=http://www.nephrologypharmacy.com/pub_dialysis.html (Dialysis of Drugs);  http://www.medicine.uiowa.edu/Path_Handbook/Appendix/Calculators/creat_clear.html;  

http://www.globalrph.com/hypertonic_saline.htm (Fluid Requirements);   http://www.globalrph.com/ (Drug/ Fluid/ Electrolyte Calculator; Guidelines in 'ID/ HTN' etc.; Journals)

info@nephropharmacy.com (for Renal dosing of drugs book)
 
http://www.rxkinetics.com/heparin.html (Heparin Dosing Protocol/ More so with DVT, than ACS/ TIA);  
http://www.fpnotebook.com/HEM178.htm (Heparin Protocol);   http://www.fpnotebook.com/HEM180.htm (LMW Heparin Protocol)
http://www.fpnotebook.com/HEM180.htm ( Coumadin Protocol);  http://www.fpnotebook.com/HEM226.htm  ( Peri-Operative Anticoagulation)
 
http://www.fpnotebook.com/END154.htm (Insulin Sliding Scale).
 
http://jnnp.bmjjournals.com/cgi/content/full/65/3/362 (Pulsed Methyl Prednisone Dosage & tapering with oral Prednisolone in MS)
Spine Fractures desscriptions and information - www.cirugiadelacolumna ... (Dose of Methyl Prednisone for spinal cord decompression...
(Initial doses: 30/mg/kg during 15 minutes. Relax 45 minutes.
Infusion doses: 5.4/mg/Kg/hour during 23 or 43 remaining hours).
http://cmejama-archives.ama-assn.org/cgi/content/full/jama;295/21/2525/JXR60005F3  (Methyl Prednisone for Temp Arteritis + Vision Loss)
http://www.medscape.com/qna/AddResponses (Methyl Prednisolone in Acute severe asthma)
http://www.medscape.com/viewarticle/551396#question ( MethylPrednisolone --IM inj--for Hand Pain) ***

http://en.wikipedia.org/wiki/Krebs_Cycle;   http://askville.amazon.com/simple-explanation-Krebs-Cycle/AnswerViewer.do?requestId=5571767; http://www.ehow.com/info_8616092_happens-krebs-cycle.html;  http://answers.yahoo.com/question/index?qid=20110721201248AAnOR5X

http://en.wikipedia.org/wiki/Cori_cycle 

 

Hyponatraemia (new);   http://www.medscape.org/viewarticle/738492 (Hypomagnesemia/ PPIs)

 

http://www.empr.com/migraine-and-headache-treatments/article/169358/

http://www.empr.com/pharmacologic-management-of-anaphylaxis/article/193204/ (Anaphylaxis)

http://www.industrymatter.com/top200drugsafive-yearcompilationupdatedwith2010data.aspx (Top 200 drugs).

http://reference.medscape.com/************

http://peir.path.uab.edu/coag/article_221.shtml

http://www.hopkinsguides.com/hopkins/ub/

http://www.thewomens.org.au/MagnesiumSulphate

http://www.mayoclinic.com/health/bee-stings/DS01067/DSECTION=complications

http://peir.path.uab.edu/coag/article_221.shtml (Anticoagulant monitor)

http://digital.healthcaregroup.advanstar.com/nxtbooks/advanstar/medec_20111210/#/56 (Linking----Vitamin E mega-dosing/ Prostate CA; Tamoxifen/ DM).

http://www.srspharma.com/broad-spectrum-antibiotics

http://en.wikipedia.org/wiki/Cell_envelope_antibiotic (Beta lactam ABXs).

http://www.empr.com/clinical-charts/section/750/

http://en.wikipedia.org/wiki/Antihelminthics

http://www.marvistavet.com/html/body_trimethoprim_sulfa.html

http://armymedical.tpub.com/MD0808/MD08080041.htm (Penicillins)

http://en.wikipedia.org/wiki/Penicillin

http://en.wikipedia.org/wiki/Beta-lactam_antibiotic

http://en.wikipedia.org/wiki/Aminoglycosides

http://en.wikipedia.org/wiki/Macrolides

http://en.wikipedia.org/wiki/Lincosamides

http://en.wikipedia.org/wiki/Penam

http://en.wikipedia.org/wiki/Chloramphenicol

http://en.wikipedia.org/wiki/Trimethoprim

http://www.medscape.com/viewarticle/760831 (Levamisole/ AI)

http://www.medscape.com/viewarticle/760818 (Dental Sedatives--Midazolam, Meperidine, Promethazine)

http://www.medscape.com/viewarticle/760804 (Prenatal pain meds/ rare birth defects).

http://cmejama-archives.ama-assn.org/cgi/quiz/amacme_quiz;archinte_170_22_1968?node_id=amacme_course;archinte170_22_1968 (Analgesics/ SEs)

http://www.medscape.org/viewarticle/762637 (Fentanyl)

http://www.medscape.org/viewarticle/735808 (Oral Morphine/ SEs)

http://www.consultantlive.com/pain?p_p_id=EXT_4&p_p_action=0&p_p_state=normal&p_p_mode=view&p_p_col_id=column-2&p_p_col_count=1&_EXT_4_struts_action=%2Farticles_display%2Fview&_EXT_4_keywords=&_EXT_4_advancedSearch=false&_EXT_4_andOperator=true&cur=2 (Pain)

http://www.psychiatrictimes.com/addictive-behavior/content/article/10162/1658077 (Opioid analgesics: part 1)

http://www.consultantlive.com/pain/content/article/10162/1685376 (Opioid analgesics, part 2)

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=corticosteroids (CS)

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=fibromyalgia

http://www.consultantlive.com/display/article/10162/35165# (Opioids/Pain)

http://rx.searchmedica.com/Page.aspx?menuid=browsedrugs&name=A&CTRY=US

http://www.searchmedica.com/resource.html?rurl=http%3A%2F%2Fwww.consultantlive.com%2Fdisplay%2Farticle%2F10162%2F35165&q=chronic+pain+control%3B+what%27s+adequate+and+appropriate%3F&c=pc&ss=consultantLiveLink&p=Convera&fr=true&ds=0&srid=2

http://www.consultantlive.com/pain

http://www.consultant360.com/sites/default/files/images/1109Con_King_Tb1.gif (non-Opioids/ Persistent Pain).

http://www.consultant360.com/sites/default/files/images/1109Con_King_Tb2.gif (Opioids/ Persistent pain).

http://www.britishpainsociety.org/book_opioid_main.pdf

http://pain.about.com/od/treatment/a/types_of_opioids_for_chronic_pain.htm

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=biologic

http://en.wikipedia.org/wiki/Abatacept

 

http://www.empr.com/respiratory-devices/article/125866/

http://www.empr.com/asthma-inhalation-therapies/article/123671/

http://www.medscape.org/viewarticle/735646 (RFs for Asthma)

http://www.empr.com/respiratory-tract/asthmacopd/pnote/265/

Cough & Cold

 

Bacterial Infections

http://en.wikipedia.org/wiki/Antifungal_drug (Antifungals)

http://www.sporting-heroes.net/cricket-heroes/printableversion.asp?HeroID=4180 (Antifungals)

http://www.medscape.com/viewarticle/753287 (Naltrexone)

http://www.medscape.org/viewarticle/734625 (STD screen)
Narcotic Analgesics

http://www.ingentaconnect.com/content/apl/cmro/2009/00000025/00000005/art00014 (Cyclobenzaprine ER--Painful Muscle Spasm)

http://www.medscape.org/viewarticle/754540 (Acetaminophen toxicity/ acute and chronic).

http://www.medscape.com/viewarticle/764399 (Oral methylnaltrexone/ Opioid constipation)
Hyperacidity, GERD and Ulcers

http://www.medscape.com/viewarticle/704681_9 (Quantitative MRI based cartilage measurements/ OA).

 

http://www.arthritistoday.org/symptoms/by-body-part/shoulder/shoulder-injury.php

http://www.arthritistoday.org/symptoms/by-body-part/shoulder/shoulder-diseases.php

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=gout (Gout meds)

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=osteoporosis (OP meds)

http://www.arthritistoday.org/DrugGuide/drug-chart.php?drug_type=NSAIDs (NSAIDS)

http://jama.jamanetwork.com/article.aspx?articleid=1352108 (Methadone overdose)

http://www.arthritistoday.org/nutrition-and-weight-loss/vitamin-and-mineral-guide/vitamins/index.php

http://www.arthritistoday.org/nutrition-and-weight-loss/vitamin-and-mineral-guide/minerals/index.php

http://www.empr.com/pharmacologic-management-of-anaphylaxis/article/193204/

http://jama.jamanetwork.com/article.aspx?articleid=1653540 (Benzodiazepine receptor agonists/ Insomnia)

http://jama.jamanetwork.com/article.aspx?articleid=1653540 (Hypnotics/ Insomnia)

 

Recommended Adult Immunization Schedule

 

Antiemetic Medications

Drugs Contraindicated in Pregnancy

 

Potentially Inappropriate Drugs for the Elderly (Beers List)

Oral Contraceptives

 

Medications with Significant Anticholinergic Properties

Narcotic Analgesic Medications

 

Antibiotic Formulations

Prenatal Vitamins

 

Diabetes Treatments

Insulin Administration

 

Angiotensin II Receptor Blocker (ARB) for Hypertension

Angiotensin-Converting Enzyme (ACE) Inhibitors for Hypertension

Migraine and Headache Treatments

Diuretics for Hypertension

http://www.medscape.com/viewarticle/735729 (Initial Tx of HTN)

Hypertension

http://www.empr.com/blood-pressure-in-adults-calculator/article/170171/ (BP Calculator)

 

 

_____________________________________________________________________________________________________________
 
1. Useful strategies for identifying patients who are noncompliant with medications include all of the following except:
Answer: Measuring the concentrations of drugs that the patient has been prescribed
The following are important compliance improvement strategies to consider in patients: First, providers must identify poor medication compliance by recognizing patients who miss appointments, those who are not responding to therapy, and those who are not making medication refills. Second, providers should elicit their patients' feelings about taking medications and whether they feel that they can follow the regimen the provider is recommending. Asking patients nonconfrontationally about compliance barriers can uncover important clues as to why they may be missing medications and can allow healthcare providers the opportunity to troubleshoot ways to improve medication taking. Finally, patients should be encouraged to develop their own medication-taking system that works for them. Measuring drug concentrations can be misleading because it reflects only the last 1 or 2 doses that the patient may (or may not) have taken.
2. In the elderly, all of the following factors contribute to the occurrence of adverse drug reactions (ADRs) except:
Answer: Increased rate of elimination
Elderly and pediatric patients are particularly vulnerable to ADRs because drugs are less likely to be studied extensively in these extremes of age, and drug absorption and metabolism are more variable and less predictable in both of these groups. Ghose showed higher numbers of ADRs per patient in both the pediatric age group and in the elderly compared with the middle-age range, with the highest rates of ADRs occurring in octogenarians at a rate of 60 ADRs/10,000 people. Elderly patients with multiple medical problems who are taking multiple medications, those who have a history of ADRs, and those with a reduced capacity to eliminate medications are at high risk for ADRs.
3. Common reasons for ADRs include all of the following except:
Answer: Medication reconciliation
A large cohort study of Medicare enrollees, with over 30,000 patient-years of observation, revealed that 28% of ADRs were potentially avoidable. Most of the errors occurred at the stages of prescribing (58%) and monitoring (61%), with 21% of ADRs occurring as a result of poor medication compliance. (These percentages add up to more than 100% because, for a single adverse drug event, it is possible to identify errors at more than one stage of pharmaceutical care.) The medication reconciliation process for maintaining an accurate and portable record of a patient's medications can be useful in preventing medication errors and potentially reducing ADRs.
4. Useful compliance improvement strategies include all of the following except:
Answer: Avoiding inquiry on how patients are taking their medications
The most useful interventions for long-term medication compliance improvement have included complex combinations of more convenient care, information, counseling, reminders, self-monitoring, reinforcement, family therapy, and other forms of additional supervision or attention. Asking patients nonconfrontationally about compliance barriers can uncover important clues as to why they may be missing medications, and can allow healthcare providers the opportunity to troubleshoot ways to improve medication-taking. Providers should ask patients at every visit about how they are taking their medications and encourage them to use a selected time, location, and/or activity cue that fits their daily routine.
5. Which of the following statements is false?
Answer: Compliance varies directly with dosing frequency
Regimen simplification and frequent reinforcing clinic visits or telephone calls can help improve compliance. However, studies reveal that the simplest regimen still leaves 10% to 40% of subjects deviating from perfect dosing. The difference in compliance between once- and twice-daily dosing tends to be small in most studies, while compliance declines more significantly as the prescribed dosing frequency exceeds twice a day. Electronic monitoring has confirmed that the compliance varies inversely with the dosing frequency. In a study of 198 Canadian hypertensive patients randomized to diltiazem twice daily vs amlodipine once daily, those on a once-daily regimen displayed less dosing inconsistency than with twice-daily dosing. In another study of diabetic patients taking oral agents, compliance rates fell from 79% with once-daily medication to 38% with thrice-daily dosing.
6. In Classen's "trigger tool method," which of the following orders is not an example of a "trigger" event leading to the suspicion that an ADR had occurred?
Answer:
A practical approach to measuring medication-related harm utilizes Classen's sentinel signal or "trigger tool method," employing a software program linked to an integrated hospital information system, which also could potentially be used in an integrated outpatient system. Using this method, the software identifies triggers or sentinel events indicating a possible ADR, which then initiates a more detailed and concurrent chart audit. For example, with the ordering of certain drugs, antidotes, laboratory tests, and abrupt stop orders, a notification is sent indicating a need for a chart audit.
7. Medication noncompliance should be suspected in which of the following situations?
Answer:
The following are important compliance improvement strategies to consider in patients: Providers must identify poor medication compliance by recognizing patients who miss appointments, those who are not responding to therapy, and those who are not making medication refills. If a patient feels that the risk, cost, quality of life, or inconvenience outweighs the benefits of the therapy, he or she will need careful explanation and discussion of the benefits of the treatment.
_________________________________________________________________________________________________________________________________________________________
 

Labs/ Procedures



http://www.gomcl.com/( ....Look at Test Catalog,...);

http://www.phlebotomy.com/Webinars/index.html

ARUP Consult: The Physician's Guide to Laboratory Test Selection and ... (***)

http://www.labtestsonline.org/;     http://www.labtestsonline.org/understanding/

http://www.medicalbuyer.co.in/***

http://labmed.ascpjournals.org/content/41/12/739.full (Blood components/ Transfusion)



http://www.labcorp.com/datasets/labcorp/html/chapter/index.htm

http://www.labmedicine.com/

http://hematology.org/policy/resources/

http://www.medindia.net/bloodtest/bloodtest.htm ( A-Z)

http://www.healthscout.com/ency/1/007262.html ( A-Z)

http://www.descipher.com/argo/labs/z/ ( A-Z/ Lab Tests & Sources) ********


-------------------------------------------------------------
http://www1.mooremedical.com/index.cfm ********Supplies*********
http://floridaexcell.com/ --# 49 C Phlebotomy; 
http://phlebotomy.com/ ---Includes training videos & certification exams
http://nccls.org/ ---Book/ Guidelines & Stds.  
http://www.ascp.org/pdf/CMPBooklet.aspx
Read about ---Lab Stds---
CDC, EPA, NCCLS, NFPA, OSHA, CAP, NAACLS, JCAHO,.......
 
NCA, DOT, CCF, NIOSH, CLSI, NIDA

--------------------------------------------------------------------------------------------------------------

 

 

http://www.cvmbs.colostate.edu/clinsci/wing/fluids/bloodgas.htm#Normal (ABG interpretation)

http://www.sasappa.co.jp/online/abstract/tmp/1/210/html/0112100402.html (VBG)

http://www.medicalgeek.com/history-taking-clinical-examination/17481-when-venous-blood-gas-analysis-enough.html


http://www.rush.edu/webapps/rml/RMLClinicalChemCV.jsp (Criticall Values: Clinical Chemistry)

http://www.rush.edu/webapps/rml/RMLClinicalHemCV.jsp (Clinical Hematology: Critical Values)

http://www.rush.edu/webapps/rml/RMLClinicalMicroCV.jsp (Critical Values: Clinical Microbiology)

http://www.rush.edu/webapps/rml/RMLClinicalBloodCenter.jsp (Critical Values: Blood Center)

http://www.rush.edu/webapps/rml/RMLTherapeuticDrugsCV.jsp (Critical Values: Therapeutic Drugs)


http://www.rush.edu/webapps/rml/RMLNeonatal.jsp (Neonatal Screening)

http://www.rush.edu/webapps/rml/RMLRanges.jsp (Normal Values: Common Lab Tests)

http://labmed.ascpjournals.org/content/40/7/437.full.pdf+html (Umbilical Cord: Hematological Parameters)

http://www.criticalvalues.org/cv_july09/index.html (Let your people grow...)**************


http://pedseducation.org/online_education/PresentationPage.cfm?filename=Haymond_Diabetes.swf&presentationID=200901021&format=flash (lab)

 

http://jama.ama-assn.org/cgi/content/full/299/19/2350-- Blood Donation;


http://www.aabb.org/content  ;       http://www.americasblood.org/go.cfm


 
Clinical Monitoring of Direct Thrombin Inhibitors Using the Ecarin Clotting Time
 


http://www.emedicine.com/med/topic408.htm ( Cold Agglutinin Disease)
HIV/AIDS/STD Branch - Tennessee Rapid Testing Guidelines

Tennessee Department of Health     Laboratory Services

http://www.medscape.com/viewarticle/585070 (MeS);

http://www.medterms.com/script/main/art.asp?articlekey=17982 ( Adiponectin, Leptin, TNF) ; 

http://en.wikipedia.org/wiki/Ghrelin ( Ghrelin); 

http://en.wikipedia.org/wiki/Myeloperoxidase ( Myeloperoxidase);

http://en.wikipedia.org/wiki/Fatty_acid ; http://en.wikipedia.org/wiki/Lipophilic ; 

http://en.wikipedia.org/wiki/Phospholipase ;    http://www.lipidsonline.org/news/article.cfm?aid=4144 ( Apo B/ Apo A1);

http://www.medterms.com/script/main/art.asp?articlekey=17982----( Adiponectin, Leptin) ;  

http://en.wikipedia.org/wiki/Adiponectin

http://www.rheumatology.org/public/factsheets/fanatest.asp ( FANA)

http://www.labtestsonline.org/understanding/analytes/dheas/test.html ( Dhea So4)

http://www.jfponline.com/Pages.asp?AID=6638&issue=September_2008&UID=42445--- ( TFTs);

http://www.amaassn.org/amednews/2008/09/22/hlsc0922.htm ( Scurvy); 

http://www.ama-assn.org/amednews/2008/09/01/hlsa0901.htm ( VWD)

http://www.medscape.com/viewarticle/581566 ( Procalcitonin)

    


--------------------------------------------------------------------------------------------------

Compact Phlebotomy Tray w/ Drawer from MarketLab--

http://www.marketlabinc.com/products/print/59

--------------------------------------------------------------------



http://aepo-xdv-www.epo.cdc.gov/wonder/prevguid/p0000419/p0000419.asp ( Isolation Precautions in Hospital)


http://www.csun.edu/science/ref/laboratory/safety/ChemicalStorage.html

 

---------------------------------------------------------------------------------------------------------------------------------------------------


http://www.transfusionguidelines.org.uk/index.asp?Publication=HTM

http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=9850&nbr=5274

 

http://www.uihealthcare.com/depts/med/pediatrics/iowaneonatologyhandbook/hematology/transfusion.html 

---------------------------------------------------------------------------------------------------------------------------------------------------

http://www.utmb.edu/lsg/LabSurvivalGuide/sample_procurement.htm ( Sample Collection Guide)

http://www.legacyhealth.org/body.cfm?id=810 (Specimen collection guidelines)

UW Laboratory Medicine - Specimen Collection Guide

http://www.labcorp.com/datasets/labcorp/html/frontm_group/frontm/section/speccol.htm ( Specimen Collection Guide)

http://www.aruplab.com/TestDirectory/SpecialSpecimenCollection/

--------------------------------------------------------------------------------------------------------------


http://www.msnusers.com/phlebotomy/orderofthedraw.msnw ( Order-of-Blood Draw)***

 
---------------------------------------------------------------------------------------------------

 
 
---------------------------------------------------------------------------------------------------
 
http://www.utmb.edu/lsg/LabSurvivalGuide/Viral.html *****( Table-Form)************************
http://www.webmd.com/hw/lab_tests/hw235580.asp ( Detection of Viral Infection) ***
--------------------------------------------------------- 
How Much Blood is Too Much - DrGreene.com  ( Guidelines for Pediatric Blood-Draws)***
---------------------------------------------------------
URINE SPECIMENS TYPES AND COLLECTION PROCEDURES ( Urine)

http://www.utmb.edu/lsg/LabSurvivalGuide/Throat.html ( Throat Cx)


http://www.utmb.edu/lsg/LabSurvivalGuide/CSF.html ( CSF)

http://www.healthofchildren.com/C/Cerebrospinal-Fluid-CSF-Analysis.html  ( CSF analysis )

http://www.fpnotebook.com/Neuro/Lab/CrbrspnlFldExmntn.htm ( Abnormal CSF)


http://www.aruplab.com/TestDirectory/SpecialSpecimenCollection/infectious_disease.jsp ( ID)

http://www.gomcl.com/ASP/asp1.htm ( Antimicrobial Susceptibility Profile Index)

http://www.utmb.edu/lsg/LabSurvivalGuide/Wounds.html ( Wound Sample Collection)


Guidelines for Specimen Collection | CDC ORST ( Stool...)

http://www.utmb.edu/lsg/LabSurvivalGuide/Fecal.html

http://www.revolutionhealth.com/conditions/cancer/colon-cancer/screening-diagnosis/stool-analysis (Stool Analysis)


http://www.utmb.edu/lsg/LabSurvivalGuide/Cyto.html ( Pap Smears/ Storage & Handling of Body Fluids)***

http://www.utmb.edu/lsg/LabSurvivalGuide/SpecimensAcceptanceRejection_cyto.html


http://www.utmb.edu/lsg/LabSurvivalGuide/Biopsy.html ( Biopsy Tissue)


http://www.utmb.edu/lsg/LabSurvivalGuide/Cytogenetics_collection.htm ( Cytogenetics Sample Collection)


http://www.covenantlab.com/specimen_processing.html ( Specimen Processing Guide)





Medical Calculators

http://www.ovulation-calculator.com/            
http://www.mdcalc.com/uanstemitimiscore ( TIMI Score..)*******************
http://pda.ahrq.gov/clinic/psi/psicalc.asp (Pneumonia severity index)

Formulae

   http://www.ncemi.org/default.htm (Calculators);  http://athena.usask.ca/growthutility/phv_ui.cfm?type=2 (Prediction of Adult Height)

    http://www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter23/10-23.html (Formulae);    

    http://www.emedicine.com/splash/etools_xml.pl?file=apache_ii_score_for_adults&prog=edecision (Apache score)

    http://www.trauma.org/scores/gcs.html (Glasgow Coma Score)

    http://www.emedicine.com/quickref.shtml  (TOOLS)  ********

    http://knowledge.emedicine.com/splash/shared/etools/index.htm  (E-TOOLS)

    http://www.mdcalc.com/  *****************************

 

1) Serum Osmolality: 2*Na + BUN/2.8 +  GLU/18 + ETOH/4.6  (N=285-295 mosm/kg)http://www.fpnotebook.com/REN78.htm

2) NaHco3 Replacement: Base Deficit(meq/l) *Wt(kgs) /4  (Give half the deficit over 8-12 hrs; In Cardiac arrest, give it immediately)

    http://www.ncemi.org/cgi-ncemi/edcalc.pl?TheCommand=Load&NewFile=sodium_bicarbonate_replacement&BlankTop=1 

3)Na Correction in Hyperglycemia: True Na= Measured Na+ (Serum Glucose-100)/100 * 1.6

   http://www.ncemi.org/cgi-ncemi/edcalc.pl?TheCommand=Load&NewFile=sodium_correction_in_hyperglycemia&BlankTop=1

4)Alveolar-arterial Gradient (http://www.fpnotebook.com/REN52.htm);

   http://www.ncemi.org/cgi-ncemi/edcalc.pl?TheCommand=Load&NewFile=room_air_alveolar-arterial_gradient&BlankTop=1

 A-a (O2)= (FiO2%/100) * (Patm - 47 mmHg) - (PaCO2/0.8) - PaO2 (all units mmHg)

5)Anion Gap= (Na+ K)-(Cl+HCO3); (http://www.fpnotebook.com/REN56.htm)

 (Normal Anion Gap: 12 meq/L )

6)BMI: (Weight in kg)/((Height in meters)*(Height in meters))

     http://www.ncemi.org/cgi-ncemi/edcalc.pl?TheCommand=Load&NewFile=body_mass_index&BlankTop=1

7) Est. Creatinine Clearance = [[140 - age(yr)]*weight(kg)]/[72*serum Cr(mg/dL)] (multiply by 0.85 for women)

    http://www.intmed.mcw.edu/clincalc/creatinine.html;  

   Timed Cr Clearancehttp://www-users.med.cornell.edu/~spon/picu/calc/crclcalc.htm

8) http://www-users.med.cornell.edu/~spon/picu/calc/fenacalc.htm

FENa =
UNa * PCr
 x 100
PNa * UCr

9) Free Water Deficit Tx in Hypernatremia:   0.6 * Weight * (Sodium/140 -1)

    http://www.ncemi.org/cgi-ncemi/edcalc.pl?TheCommand=Load&NewFile=free_water_deficit&BlankTop=1

    http://www.bcchildrens.ca/NR/rdonlyres/F0674005-EF69-4DAE-9A42-76D7DE69E17D/13009/dkaprt.doc  ( DKA Protocol & Tx of Dehydration in Children).

    NEW PROTOCOL FOR DKA IN THE ED   ( Peds/ ED---PICU/ DKA)

    http://www.aau.edu.et/faculties/med/internalmed/Notes/DKA_protocol.htm  ( DKA Protocol in Adults)

    http://www.medcalc.com/pedifen.html  ( Fluids & Electrolytes/ Peds)*****************************************************************

 Anion gap (AG)
AG = [ Na+] - [ Cl- + HCO3-]
Corrected Sodium *
Corrected Na+ = [ Na + 1.6 x([ glucose in mg/dl] - 100)
Serum Osmolality
Plasma osm = 2 x Corrected Na + Glucose/18 + BUN/2.8
* Serum sodium should be corrected for hyperglycemia

http://www.patientcareonline.com/patcare/article/articleDetail.jsp?id=391516  ( Adult Maintenence Fluids; Tx of 'life -threatening' electrolyte abnormalities)***

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

http://www.patientcareonline.com/patcare/article/articleDetail.jsp?id=391516&sk=&date=&&pageID=6 ( Tx of Hyponatremia)----Serum Na correction




 

 

 

Na deficit = (Desired Na – serum Na) × 0.6 × body wt in kg

Once the deficit is calculated, the amount of 3% saline solution required to correct it can be determined by dividing the deficit by 513 mEq/L (the concentration of sodium in 3% saline).

http://en.wikipedia.org/wiki/Body_water ( Calculation of Total Body Water) ***

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Tx of Hypernatremia & Maintenance Fluid requirement in Adults:

http://mediwire.skyscape.com/main/Default.aspx?P=Content&ArticleID=391516 .....

The 24-hour maintenance fluid requirement can be calculated by using the patient's body weight (in kg) and the following correlations:

First 10 kg body wt = 100 mL/kg
Second 10 kg body wt = 40 mL/kg
Remainder of body wt = 10 mL/kg..?

 
---------------------------------------------------------------



 


 

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

 

    Insulin Drip Protocol   ( Adults)

Continuous Variable-Rate IV Insulin Drip

Continuous Variable-Rate IV Insulin Drip (cont'd)

Converting to SC Insulin

Correction Bolus (Supplement)

Correction Bolus Formula

Initiating SC Basal Bolus

___________________________________________________________________

Insulin Pump: Check BG 8-10 times/day.

      To calculate the patient's initial basal rate for the pump, reduce the total daily rate by 25%.

      {(O.75*TDD)/ 2} / 24 = Basal Rate; (TDD = Total Daily Dose)

      (CBG-TBG)/ IS = Correction Bolus  ;

                              IS ( i.e. the amount of 1 unit of Insulin that will decrease the patient's blood glucose by... = 1800/ TDD;         (CBG= Current Blood Glusoe; TBG= Target Blood Glucose).

       Total grams of Carbohydrate/ CR = Meal Bolus;

                                                             CR = 500/TDD; (CR = Carbohydrate Ratio).

____________________________________________________________________

http://www.palmspasadena.com/gedownload!/DIABETIC%20KETOACIDOSISUNCONTROLLED%20DIABETES.pdf?item_id=624024&version_id=624025 ( DKA; Admission Orders sample)*********

http://www.perinatology.com/protocols/DKAset.htm (DKA--Pregnancy)

http://cme.medscape.com/viewarticle/703184 (Insulin Detemir)

Give D50 using formula :( 100 - BG) x 0.3 = # cc of D50 to be given IV Push.

http://74.125.47.132/search?q=cache:nUQ2rHUlCOYJ:www.adaendo.com/bode/orders.pdf+4+meq+per+lt+of+blood+glucose+equals&cd=3&hl=en&ct=clnk&gl=us (Insulin Drip Orders: Sample)

________________________________________________________________________________

 

http://www.guideline.gov/summary/summary.aspx?doc_id=5185&nbr=003567&string= (DM)

    1. All patients with type 1 DM should be referred to a diabetic clinic with multidisciplinary resources (e.g., diabetologist, diabetic nurse, educator/manager, and registered dietitian) for institution and adjustment of insulin therapy.
    2. If expeditious referral is not possible, the primary care provider should institute "survival" insulin therapy.
      • Calculate total daily dose (TDD) of 0.5 units/kg body weight/day.
      • Two-thirds of the TDD administered 30 minutes prior to breakfast as two parts human neutral protamine Hagedorn insulin (NPH) insulin and one-part human regular insulin.
      • The remaining third of the TDD can be split equally, as human regular insulin 30 minutes before supper and as human NPH insulin at bedtime.

_____________________________________________________________

10) MAP= (2/3 * Diastolic BP) + (1/3 * Systolic BP)

  http://www.ncemi.org/cgi-ncemi/edcalc.pl?TheCommand=Load&NewFile=mean_arterial_pressure&BlankTop=1;

  http://en.wikipedia.org/wiki/Mean_arterial_pressure

11)Predicted endotracheal tube size for age= 4 plus (age/4)

     http://www.ncemi.org/default.htm

12) Predicted PEF Calculator: http://www.ncemi.org/default.htm (Males)

                                         http://www.ncemi.org/default.htm (Females)

13) Blood alcohol concentration estimation 

        http://www.ncemi.org/default.htm

     (volume ingested in mL x the "proof" of the beverage x 1.463) / (patient weight in lbs)

14) http://medcalc3000.com/imode/QTIntervalCorrection.htm

    QTIntervalCorrection

15)Adjusted Calcium= Calcium+ 0.8*(4-Pt. Albumin)

16) http://www.ncemi.org/cgi-ncemi/edcalc.pl? TheCommand=Load&NewFile=ionized_calcium_estimation&BlankTop=1 (Ionized Calcium Estimation)

17)Burns: http://www.regionshospital.com/Regions/Menu/0,1640,11272,00.html

          http://www.regionshospital.com/Regions/Menu/0,,4822,00.html

                         http://josephmstillburncenter.com/cpm/minorburns.pdf

   The stable burn patient is then completely undressed, and the percentage of the body surface burned is calculated. Resuscitation begins with placement of large-bore venous catheters and infusion of lactated Ringer's solution according to the Parkland resuscitation formula (4 ml/ kg/% burn, half infused in the first eight hours and the remainder in the next 16 hours).29 A Foley catheter is used to monitor urine output. Patients with extensive burns or burns of critical areas are routinely stabilized and transferred to a burn center for definitive care, according to American Burn Association transfer criteria.24
18) Total Maintenance Fluids ( http://www.outlinemed.com/demo/nephrol/2453.htm)

  1. Adults: ~2 liters per day, or ~80mL/hr for 70kg person
  2. Children:
    1. The "4:2:1" rule is often used to calculate the rate (mL/hr) based on weight (wt)
    2. Rate = 4mL/kg/hr (up to 10kg) + 2mL/kg/hr (10-20kg) + 1mL/kg/hr (>20kg)
  3. In general, D5-1/2NS+20mEq/L KCl or Lactated Ringer's should be used for maintenance.

19)Pulse Pressure= SBP-DBP (N=40-60) 

   http://www.modern-psychiatry.com/pulse_pressure.htm 

20) Peri-Operative Fluid Management:

    http://www.medana.unibas.ch/eng/amnesix1/efmain.htm#periop

21) LDL = TC-HDL-(TG/5)

22) http://www.mededcenter.com/module_viewer.asp?module=100&page=1#hemoCardIndex 

   (Hemodynamic Monitoring).

http://www.mededcon.com/card02.htm (CVP).

http://www.lakesidepress.com/pulmonary/books/physiology/chap10b.htm (Mechanical Ventilation)

http://www.lakesidepress.com/pulmonary/papers/eq/eq1.html (Abbreviations in Ventilation).

http://members.nuvox.net/%7Eon.jwclymer/rq/index.html (Respiratory Quotient Calculator)

http://www.pgmeenotes.blogspot.com/ (Acid-Base Balance, Urinary Casts/ Tumor Markers/ Nails/ Pupils)******

http://www.the-abg-site.com/level1.htm (ABG Analysis)

23) Osmotic gap = 290 - [2 (stool Na + stool K)]

24) http://www.mdcalc.com/fena  (FENA)   http://www.fpnotebook.com/REN60.htm  ( FE of HCO3)

       http://www.fpnotebook.com/RENCh1.htm ( Acid- Base Disorders/ RTA/ Related Chapters)

25) http://www.mdcalc.com/stemitimiscore       http://www.mdcalc.com/uanstemitimiscore

26) TG by 5+ VLDL

27) http://www.fpnotebook.com/PED10.htm  ( Pediatric Dehydration)

28) http://www.fpnotebook.com/PHA31.htm  ( PCA)

  1. Typical Hourly Morphine Dose (mg/hour): (100 - age)/24
    1. Age 30: 3 mg hourly morphine dose
    2. Age 50: 2 mg hourly morphine dose
    3. Age 70: 1.25 mg hourly morphine dose
  2. Typical hourly higher morphine dose (double dose)
    1. Age 30: 6 mg hourly morphine dose
    2. Age 50: 4 mg hourly morphine dose
    3. Age 70: 2.5 mg hourly morphine dose

29)  DM---Insulin Tx---When dose is missed by a few hrs---Refer Joslin EZstart from Joslin Diabetes Center ( www.ProfessionalEd.joslin.org)******************

       # of Hrs late / 24 hrs * Usual amount of NPH or Glargine or Detemir -------------------------------------------Subtract the result from the Usual Insulin Dose     

       # of hrs late / next dose ( eg. 'am' dose) * Usual amount of Humalog or Reg Insulin Dose-----------------Subtract the result from the Usual Insulin Dose.

30)   Non-HDL-c  =  TC - HDL-c    ;       LDL-c  = TC - HDL-c - TG/5

31)  The ratio of RBCs in CSF to blood is multiplied by the blood WBC count. This value is subtracted from the CSF WBC count to eliminate WBCs derived from hemorrhage or traumatic tap.

32) http://en.wikipedia.org/wiki/Reticulocyte_production_index ( Retic Index)

33)

http://www.pedseducation.org/online_education/4343/presentations/4340/presentation-high.cfm (Upper limits of Normal Pulse & Respiratory Rate)

 

Minimally acceptable SBP (5th % ile) is = 70 + (age * 2)

Acceptable SBP (50th% ile) is= 80 + age in yrs 82

 

34) TBV:  Premature baby: 115ml/kg

           NB: 80-110 ml/kg

 

35) Since white cells may enter the CSF in response to local infection, inflammation, or bleeding, the RBC count is used to correct the WBC count so that it reflects conditions other than hemorrhage or a traumatic tap. This is accomplished by counting RBCs and WBCs in both blood and CSF. The ratio of RBCs in CSF to blood is multiplied by the blood WBC count. This value is subtracted from the CSF WBC count to eliminate WBCs derived from hemorrhage or traumatic tap.

 

36) Theophylline dose in 'less than' 1 yr of age =   0.2( age in weeks) + 5 =    ____  mg/ kg/ day

 

37) D 50 : http://www.pedseducation.org/online_education/PresentationPage.cfm?filename=Loiselle_seizures.swf&presentationID=200806011&format=flash

 

38)  Jelliffe formula: (98 - (0.8 x (age(yrs) - 20))) / serum creatinine(mg/dl) Multiply by another factor of 0.90 if female

 

39) CSF WBC= CSF RBC * ( P.WBC/ P.RBC)

 

40) http://en.wikipedia.org/wiki/Cardiac_index   ;  CO/ SV   http://en.wikipedia.org/wiki/Cardiac_output

41) FE-HCO3 = (uHCO3 x sCr) / (sHCO3 x uCr) ;  http://www.fpnotebook.com/Renal/Lab/BsExcs.htm

42) http://www.med.umich.edu/1libr/pa/pa_normalgr_hhg.htm ( Predicting Adult Heights)

43) http://en.wikipedia.org/wiki/Mean_arterial_pressure ( MAP = CO*SVR + CVP)

44) Insulin Pump: Check BG 8-10 times/day.

      To calculate the patient's initial basal rate for the pump, reduce the total daily rate by 25%.

      {(O.75*TDD)/ 2} / 24 = Basal Rate; (TDD = Total Daily Dose)

      (CBG-TBG)/ IS = Correction Bolus  ;

                              IS ( i.e. the amount of 1 unit of Insulin that will decrease the patient's blood glucose by... = 1800/ TDD;         (CBG= Current Blood Glusoe; TBG= Target Blood Glucose).

       Total grams of Carbohydrate/ CR = Meal Bolus;

                                                             CR = 500/TDD; (CR = Carbohydrate Ratio).

45)

http://www.palmspasadena.com/gedownload!/DIABETIC%20KETOACIDOSISUNCONTROLLED%20DIABETES.pdf?item_id=624024&version_id=624025 ( DKA; Admission Orders sample)*********

http://www.perinatology.com/protocols/DKAset.htm (DKA--Pregnancy)

http://cme.medscape.com/viewarticle/703184 (Insulin Detemir)

Give D50 using formula :( 100 - BG) x 0.3 = # cc of D50 to be given IV Push.

http://74.125.47.132/search?q=cache:nUQ2rHUlCOYJ:www.adaendo.com/bode/orders.pdf+4+meq+per+lt+of+blood+glucose+equals&cd=3&hl=en&ct=clnk&gl=us (Insulin Drip Orders: Sample)

46)  http://wiki.answers.com/Q/How_many_calories_does_a_baby_need_daily (40 * Ht in inches)

47) http://hsc.virginia.edu/Internet/Anesthesiology-Elective/airway/ventilation.cfm (MV, PA o2 & Pao2)—Formula

48) http://www.globalrph.com/anc.htm (ANC)

49)   http://www.guideline.gov/summary/summary.aspx?doc_id=5185&nbr=003567&string= (DM)

    1. All patients with type 1 DM should be referred to a diabetic clinic with multidisciplinary resources (e.g., diabetologist, diabetic nurse, educator/manager, and registered dietitian) for institution and adjustment of insulin therapy.
    2. If expeditious referral is not possible, the primary care provider should institute "survival" insulin therapy.
      • Calculate total daily dose (TDD) of 0.5 units/kg body weight/day.
      • Two-thirds of the TDD administered 30 minutes prior to breakfast as two parts human neutral protamine Hagedorn insulin (NPH) insulin and one-part human regular insulin.
      • The remaining third of the TDD can be split equally, as human regular insulin 30 minutes before supper and as human NPH insulin at bedtime.

50) Stool osmolar gap= 290-2(Na+K); should be less than 50; Osmotic Diarrhea (greater than 125mOsm)

51) http://www.hawaii.edu/medicine/pediatrics/pedtext/s03c08.html (Neonatal Hypoglycemia)

52) http://www.mdcalc.com/modified-centor-score-for-strep-pharyngitis/

 

53) http://www.cvmbs.colostate.edu/clinsci/wing/fluids/fluids.htm

    Deficit replacement volume (ml) = % dehydration x body weight (kg) x

1000 ml x 0.80

 

ECG, Arrythmias

http://www.ecglibrary.com/ecghome.html           http://www.wildirismedicaleducation.com/courses/175/index_nceu.html

http://search.barnesandnoble.com/booksearch/isbninquiry.asp?ean=9780781782302&pwb=1&z=y (Exercises in Arrhythmia Interpretation)

 

http://www.consultantlive.com/display/article/10162/1165197?pageNumber=2 ( Dosing of agents used to correct Hyperkalemia)

 

http://www.consultantlive.com/display/article/10162/1265250 ( EKG--Hyperkalemia)

 

QTc is calculated by dividing the measured QT by the square root of the R-R interval (the Bazett formula), both of which are measured in seconds.

http://cme.medscape.com/viewarticle/588325 (QT interval)

http://www.medscape.com/features/slideshow/ecgs-life-threatening (EKG)***LT conditions

 

 

Guidelines for Pacemaker Implantation

http://www.medscape.com/viewarticle/553839 ( Chest Compressions for Cardiac Arrest)

http://cmejama-archives.ama-assn.org/cgi/hierarchy/amacme_course;archinte168/10/1063 ( Cardiac Compressions--Cardiac Arrest)

http://www.medscape.com/viewarticle/545657 *************

http://qjmed.oxfordjournals.org/cgi/content/full/92/11/623  ( Tilt Table Testing)

http://www.goochlandfire-rescue.org/SOG/Protocols%20anaphlaxisallergic%20FIN.pdf  ( Anaphylaxis/ Emergency Tx)

http://circ.ahajournals.org/cgi/content/full/100/9/1016 ( Management of AMI/ bradycardia Tx)

http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/23919.html#treat ( Bradycardia)

Prior to the intubation, all patients can be treated with atropine 0.02 mg/kg and the analgesic fentanyl 2 g/kg. To those assigned the muscle relaxant, mivacurium can be administered at 0.2 mg/kg.  HR, BP & other parameters cab be measured  --- http://www.medscape.com/viewarticle/546021 ( neonatal intubation/ premedication).

http://www.medscape.com/viewarticle/565272 ( Peds AED)

http://www.drugs.com/dict/epsilon-wave.html (Epsilon wave; Arrythmogenic RV)

http://www.zunis.org/Duke%20Treadmill%20Score%20-%20CAD%20Predictor.htm ********

http://www.safetywatchinc.com/ACLS.htm (Classes) 

http://www.wikidoc.org/index.php/EKG_interpretation_basics (EKG Basics)

http://www.cvphysiology.com/Arrhythmias/A009.htm (EKG)

http://en.ecgpedia.org/wiki/Heart_axis (Heart Axis)

http://en.ecgpedia.org/wiki/LPFB#LBBB_vs_RBBB (LBBB; RBBB)

http://en.wikipedia.org/wiki/Cardiac_index (Cardiac Index)

http://www.madsci.com/manu/ekg_qwav.htm (Q waves)

http://www.fpnotebook.com/CV/Lung/EkgInPlmnryEmblsm.htm (EKG in PE)

http://annals.org/cgi/reprint/141/1/57.pdf ( Evaluation of Primary Care Patients with Chronic Stable Angina)

http://www.fpnotebook.com/CV77.htm

http://www.chestnet.org/education/online/pccu/vol19/lessons09_10/index.php (CME/ Atrial & Ventricular Arrhythmias)

http://www.vh.org/adult/provider/familymedicine/FPHandbook/01.html ( Arrythmia Management/ Atrial & ventricular)********

http://www.chestnet.org/education/online/pccu/vol19/lessons09_10/index.php (click on-- Tachyarrythmias in the ICU)

http://www.postgradmed.com/issues/2005/10_05/ray.htm (Treating Atrial Fib).

http://www.americanheart.org/presenter.jhtml?identifier=3035517 ****************Guidelines CPR/ ACLS...

http://circ.ahajournals.org/content/vol112/22_suppl/

http://circ.ahajournals.org/cgi/content/full/112/24_suppl/IV-167 ( PALS)

http://prehospitalcare.upmc.com/PediatricProtocols.pdf#search=%22initial%20dose%20of%20synchronized%20cardioversion%20in%20infants%20%26%20children%22 ( Pediatric Protocols/ 2004)

http://prehospitalcare.upmc.com/Protocol2004.pdf ( Adult Protocols/ 2004)

http://www.patient.co.uk/showdoc/40025193/ ( CHOKING)

http://www.biotel.ws/protocolsHTML/Protocols2004/NasoTrachealIntubation.asp ( Nasotracheal Intubation)

http://en.wikipedia.org/wiki/Oxygen_therapy ( Oxygen Concentrations)

Focus on Cardiovascular Disease
Give and Take -- What Does This ECG Show?
Medscape Cardiology 2009

 

 

Six Abnormal ECGs -- Not All Are Cases of the Heart: Slideshow

http://www.medscape.com/features/slideshow/cause-ekg-pause (Other EKGs)

http://medinfo.ufl.edu/~ekg/Axis%20Hemiblocks.html

http://www.consultantlive.com/cardiovascular-diseases/content/article/10162/1523381 (CHB)

http://www.fpnotebook.com/CV/Exam/Ekg.htm

http://cme.medscape.com/viewarticle/716909 (Torsades de Pointes)

http://www.medscape.com/viewarticle/717114_2 (Brugada syndrome)

http://www.medscape.com/viewarticle/717114_3

http://www.medscape.com/viewarticle/717127_3 (SVTs in children)

http://www.medscape.com/viewarticle/719130_5 (AF)

http://www.medscape.com/viewarticle/717903_8 (Syncope/ Investigations)

http://www.medscape.com/viewarticle/717903_7 (Syncope/ Examination)

http://www.medscape.com/viewarticle/717903_2 (Syncope/ Refer--ENT, Cardio, Neuro)

 

 

QT prolongation (http://www.azcert.org, www.torsades.org, www.qtdrugs.org, www.longqt.org, www.sads.org, etc.).

 

A commonly used correction (QTc) is the Bazett correction (QTc=QT/ăRR), wherein QT is the longest QT interval measured on the ECG and RR is an average RR interval. QT measurement should be made manually from a 12-lead ECG, and it is calculated from the beginning of the QRS complex to the end of the T wave and averaged over 3-5 beats in a single lead.

http://cme.medscape.com/viewarticle/711214?src=emed_case_nl_0&uac=74821FZ (Prolonged QT-I)

http://cme.medscape.com/viewarticle/711214 ( T de P)

 

We have a checklist to "screen" for potentially serious cardiac pathology
in ECG's in sinus rhythm:

1) shortened PR interval, Delta wave - WPW syndrome
2) prolonged QTc - Long QT syndrome
3) Deep Q, raised ST in II, III, aVF, LVH - Hypertrohphic cardiomyopathy
4) T inversion in V 1 - 3 in teenager, epsilon wave - arrthythmogenic
right ventricular dysplasia
5) Coved ST segment and inverted T wave in V1 - Brugada syndrome

 

 

Dietary..

 

 

http://www.medal.org/visitor/www/inactive/ch12.aspx(Dietary Tools)

 

http://en.wikipedia.org/wiki/Ghrelin ( Ghrelin; Leptin)

 

http://cme.medscape.com/viewarticle/705553 (Vegetarian Diet) *************

 

http://www.medscape.com/viewarticle/582320 ( Antioxidants)

 

http://www.drugs.com/pro/vitamin-d-ergocalciferol.html ( Vit D2, Ergocalciferol)

 

http://www.bpg.bg/sopharma/deavit.phtml ( Ergocalciferol)

 

http://www.drlam.com/book/chapter3.cfm#VITAMINA-FIGHTSHEARTDISEASE ( Doasage of Vitamins)8**

 

http://www.mayoclinic.com/health/drug-information/DR602285 ( Fe)

 

http://www.pharmacytimes.com/issues/articles/2006-12_4192.asp ( Elemental Iron)

 

http://www.aafp.org/afp/20090501/768.html (Zn; an essential micronutrient)

 

http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/index.html ( DM)

 

http://www.hmrprogram.com/documents/HMR_Calorie_Chart_FINAL.pdf (Calorie System)

 

http://answers.yahoo.com/question/index?qid=20070823105259AAVM8Vf ( Vit D2 or D3)

 

http://timesofindia.indiatimes.com/Health--Science/Vitamin-B9-treats-allergies-asthma/articleshow/4475865.cms ( Vit B9/ F.Acid)

  

http://www.medal.org/Visitor/login.aspx  (Tools, Scoring Systems)

 

http://www.fruitsandveggiesmorematters.org/

http://www.health.gov/dietaryguidelines/dga2005/document/ (Guidelines);    http://www.health.gov/dietaryguidelines/

http://www.cspinet.org/smartmouth/index1.html ( Count Calories)********

http://www.medscape.com/viewarticle/553258 ( Atkins, Zone, Learn, Ornish---Diets)

http://www.psych.org/psych_pract/treatg/pg/eating_revisebook_index.cfm (Tx of Eating Disorders/ APA)

Protocol for the Prevention and Management of Renal Osteodystrophy in Adult Dialysis Patients   (Vit D)

http://www.medscape.com/viewarticle/549473_9  ( Criteria for Gastric Bypass/ Lap-Band), Tx of Obesity---Diet, Exercise, Pharmacotherapy

Age+5= ------Gms of fiber/day ( for Children)

http://www.medscape.com/qna/processor?questionnaireid=3690&showStandAlone=true ( SE of Statins) ******

http://www.medscape.com/viewarticle/550619  ( Statin-- SE***

http://www.medscape.com/viewarticle/546417 ( for Constipation)

http://www.medscape.com/viewarticle/546472  ( Green Leafy Vegetables...decrease Cognitive decilne ?)

http://www.medscape.com/viewarticle/545713  ( Dietary/ DM/ Afro-Americans...)

http://cmejama-archives.ama-assn.org/cgi/quiz/amacme_quiz;jama_296_15_1885?node_id=amacme_course;jama296/15/1885 ---fish/ epa, dha

http://www.medscape.com/viewarticle/545863 ( P in caffeinated &...colas)

http://www.medscape.com/viewarticle/541887  ( ...USE of CINACALCET for increased PTH).

http://shapeup.org/    http://win.niddk.nih.gov/publications/talking.htm

http://www.emedicine.com/quickref.shtml  (TOOLS)  *************

http://www.ars.usda.gov/Services/docs.htm?docid=7783 (Nutrients in the food you eat);    www.ars.usda.gov/foodsearch (Dept of Agriculture)

http://www.medscape.com/viewarticle/544567  ( Lactose tolerance & allergies)

http://ods.od.nih.gov/Health_Information/Vitamin_and_Mineral_Supplement_Fact_Sheets.aspx (Vitamins & Minerals)

http://www.fda.gov/medwatch/report/consumer/consumer.htm. (Report adverse events);   http://www.fda.gov/opacom/backgrounders/complain.html (FDA Consumer Complaint Coordinators);  http://www.cfsan.fda.gov/~dms/ds-oview.htmlhttp://www.who.int/medicines/library/trm/guidelinesdocs.shtml (WHO/ Guidelines & Standards / Traditional Medicine).

http://www.globalrph.com/tpn.htm (TPN calculator)

http://www.foodallergy.org/

http://www.medscape.com/qna/AddResponses

http://www.aapiusa.org/aapi/pdfs/Nutrition%20EBook.pdf (Indian Food/ Managing DM).

http://lpi.oregonstate.edu/infocenter/minerals/phosphorus/ (Minerals../ P..)

http://dietary-supplements.info.nih.gov/

http://mypyramid.gov/

Phosphorus and chronic kidney disease - DaVita (P)*********

http://www.calabell.com/hn/Supp/Phosphorus.htm (P)

http://www.vaughns-1-pagers.com/food/potassium-foods.htm (K)********

http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/index.html (Click on-- Find a Nutrition Professional)

http://smallstep.gov/

http://dietary-supplements.info.nih.gov/

http://foodallergy.org/ (90% of allergies are due to ---Peanuts, Treenuts, Fish, Shellfish, Eggs, Milk, Soy, Wheat)

Vitamins A Thru Zinc (Vitamins);  http://www.starofmysore.com/main.asp?type=specialnews&item=3856 (Banana)

http://www.healthierus.gov/dietaryguidelines/ (2005/ Dietary Guidelines).

http://www.vitaminsdiary.com/symptoms.htm (Includes Herbal Medicines)

http://www.cfsan.fda.gov/*********

 

http://www.fns.usda.gov/wic/ (WIC/ Medicaid/ Local Funding services--for Pregnant Women).

http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/index.html

http://www.fruitjuicefacts.org/useful_links.html

http://www.medscape.com/viewarticle/528034

http://italia.medscape.com/viewarticle/504520

http://www.diabetes.ca/files/Diabetes_GL_FINAL2_CPG03.pdf ( Food list & Glycemic Index)

http://niapublications.org/exercisebook/   ************

http://www.medscape.com/viewarticle/546356 ---Mediterranean Diet

http://cmejama-archives.ama-assn.org/cgi/content/full/archneur;63/12/1709?quiz_ans_id=5#5 --MeDi ( Decreases vascular & Non-Vascular causes of Alzheimer's Disease).

http://www.labtestsonline.org/understanding/analytes/albumin/test.html ---albumin

http://www.kidney.org/professionals/kdoqi/guidelines_updates/nut_a03.html ---Albumin

http://www.emedicine.com/med/topic1116.htm ---LOW Albumin--  INV.

http://nccam.nih.gov/research/results/gait/

http://www.vitacost.com/index.aspx       Vitamins, Nutritional Health Supplements & Herbal Remedies ...

 

http://www.aafp.org/online/en/home/publications/journals/afp/algorithms/afpalgorithm-h.html#1017   ---Hypernatremia Algorithm ( Na --high/ low---Correction).

http://en.wikipedia.org/wiki/Hyponatremia;                 http://en.wikipedia.org/wiki/Hypernatremia;                 

http://www.medcalc.com/sodium.html;                                          http://www.mdcalc.com/sodiumdeficit  

http://www.globalrph.com/hypertonic_saline.htm                        http://www.globalrph.com/saline.cgi;          

http://en.wikipedia.org/wiki/Electrolyte_imbalance ( Electrolyte Disturbances)

http://www.medscape.com/viewarticle/549022 ( DIET in CANCER survivors).

USPASA - Patient Education ; http://www.usprobiotics.org/ ;   ConsumerLab.com - independent tests of herbal, vitamin, and ...

 

http://jama.ama-assn.org/cgi/content/full/300/23/2731  (Feeding Guidelines in critically ill patients); http://jama.ama-assn.org/cgi/content/full/300/23/2798 (Nutrition Guidelines in CC setting)

http://www.medscape.com/viewprogram/6390  ( Prenatal- Nutrition)*********DHA/ EPA ; Folic acid 1 mg/d, Cal 1500 mg/d, Vit D 200 IU/d...

http://cme.medscape.com/viewarticle/586316

 

 

 

Common complications associated with total parenteral nutrition. Broadly, we
can divide them in three categories, 1. Mechanical, 2.Metabolic and 3.
Septic.

1. MECHANICAL:
a) Peumothorax- due to puncture or laceration of lung pleura
b) Subclavian artery injury- at the time insertions of the catheter.
c) Air embolisim- due aspiration of air into the subclavian vein.
d) Venous thromosis- due to clot formation in great veins.

2. METABOLIC:
a) Hyperglycemia- excessive glucose supplementation.
b) Hypoglycemia- sudden cessation of the nutrition.
c) Carbon Dioxide retention- because of infusion of glucose in excess
of energy.
d) Hyperchloremic Metabolic Acidosis- due to excessive chloride
administration.
e) Azotemia- Excessive Amino Acids with inadequate calories
f) Bleeding- Vitamin k deficiency

3. SEPTIC:
a) Line sepsis
b) Infection at the skin site.
c) Septicemia

 




 

 

 

Guidelines for Americans [61] (http://www.usda.gov/cnpp/DietGd.pdf) and the US Department of Agriculture's Food Guide Pyramid [62] (http://www.nal.usda.gov/fnic/Fpyr/pyramid.html).