MICROMEDEX

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MICROMEDEX 2.0

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????,??MICROMEDEX 2.0
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????MICROMEDEX 2.0http//www.thomsonhc.com/micro
medex2/librarian
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• MicroMedex
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• ??MicroMedex 2.0
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• ??MicroMedex 2.0
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MicroMedex

• ????????????MICROMEDEX?????????,???????????7,000?
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Literature Surveillance

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• ???????????????,?MICROMEDEX?????????????????!

Literature Evaluation
Write Content
Review Content
External Review
Final Review and Publish
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• ????(Drug complenmentary medicine)
• ??????(Patient Education)
• ??????(Disease Management)
• ?????(Toxicology)

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

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• ???iPhone, iPad, Blackberry, Android??
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MY SUBSCRIPTION
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??MicroMedex 2.0

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• treatment for hypertension
• dosing for propofol

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Drug Dashboard?????
1.?????
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2. ??????
3.????-??????????
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????10???,???????????, ?????????????
DrugPoints??????,???????????????????????????
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????(DrugPoint)
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????(DrugDex)
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?????????PubMed????
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Highlights ????
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?DrugDex??????????????
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Martindale Information????????
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Index Nominum
????5,300????,42,000?????????????????????????????
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Index Nominum
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Heart
fail
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View detailed document
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Clinical Checklist
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nilo
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• Drug Interactions??????
• Trissels2 IV Compatibility???????
• Drug Identification????
• Tox Drug Product Lookup???????
• Drug Comparison????
• Red Book Online??????
• Calculators??????????
• ??????????

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war

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ginse
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penic
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• ??Y?????????????
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hep
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• 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.

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• ??78?????????????????,????????,???????????????????
  ???(IV)???,?????,IV???,???????????????????????

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• 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.

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• 35?????????,????????????????????,???????????????
  ??????????,??????? MRK,?????951???????????

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• 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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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.

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Calculators

• ??72????,???CICU???????????????????????,??????????
  ??????????????,??????????,??????,??????????????,
  ?????????????????????ACLS/ PALS??????

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• 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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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

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LAB INFORMATION

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  ????

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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.

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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.

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DRUG COMPARISIONS

• ?49?????,??????????48????????????
• ?????,????????,??????(GERD),???????????????
• Advair Diskus1???,????
• albuterol PRN????PRN
• aspirin????????325mg
• Plavix????75????
• Prilosec????20????
• Singulair???10mg???
• ????????14?????????????????(PTCA)???????????????,
  ????????CBC,????,??????,?????????????????????????
  ???Plavix and Prilosec?????????,??????????????????
  ???

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• 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.

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• 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.

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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.

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DRUG DOSING

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

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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

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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

• ?????????,?????????????????????????????????

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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.

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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.

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DIRECT TO TOPIC DRUG SEARCH

• ?????????52???2????????? FDA??????????????????????
  ????????????????????

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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

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