全新体验，就在MICROMEDEX2.0.ppt

1、MICROMEDEX 2.0,不只是搜寻，而是发现！(Not Searching. Finding.),飞资得信息技术(上海)有限公司FlySheet Information Services (Shanghai), I010-65383610021-52980395,全新体验，就在MICROMEDEX 2.0,干净、整齐的界面与临床相关的检索结果最全面的药物信息,马上体验MICROMEDEX 2.0http:/ 2.0药物、疾病、实验室信息交互作用、兼容性及比较信息保存MicroMedex 2.0实例演练,MicroMedex,全球领先的询证医药学资源：MICROMEDEX为综述型事实数据库

2、，透过医药学专家针对全球7,000余种医药学期刊文献进行收集、筛选、分类后，按临床应用的需求，编写具有实证的综述文献满足临床应用的需求：Micromedex提供专业、快速、且完整的药物、疾病、毒物、检测与另类辅助医学等信息给专业人士使用，同时协助降低药物治疗的失误、支持病患安全方案，确保医院一贯的照护，对医药信息的需求提供一步到位的解决方案广受全球医药界的重视：MICROMEDEX在全球各地受到医院、药厂、研究机构、政府单位、与医学院校的广泛使用，在美国有高达85%的医院使用，在澳大利亚有700家医院使用，在台湾有超过100家医院，与10家医学院使用，在香港，有45家医院使用Micromede

3、x提供的高品质循证数据。,内容建立与评论,Literature Evaluation,Write Content,Review Content,External Review,Final Review and Publish,跨学科、专业的合作：临床工作者、医学作者、图书馆员与临床分析员所组成临床认知运用反覆的流程编辑准则与风格指南的坚持：所有的内容都是一致的编辑方式严谨的资料收集、筛选与撰写过程，使MICROMEDEX的内容更具准备性、中立性以及完整性！,6,Literature Surveillance,数据库四部分内容组成,药品信息（Drug & complenmentary medic

4、ine)病人教育信息(Patient Education)紧急救护信息(Disease Management)毒理学信息(Toxicology),界面功能,相关资源链接,工具栏,输入关键词、检索主题或句子,MOBILE：使用移动版MicroMedexMY SUBSCRIPTION：订购的数据库内容MICROMEDEX GATEWAY：登入页面LOG OUT：登出数据库HELP：在线帮助,可用于iPhone, iPad, Blackberry, Android系统除手机外，亦可用于其他掌上设备(Palm OS, Pocket PC)内含药物基本信息、交互作用、适应症、疗效与剂量等药物资源使用者可

5、免费使用摘要报告,MY SUBSCRIPTION,发现MicroMedex 2.0,药物信息完整信息特定主题商品名查询警告信息使用咨询疾病信息,实验室数据药物交互作用多种药物单一药物静脉注射兼容性药物辨识查询药物比较工具,简单易使用的检索框,关键词查询：输入药物、疾病或检验的名称两个以上的药物名称同时查询药物与疾病简单的问题/概念treatment for hypertensiondosing for propofol,药物查询,Drug Dashboard药物仪表板,15,1.药物的剂型,2. 药物信息汇整,3.特定信息-药品的其他面相与应用,快速浏览如给药方式、剂量、交互作用、副作用等临床

6、相关内容,搜寻结果的列表信息,16,每页显示10笔结果，且按临床相关度顺序排列，最相关的文件列于第一笔结果,DrugPoints信息列在其后，因为对于专家而言这些信息不如详细的文件内容来的高度相关,标记文件的类型,摘要文件（DrugPoint),17,大纲,阅读的主题区以蓝色卷标显示,由此取得详细的文件,条列式讯息,所有文件都有提供打印功能,展开将整份文件,展开主题内容,详细文件（DrugDex),18,反映出人体各系统副作用,强调不同型态药物对心血管系统副作用,依据查询的药物型态列出不同的心血管副作用,所有参考文献可透过PubMed连结原文,文献报告,展开文件,点击显示完整文件,目次,再次显

7、示段落章节,提供与检索结果相关或合适使用的工具,提供临床治疗信息或指引,Highlights: 效力比较,23,对于同一症状，红霉素与其他药物的效果比较,列出所有可以替代红霉素的药品,由DrugDex中点选以比较红霉素与阿齐霉素,从仪表板区進入效力比较,从仪表板区進入效力比较,从仪表板区進入马丁代尔药典,26,进入马丁代尔药典的三个路径,Martindale Information马丁代尔药典信息,27,目次,依据药品名称或药物类别搜寻,Index Nominum,28,收录超过5,300国际药物，42,000国际商标。包括全球各地区商品别名、化学结构、制药商的信息等,Index Nominu

8、m,29,分子架构与分子量在其他地区/国家的药物名称,仪表板之药品规格信息,30,此段落具体呈现红霉素的各种面向与不同药品间的应用,药品规格信息综览,31,毒物学信息,疾病治疗与病理学的信息,替代药物的效力比较,三个生育危险因子数据库,下面的项目会依据 贵单位所订购的内容而有不同,Heart,fail,疾病查询,View detailed document,Clinical Checklist,nilo,简单的问题,也可点击其他内容浏览,工具栏,Drug Interactions：药物交互作用Trissels2 IV Compatibility：静脉注射相容性Drug Identificati

9、on：药物辨识Tox & Drug Product Lookup:毒物与药品查找Drug Comparison：药物比较Red Book Online:美国药厂药价Calculators：各式医学公式及计算器根据订购模块进入工具,药物交互作用,war,提供的交互作用信息：药物与药物药物与酒精药物与食品药物与实验室药品,ginse,penic,静脉注射相容性查询,提供查询相容性信息：使用Y型导管时的药物与溶剂相容性药物混合使用相容性注射给药时的药物与溶剂相容性,hep,药物辨识,可使用药物的印痕或形状、颜色以及大小等物理性质辨识丸剂和片剂药物。,药物比较,提供药物比较讯息：提供全方位的药物信息比

10、较每次可比对2种，最多可同时比较20种药物,各式医学公式及计算器,提供计算工具包括：解毒剂剂量与计算模式实验室数据剂量计算工具临床数据计算测量计算公式,实例演练,查询静脉注射兼容性,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 chlorid

11、e, IV diltiazem, IV rocephin, and ordered urine cultures.You want to double-check the IV compatibility of all prescribed drugs.,查询静脉注射兼容性,一位78岁男性患有高血压病史和阿尔茨海默病，入院时发现有发热，高血压和房颤症状。入院医生开始对病人静脉注射（IV）氯化钾，四地尔硫卓，IV罗氏芬，责令尿培养。你要仔细检查所有的兼容性处方药物。,请你跟我这样做,Select Trissels 2 IV Compatibility from the toolbar and b

12、uild the IV profile with:Diltiazem HCLPotassium chlorideRocephinClick Submit Compatibility,辨识不明药物,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,

13、which has an imprint of MRK on one side and 951 on the otherYou want to identify the unknown pill.,辨识不明药物,35岁的女性呈现发高烧，没有其它症状。在咨询患者目前的用药状况后，患者提供了一盒药丸。您能够识别所有药物除了其中一种，该药丸一面印有MRK，而另一面印951您要辨识这种未知的药丸,请你跟我这样做,Select the Drug Identification link on the toolbar. Type the imprint on the pill:MRK (side 1)951

14、 (side 2) and click SEARCH.Select the COZAAR (United States) link to view drug info and drug image.,Calculators,Scenario:A new patient (72 kg) is admitted to the CICU. Due to a high risk of cardiac arrest, the patients nurse wants to have a pre-printed list on the bedside chart, including all code m

15、edications 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.,Calculators,一个72公斤病人，被送到CICU心脏病加强监护病房。由于有高风险心脏骤停可能性，负责该病人的护士希望有放一个预印名单在床头的图表，包括

16、所有的“代码”的药物，可能是必要的，正确的剂量和给药速率的每一项，任何稀释或其它所需数据。这次演习将测试使用ACLS/PALS计量计算器。,请你跟我这样做,Select Calculators from the toolbar. Select ACLS/PALS Guidelines.Click Adult, enter patient weight (72 kg) Click SubmitEnter a patient name.Click the Print link to print full guidelines.,LAB INFORMATION,Scenario:You have a

17、n 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 test2.What tube to use,LAB INFORMATION,有一个婴儿病患，需要抽血并进行血液培养试验。你想知道：1。这个试验需要多少血量2。需使用哪一种管子來抽血,请你跟我这样做,In the search field type blood cu, select Blood culture and click S

18、earch. Select the Blood culture link. Select Collection/ Storage Information from the left hand navigation list.Scroll to the Guidelines for infants.,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 in

19、cludes 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 t

20、he 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 th

21、erapy. The nurse wants to check monitoring parameters for Plavix and Prilosec, and potential drug-drug interactions for all of the patients medications.,DRUG COMPARISIONS,一49岁男性病患，被送到急诊室时的过去48小时一直发生胸痛的症状。患者的病史，包括冠状动脉疾病，胃食管返流病（GERD），哮喘和高血压。他目前的药物包括：AdvairDiskus1吸入式，每日两次albuterol PRN沙丁胺醇PRNaspirin每天服用

22、阿司匹林325mgPlavix氯吡格雷75毫克每日Prilosec奥美拉唑20毫克每天Singulair并尔宁10mg每日。护士确定该患者为14天岗位操作从经皮腔内冠状动脉成形术（PTCA）。病人虽然在急性心肌梗死呈阴性，但医生也指定需要CBC，出血时间，肝功能等信息，以排除潜在的出血由于接下来的抗凝治疗。护士要检查监控参数Plavix and Prilosec氯吡格雷和奥美拉唑，和潜在的药物相互作用对所有病人使用的药物。,请你跟我这样做,Monitoring Parameters:Select the Drug Comparison tool from the toolbar.Add Pri

23、losec and Plavix to compare monitoring parameters for the two medications. Click SUBMITSelect 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 informati

24、on.,请你跟我这样做,Interactions:Select Drug Interactions from the toolbar. Search for: Advair Diskus, albuterol, Plavix, aspirin, Prilosec, and Singulair. Click SUBMITThere is a major interaction for the concurrent use of Plavix and Prilosec.There is a minor interaction for the concurrent use of aspirin an

25、d Plavix.,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

26、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.,DRUG DOSING,一位4N护士有一个病人正在开始服用nilotinib hydrochloride 治疗慢性粒细胞白血病，结果不容忍matinib。该病人的医嘱是每12小时需口服400毫克以及做连续心电图。护士从来没有给过这种药，

27、用药前，想要确认该药剂量和监测参数。护士也想知道什么时候心电图（ECG）应完成及其原因。,请你跟我这样做,In the search field type dosage of nilo, and select nilotinib hydrochloride. Click SEARCHSelect the Adult Dosing link to confirm the correct dosage of nilotinib hydrochlorideClick on the ADMINISTRATION/MONITORING link in the outline on the left ha

28、nd side of the pageExpand the Monitoring information bar for information on monitoring parameters and information on the frequency of ECGsFor more detailed information about the ordered serial ECGs and other monitoring parameters select the View Detailed Information in DRUGDEX located towards the to

29、p of the monitoring section,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.,DISEASE,你是一个肿瘤科护士，你有兴趣学习更多有关在治疗恶心和呕吐的化疗和放疗的病人的最新指引。,请你跟我这样做,In the search field

30、 type guidelines for nausea and vomiting and select Search. On the intermediate search results page select CHEMOTHERAPY AND RADIOTHERAPY TREATMENT GUIDELINES FOR NAUSEA AND VOMITING. You are provided with a drug consult that addresses the most recent guidelines for treating nausea and vomiting.These

31、 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.,DIRECT TO TOPIC DRUG SEARCH,Scenario:A physician is treating a 52

32、 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.,DIRECT TO TOPIC DRUG SEARCH,一个医生正在治疗的52岁女性2型糖尿病时正好读到FDA最近批准溴隐亭可用

33、来治疗糖尿病。医师需要最新关于溴隐亭的信息以确定它是否合适该病人。,请你跟我这样做,Type indicat, pause and select indication for. Type a space and type Bromoc, pause and select BromocriptineClick SearchThe result page opens to the FDA-Labeled Indication section of the Bromocriptine summary documentSelect the View Detailed information in DRUGDEX to view more detailed information,感谢您的参与,飞资得信息技术(上海)有限 公司FlySheet Information Services (Shanghai), I上海：电话：+86-21-52980395北京：电话：+86-10 65383610 传真：+86-10-65383602,