全新體驗，就在micromedex2.0

1、MICROMEDEX® 2.0,不只是搜尋，而是發(fā)現(xiàn)！(Not Searching. Finding.),飛資得信息技術(shù)(上海)有限公司FlySheet Information Services (Shanghai), Inc.info@flysheet.com.cn010-65383610021-52980395,,全新體驗，就在MICROMEDEX® 2.0,干凈、整齊的界面與臨床相關(guān)的檢索結(jié)果最全

2、面的藥物信息,馬上體驗MICROMEDEX® 2.0http://www.thomsonhc.com/micromedex2/librarian,培訓(xùn)課程,MicroMedex界面功能發(fā)現(xiàn)MicroMedex 2.0藥物、疾病、實驗室信息交互作用、兼容性及比較信息保存MicroMedex 2.0實例演練,MicroMedex,全球領(lǐng)先的詢證醫(yī)藥學(xué)資源：MICROMEDEX為綜述型事實數(shù)據(jù)庫，透過醫(yī)藥學(xué)專家針對全球

3、7,000余種醫(yī)藥學(xué)期刊文獻(xiàn)進(jìn)行收集、篩選、分類后，按臨床應(yīng)用的需求，編寫具有實證的綜述文獻(xiàn)滿足臨床應(yīng)用的需求：Micromedex提供專業(yè)、快速、且完整的藥物、疾病、毒物、檢測與另類輔助醫(yī)學(xué)等信息給專業(yè)人士使用，同時協(xié)助降低藥物治療的失誤、支持病患安全方案，確保醫(yī)院一貫的照護(hù)，對醫(yī)藥信息的需求提供一步到位的解決方案廣受全球醫(yī)藥界的重視：MICROMEDEX在全球各地受到醫(yī)院、藥廠、研究機(jī)構(gòu)、政府單位、與醫(yī)學(xué)院校的廣泛使用，在美

4、國有高達(dá)85%的醫(yī)院使用，在澳大利亞有700家醫(yī)院使用，在臺灣有超過100家醫(yī)院，與10家醫(yī)學(xué)院使用，在香港，有45家醫(yī)院使用Micromedex提供的高品質(zhì)循證數(shù)據(jù)。,內(nèi)容建立與評論,,,Literature Evaluation,Write Content,Review Content,,,,External Review,,Final Review and Publish,跨學(xué)科、專業(yè)的合作：臨床工作者、醫(yī)學(xué)作者、圖書館員與臨床分

5、析員所組成臨床認(rèn)知運用反覆的流程編輯準(zhǔn)則與風(fēng)格指南的堅持：所有的內(nèi)容都是一致的編輯方式嚴(yán)謹(jǐn)?shù)馁Y料收集、篩選與撰寫過程，使MICROMEDEX的內(nèi)容更具準(zhǔn)備性、中立性以及完整性！,6,Literature Surveillance,,,數(shù)據(jù)庫——四部分內(nèi)容組成,藥品信息（Drug & complenmentary medicine)病人教育信息(Patient Education)緊急救護(hù)信息(Disease

6、Management)毒理學(xué)信息(Toxicology),界面功能,相關(guān)資源鏈接,工具欄,輸入關(guān)鍵詞、檢索主題或句子,,MOBILE：使用移動版MicroMedexMY SUBSCRIPTION：訂購的數(shù)據(jù)庫內(nèi)容MICROMEDEX GATEWAY：登入頁面LOG OUT：登出數(shù)據(jù)庫HELP：在線幫助,,可用于iPhone, iPad, Blackberry, Android系統(tǒng)除手機(jī)外，亦可用于其他掌上設(shè)備(Palm OS

7、, Pocket PC)內(nèi)含藥物基本信息、交互作用、適應(yīng)癥、療效與劑量等藥物資源使用者可免費使用摘要報告,,MY SUBSCRIPTION,發(fā)現(xiàn)MicroMedex 2.0,藥物信息完整信息特定主題商品名查詢警告信息使用咨詢疾病信息,實驗室數(shù)據(jù)藥物交互作用多種藥物單一藥物靜脈注射兼容性藥物辨識查詢藥物比較工具,,簡單易使用的檢索框,關(guān)鍵詞查詢：輸入藥物、疾病或檢驗的名稱兩個以上的藥物名稱同時查詢藥物與疾

8、病簡單的問題/概念treatment for hypertensiondosing for propofol,,,,,藥物查詢,Drug Dashboard藥物儀表板,15,,1.藥物的劑型,,2. 藥物信息匯整,,3.特定信息-藥品的其他面相與應(yīng)用,快速瀏覽如給藥方式、劑量、交互作用、副作用等臨床相關(guān)內(nèi)容,,,搜尋結(jié)果的列表信息,16,每頁顯示10筆結(jié)果，且按臨床相關(guān)度順序排列，最相關(guān)的文件列于第一筆結(jié)果,,DrugPoin

9、ts信息列在其后，因為對于專家而言這些信息不如詳細(xì)的文件內(nèi)容來的高度相關(guān),標(biāo)記文件的類型,,,,,,,,,,摘要文件（DrugPoint),17,,大綱,,,閱讀的主題區(qū)以藍(lán)色卷標(biāo)顯示,,由此取得詳細(xì)的文件,,條列式訊息,所有文件都有提供打印功能,,展開將整份文件,展開主題內(nèi)容,詳細(xì)文件（DrugDex),18,,反映出人體各系統(tǒng)副作用,強(qiáng)調(diào)不同型態(tài)藥物對心血管系統(tǒng)副作用,,依據(jù)查詢的藥物型態(tài)列出不同的心血管副作用,所有參考文獻(xiàn)可透過P

10、ubMed連結(jié)原文,文獻(xiàn)報告,,展開文件,點擊顯示完整文件,,目次,,再次顯示段落章節(jié),,提供與檢索結(jié)果相關(guān)或合適使用的工具,,,提供臨床治療信息或指引,Highlights: 效力比較,23,對于同一癥狀，紅霉素與其他藥物的效果比較,,列出所有可以替代紅霉素的藥品,由DrugDex中點選以比較紅霉素與阿齊霉素,,從儀表板區(qū)進(jìn)入效力比較,,,從儀表板區(qū)進(jìn)入效力比較,從儀表板區(qū)進(jìn)入馬丁代爾藥典,26,進(jìn)入馬丁代爾藥典的三個路徑,,,,Ma

11、rtindale Information馬丁代爾藥典信息,27,,目次,,,依據(jù)藥品名稱或藥物類別搜尋,,Index Nominum,28,收錄超過5,300國際藥物，42,000國際商標(biāo)。包括全球各地區(qū)商品別名、化學(xué)結(jié)構(gòu)、制藥商的信息等,,Index Nominum,29,分子架構(gòu)與分子量在其他地區(qū)/國家的藥物名稱,,儀表板之藥品規(guī)格信息,30,,,,此段落具體呈現(xiàn)紅霉素的各種面向與不同藥品間的應(yīng)用,藥品規(guī)格信息綜覽,3

12、1,毒物學(xué)信息,疾病治療與病理學(xué)的信息,替代藥物的效力比較,三個生育危險因子數(shù)據(jù)庫,下面的項目會依據(jù) 貴單位所訂購的內(nèi)容而有不同,Heart,fail,,疾病查詢,,,,,,,,,,,View detailed document,,Clinical Checklist,,,,nilo,,,簡單的問題,,,,也可點擊其他內(nèi)容瀏覽,,,,工具欄,Drug Interactions：藥物交互作用Trissels?2 IV Compatib

13、ility：靜脈注射相容性Drug Identification：藥物辨識Tox & Drug Product Lookup:毒物與藥品查找Drug Comparison：藥物比較Red Book Online:美國藥廠藥價Calculators：各式醫(yī)學(xué)公式及計算器根據(jù)訂購模塊進(jìn)入工具,,,藥物交互作用,war,提供的交互作用信息：藥物與藥物藥物與酒精藥物與食品藥物與實驗室藥品,,ginse,,,peni

14、c,,,,,,,,,,,,,靜脈注射相容性查詢,提供查詢相容性信息：使用Y型導(dǎo)管時的藥物與溶劑相容性藥物混合使用相容性注射給藥時的藥物與溶劑相容性,hep,,藥物辨識,可使用藥物的印痕或形狀、顏色以及大小等物理性質(zhì)辨識丸劑和片劑藥物。,,藥物比較,提供藥物比較訊息：提供全方位的藥物信息比較每次可比對2種，最多可同時比較20種藥物,,各式醫(yī)學(xué)公式及計算器,提供計算工具包括：解毒劑劑量與計算模式實驗室數(shù)據(jù)劑量計算工具臨床

15、數(shù)據(jù)計算測量計算公式,實例演練,,查詢靜脈注射兼容性,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

16、) potassium chloride, IV diltiazem, IV rocephin, and ordered urine cultures.You want to double-check the IV compatibility of all prescribed drugs.,查詢靜脈注射兼容性,一位78歲男性患有高血壓病史和阿爾茨海默病，入院時發(fā)現(xiàn)有發(fā)熱，高血壓和房顫癥狀。入院醫(yī)生開始對病人靜脈注射（IV）氯化鉀，四

17、地爾硫卓，IV羅氏芬，責(zé)令尿培養(yǎng)。你要仔細(xì)檢查所有的兼容性處方藥物。,請你跟我這樣做……,Select Trissel’s? 2 IV Compatibility from the toolbar and build the IV profile with:Diltiazem HCLPotassium chlorideRocephinClick Submit Compatibility,,辨識不明藥物,Scenario:35

18、 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

19、 on one side and 951 on the otherYou want to identify the unknown pill.,辨識不明藥物,35歲的女性呈現(xiàn)發(fā)高燒，沒有其它癥狀。在咨詢患者目前的用藥狀況后，患者提供了一盒藥丸。您能夠識別所有藥物除了其中一種，該藥丸一面印有 MRK，而另一面印951您要辨識這種未知的藥丸,請你跟我這樣做……,Select the Drug Identification

20、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.,,Calculators,Scenario:A new patient (72 kg) is adm

21、itted 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 a

22、nd 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,一個72公斤病人，被送到CICU心臟病加強(qiáng)監(jiān)護(hù)病房。由于有高風(fēng)險心臟驟停可能

23、性，負(fù)責(zé)該病人的護(hù)士希望有放一個預(yù)印名單在床頭的圖表，包括所有的“代碼”的藥物，可能是必要的，正確的劑量和給藥速率的每一項，任何稀釋或其它所需數(shù)據(jù)。這次演習(xí)將測試使用ACLS/ PALS計量計算器。,請你跟我這樣做……,Select Calculators from the toolbar. Select ACLS/PALS Guidelines.Click Adult, enter patient weight (72

24、 kg) Click SubmitEnter a patient name.Click the Print link to print full guidelines.,,,LAB INFORMATION,Scenario:You have an infant patient and have been asked to collect blood for a blood culture test. You want to k

25、now:1.How much blood is needed for this test2.What tube to use,LAB INFORMATION,有一個嬰兒病患，需要抽血并進(jìn)行血液培養(yǎng)試驗。你想知道：1。這個試驗需要多少血量2。需使用哪一種管子來抽血,請你跟我這樣做……,In the search field type blood cu, select Blood culture and click Search

26、. 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 che

27、st pain that has been occurring over the past 48 hours. The patient’s history includes coronary artery disease, gastro esophageal reflux disease (GERD), asthma, and hypertension. His current medications include Advair

28、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 translum

29、inal 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 conco

30、mitant anticoagulant therapy. The nurse wants to check monitoring parameters for Plavix and Prilosec, and potential drug-drug interactions for all of the patient’s medications.,DRUG COMPARISIONS,一49歲男性病患，被送到急診室時的過去48小時一

31、直發(fā)生胸痛的癥狀?；颊叩牟∈?，包括冠狀動脈疾病，胃食管返流?。℅ERD），哮喘和高血壓。他目前的藥物包括：Advair Diskus1吸入式，每日兩次albuterol PRN沙丁胺醇PRNaspirin每天服用阿司匹林325mgPlavix氯吡格雷75毫克每日Prilosec奧美拉唑20毫克每天Singulair并爾寧10mg每日。護(hù)士確定該患者為14天崗位操作從經(jīng)皮腔內(nèi)冠狀動脈成形術(shù)（PTCA）。病人雖

32、然在急性心肌梗死呈陰性，但醫(yī)生也指定需要CBC，出血時間，肝功能等信息，以排除潛在的出血由于接下來的抗凝治療。護(hù)士要檢查監(jiān)控參數(shù)Plavix and Prilosec氯吡格雷和奧美拉唑，和潛在的藥物相互作用對所有病人使用的藥物。,請你跟我這樣做……,Monitoring Parameters:Select the Drug Comparison tool from the toolbar.Add Prilosec and Plav

33、ix 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 sel

34、ect View Detailed Information in DRUGDEX for more detailed information.,請你跟我這樣做……,Interactions:Select Drug Interactions from the toolbar. Search for: Advair Diskus, albuterol, Plavix, aspirin, Prilosec, and Singulair.

35、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 and Plavix.,DRUG DOSING,Scenario:A nurse from 4N has a patient tha

36、t 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

37、 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.,DRUG DOSING,一位4N護(hù)士有一

38、個病人正在開始服用nilotinib hydrochloride 治療慢性粒細(xì)胞白血病，結(jié)果不容忍matinib。該病人的醫(yī)囑是每12小時需口服400毫克以及做連續(xù)心電圖。護(hù)士從來沒有給過這種藥，用藥前，想要確認(rèn)該藥劑量和監(jiān)測參數(shù)。護(hù)士也想知道什么時候心電圖（ECG）應(yīng)完成及其原因。,請你跟我這樣做……,In the search field type dosage of nilo, and select nilotinib h

39、ydrochloride. 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 hand side of the pageExpand the Mo

40、nitoring 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 Detai

41、led Information in DRUGDEX located towards the top 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 v

42、omiting in chemotherapy and radiotherapy patients.,DISEASE,你是一個腫瘤科護(hù)士，你有興趣學(xué)習(xí)更多有關(guān)在治療惡心和嘔吐的化療和放療的病人的最新指引。,請你跟我這樣做……,In the search field type guidelines for nausea and vomiting and select Search. On the intermediate search

43、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 guid

44、elines 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 tre

45、ating it.,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

46、 date information on bromocriptine to determine if it would be appropriate for the patient.,DIRECT TO TOPIC DRUG SEARCH,一個醫(yī)生正在治療的52歲女性2型糖尿病時正好讀到 FDA最近批準(zhǔn)溴隱亭可用來治療糖尿病。醫(yī)師需要最新關(guān)于溴隱亭的信息以確定它是否合適該病人。,請你跟我這樣做……,Type indicat,

47、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 Vi

48、ew Detailed information in DRUGDEX to view more detailed information,感謝您的參與,飛資得信息技術(shù)(上海)有限 公司FlySheet Information Services (Shanghai), Inc.info@flysheet.com.cn上海：電話：+86-21-52980395 北京：電話：+86-10 65383610 傳真：+86