This application is designed to aid with opioid dose conversions. Useful for the transitioning patients from IV to oral pain regimens (for example, patients who are no longer NPO after surgery) or for consolidating opioids into a simpler regimem. This app will come in handy for medical students, interns, pain management teams, and anyone who will need to quickly and easily calculate these conversions. Adjustments can be made for incomplete cross-tolerance. Opioids and opiates included:
Methadone IM/IV/SC chronic user
Methadone PO chronic user
If you have suggestions for other drugs to add, or information to include in the app, email me!
Copyright 2011 Vikas Shah. Disclaimer and warning: The author makes no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. This application was written solely to be used as a helpful adjunct for professionally trained physicians and practitioners otherwise experienced in drug administration and dosing. The data is provided for informational purposes only and in no way should be construed as professional medical advice. If you don't know the drug, its side effects, and its pitfalls, don't use it! Care has been taken that no errors in calculation have been made, but all calculations must be verified by the user. Drug dosing given here is based on published doses, but in all cases drugs should be administered on a case by case basis and titrated to effect for the individual patient. In no case have individual patient differences been taken into account, and conditions including but not limited to renal disease, hepatic dysfunction, cardiovascular disease, pulmonary disease, metabolic diseases and mitochondrial diseases may impact dosing or safety in the use certain drugs. Neither the name of the copyright owner nor the name of this project may be used to endorse or promote products derived from this software without specific prior written permission. This software is provided by the copyright holder "as is" and any express or implied warranties, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose are disclaimed. In no event shall the copyright owner be liable for any direct, indirect, incidental, special, exemplary, or consequential damages (including, but not limited to, procurement of substitute goods or services; loss of use, data, or profits; or business interruption) however caused and on any theory of liability, whether in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of this software, even if advised of the possibility of such damage. In places where such liabilities cannot be waived or disclaimed, liability shall not exceed the retail cost of the application to the user of the application. Dose calculations based on information found at http://www.globalrph.com/narcotic.cgi. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE USING THIS APP. BY USING THIS APP, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS. If you do not agree with these terms and conditions, delete this applicaton from your device.
• 5 doses per day of 100mg/5mL solution of Morphine (IV/IM/SD), or
• 4 doses per day of Oxycodone 15mg (PO), or
• 1 patch per 3-day period of Fentanyl 25mcg/hr (TD)
Painkiller Calculator also shows you the total MME for any given combination of common opioids and dosages.
Thanks for your support!
A quick reference guide with index and search bars, which includes the main drugs used in emergency and intensive care, made by physicians who work "on the front line" ... and therefore know which information is actually relevant!
You will no longer have doubts regarding the drugs used in critical situations of medical action.
Doses, dilutions, standard solutions ... all easily accessible. Search bars for generic names and clinical indications...
For each drug mentioned, are arranged such information as:
- Supplied as...
- Indications & Usage
- Warnings (side effects, contraindications)
- Administration (doses, standard solutions)
- Adverse Reactions
With simple and intuitive interface, you have the information readily accessible from major shifts of the most common drugs used by doctors all over the world!
Not just a "medication guide", but a smart quick reference, which contains just important information and just the medications you use in the emergency room and ICU!
Do not waste time with tons of useless information! It´s not useful a guide with more than 10,000 drugs, if during your life you do not prescribe medical or even 5% will access information on these active ingredients! And in an emergency, time is life!
How many times have you given up searching for specific information about an important drug because of "tons of useless information" on the screen of your device?
With "Drugs in ER & ICU" it´s solved! Just important information chosen by experts in emergency and intensive care, based on reliable references and practices !
DO NOT WASTE ANY MORE TIME! ENJOY OUR PROMOTIONAL PRICE!
* Omnipresent Search tool quickly finds drugs and relevant resources by brand and generic name, disease/condition, or manufacturer
* Personalized Bookmarks list for frequently accessed content
MAKE MORE INFORMED PRESCRIBING DECISIONS
* Drug Interactions Checker with over 7,000 interactions (drugs, herbals, supplements, and food) and detailed recommendations on how to manage the interactions
* Over 120 clinical tools including calculators and treatment algorithms
BE UP TO DATE
* Curated daily drug news & alerts summaries to keep you up to date while you’re on the go
* Updated frequently by MPR’s pharmacists and reviewed by physicians.
If you ever experience an issue with the MPR app, or would simply like to give us feedback, please contact email@example.com.
A research group conducted a systematic review to identify evidence from the literature regarding use of opioids for chronic non-cancer pain. The researchers drafted initial recommendations for practice that underwent structured review by a multidisciplinary National Advisory Panel that included 49 individuals from across Canada providing medical expertise in family medicine, pain and addiction, patient perspectives, and views of other healthcare providers. After four rounds of a structured review process, the National Advisory Panel achieved consensus on 24 recommendations for practice included in the Canadian Guideline.
The practice recommendations in the Canadian Guideline will assist physicians to use opioids effectively and safely for chronic non-cancer pain. This clinical practice guideline will also help patients to be informed about the potential benefits and risks of opioids, and enable other healthcare providers to be aware of roles they can play to achieve desired patient outcomes.
The goal of the National Opioid Use Guideline Group was to develop and implement into practice, advice for physicians to effectively manage patients with chronic non-cancer pain and to prescribe opioids in a safe and effective manner. Guideline development is complete and implementation activities are underway or planned for 2010 and 2011.
ABG interpreter- triple acid base (including anion gap), PaO2/FiO2 ratio
APACHE 2 Score
BODE index calculation
PORT score (pneumonia severity index / PSI)
tidal volume calculations by ideal body weight
TNM staging for lung cancer
Oxygen content and O2 extraction calculations.
Wells score for deep vein thrombosis (DVT) and pulmonary embolism (PE)
serum and urine osmolarity
free water clearance and deficit
Fractional Excretion of Sodium (FENa)
GFR estimates using Cockcroft-Gault and MDRD eGFR
Glasgow Coma Scale
Body Mass Index (BMI calculator)
Ideal body weight calculations using ARDSNET and reverse BMI
TIMI for NSTEMI
Corrected reticulocyte count
absolute neutrophil count (ANC)
Corrected sodium (for glucose)
Rockall score for GI bleed
TPN calculations and total caloric intake by parts
fluid requirements to correct hyponatremia or hypernatremia
Predicted improvement in INR with FFP
PFT (spirometry, DLCO and lung volumes) Normal values
Cardiac output by fick
steroid unit conversion
General Unit conversion such as kilogram to pounds (weight), distance and volume
due date by LMP (last menstrual period) and by date of conception - pregnancy wheel/timeline
Narcotic analgesic dose conversion for different opioids and dosing intervals
QTc and short QT interval calculations
Maddrey's Discriminant Function
CIWA for alcohol withdrawal
Conventional to SI unit conversion for select agents
Ranson's Criteria for Gallstone pancreatitis
This is for medical students, internal medicine residents, respiratory therapists, nurses and doctors working in the pulmonary field.
This has not been clinically verified at this time and is better suited for academic purposes than clinical practice.
Conversion of opioids with bolus calculation (for breakthrough pain), calculation of infusions (calculation of dosage , duration rate , duration, bolus doses and with dropclicker) and conversion of corticosteroids in one tool . Portable for daily work (not only) in the palliative and oncological care for physician and nursing.
1 opioid converter
- Conversion of up to 2 opioids to another opioid with variable reduction and bolus dose
- Output of the whole conversion with tips and possible dose bolus (also of other common opioids)
- Bolus calculation on the basis of an opioid (including boluses are displayed with other common opioids)
2 infusion calculation
- Enter the (aqueous) solution for infusion on total amount , amount of active ingredient or active ingredient concentration
- Enter the pass rate on amount of drug infusion amount, drip rate (also with a dropclicker) or runtime
- Input of active agent bolus or infusion bolus
- Output of the entire regime including duration at 1 to 6 boluses
3 conversion of corticosteroids
- Conversion on the basis of glucocorticoid potency with effective length specification
Only access to network configuration is required (due to the software) .
When you first start the app loads a bit lazy.
Possible opioids :
alfentanil iv buprenorphine enterally , buprenorphine parenterally , buprenorphine transdermal, codeine , dihydrocodeine enterally , dihydrocodeine parenterally , fentanyl enterally , fentanyl parenterally, fentanyl transdermally , hydromorphone enterally , hydromorphone parenterally, hydromorphone epidural , hydromorphone spinal, methadone , meptazinol , morphine enterally , morphine sc , iv morphine , morphine epidural , spinal morphine , nalbuphine , oxycodone enteral, oxycodone parenterally, pethidine , piritramide , iv remifentanil , sufentanil iv , tapentadol , tilidin , tramadol
Possible corticosteroids :
betamethasone, cloprednol , cortisone (acetate) , deflazacort , dexamethasone, fludrocortisone , fluocortolone , hydrocortisone ( cortisol) , methylprednisolone , prednisone , prednisolone , triamcinolone
Created with :
jQuery mobile, PhoneGap , jQuery Keypad by Keith Wood, FT fastclick.