GlobalRPh Website News - David McAuley, Pharm.D.

Date:

News Item

December 17th
2008
New custom sodium calculator released... This new tool was created based on important feedback from Dr. Shaw. Minor changes to the original calc were completed as well.
   
Robert F. Shaw, PharmD, MPH, BCPS, BCNSP
ICU Clinical Pharmacy Specialist  

".....The hypertonic saline calculator still did not meet what I was looking for, but I understand one calculator cannot fit every need and the inherent risks and liability with administration of 3% saline.

If I had the "perfect" calculator... I would want fields for:
starting Na
desired ending Na
gender
weight
choice of saline concentration 0.9% or 3%

This would provide how many ml of either 3% or 0.9% saline required to change the sodium to the desired value. This could further be defined if a meq/hr choice was provided of 0.5 meq/hr or 1 to give a infusion rate...."

Date:

News Item

November 18th
2008

The Internal Medicine section has been completedInternal Med......


Also, the following additional updates have been completed:

(1) A double alligation compounding calculator was added based on a request from:
     
Jessica Morehouse, Pharm.D.       "............  I needed to make a 12.5 % dextrose and 1/4 % NS 250 ml infusion out of a dextrose 70% bag and a bottle of concentrated NaCl 23.4%...."  .."I think it would be extremely helpful if you put in another calculator to calculate out a solution with one base and 2 additives. I know I have run into this before, and it would be great to have a verification of our math.."

    
(2)  An option for the new serum creatinine IDMS method was added to the
   CRCL Multi-calc.   Background info.   This update was based on a request from:
   
 Patricia Vetter, Pharm.D. -  Central Washington Hospital.  "I want to know what reference standard for SCr value you are using in the multi-calculator. I am assuming you are using the more traditional serum creatinine range and not the IDMS based range for your calculator......"   ".... I suggest you add another option to the serum creatinine box, so one can enter either SCr (traditional range) or SCr (IDMS)...."

Future updates in the coming months:
Expanded pediatric section and a complete review and update to the infectious disease empiric dosing section.

Date:

News Item

October 8th
2008
In the next couple of weeks, a completely new section will be added to help navigate the entire GlobalRPh website.  In many cases, typical users are not aware of or are unable to quickly locate several valuable tables, calculators, or articles that be needed.    This new section will divide the website into the primary Internal Medicine disciplines in order to improve the navigation of the site.  Here is an early glimpse.... click the thumbnail below for a larger view.....

internal med icon

Also, new programs are being created for the infectious disease section. Here is an early look at the cephalosporin's dosing program, which is based primarily on package insert data. It covers all of the IV cephalosporin's [ Microbiology, Indications, and Dosing].  All antibiotics will eventually be covered.
September 9th
2008
Significant changes/updates to the current Intravenous Dilution Guidelines have been completed.  I was especially interested in reviewing the latest stability data from the various manufacturers.  Occasionally new formulations or even new studies have led to changes in the recommended storage requirements for some agents.  

Currently, GlobalRPh is the 8th largest medical reference site on the internet (MDConsult leads this group).  One of the reasons this site has grown so large is due to the tremendous support this site receives from its visitors.  I frequently receive emails from our visitors with helpful insight and ideas for improving this site.... Examples include:  1) Simple message informing us of a missing dilution standard for a new medication. 2)  Summary of a recently published study that may impact one of our current drug monographs. 3) Ideas for new medical calculators.  4)  Many others...     THANK YOU!!!!

Future revisions:
Several other sections of this website will be undergoing substantial revisions.  The infectious disease section in particular should be completed by the end of this year.

New tools for the palm and pocket pc:
Actually, some of our latest work can be found on the Epocrate's website.  Check out the Medtools section... GlobalRPh has been a long time contributor to this section along with other outside developers. You will find some of our popular tools as well as a few new ones.  Looking for a medical software suite??  Take a look at the software solution page at Epocrates...