Uso da base de dados Micromedex (acesso, importância e funcionalidades) Jorge Siqueira Abril 2017 Truven Health Analytics, an IBM Company. All Rights Reserved. 1
Acesso http://www.periodicos.capes.gov.br/ Truven Health Analytics, an IBM Company. All Rights Reserved. 2 2
http://www.periodicos.capes.gov.br/ Truven Health Analytics, an IBM Company. All Rights Reserved. 3 3
Truven Health Analytics, an IBM Company. All Rights Reserved. 4 4
Acesso http://www-micromedexsolutionscom.ez88.periodicos.capes.gov.br/home/dispatch Truven Health Analytics, an IBM Company. All Rights Reserved. 5 5
O QUE É? Sistema de Suporte à Decisão Clínica Base de conhecimento com informações de medicamentos, doenças, exames laboratoriais, toxicologia e medicina alternativa. Ferramenta da Saúde Baseada em Evidências e Segurança do Paciente Truven Health Analytics, an IBM Company. All Rights Reserved. 6 6
5 dicas básicas para usar o Micromedex Online Truven Health Analytics, Inc. an IBM All Rights Company. Reserved. All Rights Reserved. 7 7
Lição número 1 Fuçem a base Truven Health Analytics, an IBM Company. All Rights Reserved. 8 8
Doenças Interações medicamentosas Medicamentos Toxicologia Risco reprodutivo Truven Health Analytics, an IBM Company. All Rights Reserved. 9
Truven Health Analytics, an IBM Company. All Rights Reserved. 10 10
Lição número 2 Tudo que está em azul é clicável e oferece um link para outra base ou informação adicional Truven Health Analytics, an IBM Company. All Rights Reserved. 11 11
Lesson number 3 English! Saibam os nomes dos medicamentos em inglês: Warfarin, dipyrone, simvastatin, panax ginseng, chlorthalidone, hydrochlorothiazide Saibam os nomes das doenças em inglês: Chronic renal failure, sepsis, hypertension, epilepsy, Huntington s disease Truven Health Analytics, an IBM Company. All Rights Reserved. 12 12
Tradutor do Google Chrome Truven Health Analytics, an IBM Company. All Rights Reserved. 13
Lição 4: Resultados das buscas Truven Health Analytics, an IBM Company. All Rights Reserved. 14 14
Lição 4: Resultados das buscas Direto no documento: Respostas Rápidas Respostas Aprofundadas Todos os Resultados Resultados Relacionados Truven Health Analytics, an IBM Company. All Rights Reserved. 15 15
Lição número 5: o CTRL+F Truven Health Analytics, an IBM Company. All Rights Reserved. 16 16
Buscando informações no Micromedex Truven Health Analytics, Inc. an IBM All Rights Company. Reserved. All Rights Reserved. 17 17
Sinais e sintomas da Sinusite? Truven Health Analytics, an IBM Company. All Rights Reserved. 18 18
Truven Health Analytics, an IBM Company. All Rights Reserved. 19 19
Truven Health Analytics, an IBM Company. All Rights Reserved. 20 20
Truven Health Analytics, an IBM Company. All Rights Reserved. 21 21
Truven Health Analytics, an IBM Company. All Rights Reserved. 22 22
Documento detalhado - DiseaseDex Etiology/Pathophysiology: etiologia/patofisiologia Medical History: história médica, fatores de risco Findings: achados Tests: testes para diagnóstico de doenças Diagnostic Criteria: critério diagnóstico Differential Diagnosis: diagnósticos diferenciais Risk Assessment: avaliação de risco Management Goals: metas do cuidado Drug Therapy: terapia medicamentosa Non-Procedural Therapy: terapias secundárias (não-farmacológica/não procedimento-específica) Truven Health Analytics, an IBM Company. All Rights Reserved. 23 23
Achados; sinais e sintomas Truven Health Analytics, an IBM Company. All Rights Reserved. 24 24
Achados; sinais e sintomas Truven Health Analytics, an IBM Company. All Rights Reserved. 25 25
Truven Health Analytics, an IBM Company. All Rights Reserved. 26 26
Diagnóstico diferencial Truven Health Analytics, an IBM Company. All Rights Reserved. 27 27
Diagnóstico diferencial Truven Health Analytics, an IBM Company. All Rights Reserved. 28 28
Procedimentos Truven Health Analytics, an IBM Company. All Rights Reserved. 29 29
Procedimentos Truven Health Analytics, an IBM Company. All Rights Reserved. 30 30
Duloxetina tem indicação para depressão e dor? Truven Health Analytics, an IBM Company. All Rights Reserved. 31 31
Truven Health Analytics, an IBM Company. All Rights Reserved. 32
Truven Health Analytics, an IBM Company. All Rights Reserved. 33 33
Truven Health Analytics, an IBM Company. All Rights Reserved. 34 34
Medicamentos Truven Health Analytics, an IBM Company. All Rights Reserved. 35 35
Truven Health Analytics, an IBM Company. All Rights Reserved. 36 36
Truven Health Analytics, an IBM Company. All Rights Reserved. 37 37
Truven Health Analytics, an IBM Company. All Rights Reserved. 38 38
Medicamentos Adult Dosing: dosagem para adulto Precautions: precauções gerais e bem estabelecidas do medicamento Pregnancy & Lactation: uso na gravidez Medication Counseling: informações relevantes para orientação do paciente Truven Health Analytics, an IBM Company. All Rights Reserved. 39 39
Dose da Duloxetina? Truven Health Analytics, an IBM Company. All Rights Reserved. 40 40
Dose da Duloxetina? Major depressive disorder: initial, 20 mg ORALLY twice daily up to 60 mg/day (once daily or 30 mg twice daily); maintenance, 60 mg ORALLY once daily; may increase by increments of 30 mg once daily to MAX 120 mg ORALLY once daily [4] Musculoskeletal pain, Chronic: initial, 30 mg ORALLY once daily for 1 week; maintenance, 60 mg ORALLY once daily; MAX 60 mg/day [4] Truven Health Analytics, an IBM Company. All Rights Reserved. 41 41
O que orientar o paciente quanto ao uso da Duloxetina? Truven Health Analytics, an IBM Company. All Rights Reserved. 42 42
Truven Health Analytics, an IBM Company. All Rights Reserved. 43 43
Monitoring: o que precisa ser monitorado quando do uso do medicamento Adverse Effects: reações adversas detalhadas, indicando os estudos nos quais elas foram documentadas Comparative Efficacy: estudos clínicos que compararam o medicamento com outro para a mesma indicação Pharmacokinetics: informações de farmacocinética (absorção, metabolismo, excreção, duração, tempo para ação, etc) Truven Health Analytics, an IBM Company. All Rights Reserved. 44 44
O que preciso monitorar quando do uso da Duloxetina? Truven Health Analytics, an IBM Company. All Rights Reserved. 45 45
Truven Health Analytics, an IBM Company. All Rights Reserved. 46 46
Qual a evidência para o uso da Duloxetina nas indicações consideradas? Truven Health Analytics, an IBM Company. All Rights Reserved. 47
Truven Health Analytics, an IBM Company. All Rights Reserved. 48 48
Eficácia Força de recomendação Força da evidência Bloco a: overview (geral) Truven Health Analytics, an IBM Company. All Rights Reserved. 49 49
Bloco b: sumário Truven Health Analytics, an IBM Company. All Rights Reserved. 50 50
Bloco c: estudos Truven Health Analytics, an IBM Company. All Rights Reserved. 51 51
Estou sem acesso ao computador! Truven Health Analytics, Inc. an IBM All Rights Company. Reserved. All Rights Reserved. 52 52
Truven Health Analytics, an IBM Company. All Rights Reserved. 53 53
Truven Health Analytics, an IBM Company. All Rights Reserved. 54 54
Etapas 1. Baixar os aplicativos no celular 2. Entrar no Micromedex online no seu computador 3. Clicar em DOWNLOAD MOBILE APPS 4. Pegar a senha de cada um dos aplicativos 5. Abrir os aplicativos do celular 6. Inserir a senha Truven Health Analytics, an IBM Company. All Rights Reserved. 55 55
Paciente com fentanil patch... Truven Health Analytics, an IBM Company. All Rights Reserved. 56 56
Lista de medicamentos que CAUSAM constipação (cause) Lista de medicamentos que TRATAM constipação (treat) Truven Health Analytics, an IBM Company. All Rights Reserved. 57 57
Truven Health Analytics, an IBM Company. All Rights Reserved. 58 58
Truven Health Analytics, an IBM Company. All Rights Reserved. 59 59
Truven Health Analytics, an IBM Company. All Rights Reserved. 60 60
Truven Health Analytics, an IBM Company. All Rights Reserved. 61 61
Truven Health Analytics, an IBM Company. All Rights Reserved. 62 62
Tramadol era realmente indicado para essa paciente de 60 anos? Truven Health Analytics, an IBM Company. All Rights Reserved. 63 63
Truven Health Analytics, an IBM Company. All Rights Reserved. 64 64
Truven Health Analytics, an IBM Company. All Rights Reserved. 65 65
Truven Health Analytics, an IBM Company. All Rights Reserved. 66 66
Truven Health Analytics, an IBM Company. All Rights Reserved. 67
Drug Consults Truven Health Analytics, an IBM Company. All Rights Reserved. 68 68
Interações Medicamentosas? Truven Health Analytics, an IBM Company. All Rights Reserved. 69 69
Truven Health Analytics, an IBM Company. All Rights Reserved. 70 70
Interações medicamentosas Truven Health Analytics, an IBM Company. All Rights Reserved. 71 71
DrugREAX - gravidade Truven Health Analytics, an IBM Company. All Rights Reserved. 72 72
DrugREAX - gravidade Truven Health Analytics, an IBM Company. All Rights Reserved. 73 73
DrugREAX - documentação Truven Health Analytics, an IBM Company. All Rights Reserved. 74 74
DrugREAX - documentação Truven Health Analytics, an IBM Company. All Rights Reserved. 75 75
DRUG-REAX - detalhe Detalhe da interação: Warning Clinical Management Onset Severity Documentation Probable Mechanism Summary Literature References Truven Health Analytics, an IBM Company. All Rights Reserved. 76 76
Duloxetine x Tramadol Tremor, rigidez muscular, calafrios, taquicardia, midríase, presença de movimentos intestinais Suspenda os medicamentos Truven Health Analytics, an IBM Company. All Rights Reserved. 77 77
Truven Health Analytics, an IBM Company. All Rights Reserved. 78 78
Truven Health Analytics, an IBM Company. All Rights Reserved. 79 79
Serotonin Syndrome Clinical Effects Truven Health Analytics, an IBM Company. All Rights Reserved. 80 80
Truven Health Analytics, an IBM Company. All Rights Reserved. 81 81
Truven Health Analytics, an IBM Company. All Rights Reserved. 82
Incompatibilidade Intravenosa Truven Health Analytics, an IBM Company. All Rights Reserved. 83 83
Truven Health Analytics, an IBM Company. All Rights Reserved. 84 84
Truven Health Analytics, an IBM Company. All Rights Reserved. 85 85
Truven Health Analytics, an IBM Company. All Rights Reserved. 86 86
Truven Health Analytics, an IBM Company. All Rights Reserved. 87 87
Truven Health Analytics, an IBM Company. All Rights Reserved. 88 88
IV INDEX - PRODUCT Documento do produto com informações sobre: ph range Formulation Reconstitution Osmolality Storage Maximum Stability ph effects Interaction with plastics etc Truven Health Analytics, an IBM Company. All Rights Reserved. 89 89
IV INDEX PRODUCT - Amiodarone Interaction with Plastics (0031; 1443; 2660; 2792; 8999; 9739; 9740) Sorption: Amiodarone hydrochloride 1 to 6 mg/ml in dextrose 5% has demonstrated loss due to sorption to flexible polyvinyl chloride (PVC) plastic containers. The loss exceeded 10% after 2 hours of contact; another study found 25% loss in 24 hours at room temperature. No loss due to sorption occurred with glass, polyolefin, and rigid PVC (PVC Container Corporation) containers. The manufacturer recommends the use of glass or polyolefin containers for infusions that are in contact for more than 2 hours. The drug is also lost to PVC infusion sets, but the manufacturer indicates that the loss is accounted for in their dosage recommendations. Consequently, the use of PVC administration sets is permitted but the recommended dosage must be followed. Truven Health Analytics, an IBM Company. All Rights Reserved. 90 90
More than Data. Answers. Truven Health Analytics, an IBM Company. All Rights Reserved. 91