What’s your App-titude? Point-of-Care-Apps

 

Welcome to What’s your App-titude

Our monthly post to share information about Health Sciences mobile apps!

The Health Sciences Library wants to hear from you!

Tweet us your favorite app @upstatehsl #upstateapps

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Our featured evidence-based Point-of-Care Apps for education and clinical practice this month were developed by Joshua Steinberg, MD and the SUNY Binghamton Department of Computer Science

ABG Acid-Base Eval                                                                                       

  
* What are common causes of metabolic acidosis? respiratory alkalosis?
* How do I calculate predicted pCO2? corrected bicarbonate?
* What is the primary acid-base disorder?
* Are additional acid-base disorders present, and if so, what are they?

 

 

   Lead Screen Guide

 *What are the indications for lead screening?
*How can I screen for other children who warrant blood lead level testing?
*How do I manage a blood lead level of 4, 13, or 57?
*Should I act any differently on fingerstick lead levels versus venous lead levels?
* If I find a child with elevated lead, what special history, physical, and workup should I do?
*What do the major national organizations recommend for childhood lead screening, such as            CDC, AAP, and USPSTF?

  PFT Eval                 

*What are the standard cutoffs for mild obstruction, severe restriction, etc.?
*How do I assess the quality of the PFT efforts before drawing diagnostic conclusions?
*What are common causes of acute and chronic restrictive lung disease?
*When could one consider methacholine challenge testing?
*What’s the difference between intrinsic and extrinsic restrictive lung disease and what are typical differentials?

 

Pneumonia Guide

*What criteria are useful in deciding which community acquired pneumonia patients should be   hospitalized?
*What are those three big-gun antibiotics for adult hospital acquired pneumonia, and what are  the alternatives for those with medication allergies?
*How long should antibiotics be continued?
*Exactly which pneumonia cases are considered to be hospital acquired?
*Which community acquired pneumonia patients require coverage for resistant organisms?
*Which hospitalized patients should be in the ICU?

PreOpEval

*Who needs bloodwork before surgery?
*Who needs an EKG or a CXR?
*How do I handle patients on Warfarin, Aspirin, and Clopidogrel?
*Which patients are recommended to get perioperative B-blockers or statins?
*Which active cardiac conditions preclude surgery?
*How long after MI should a patient wait before surgery?
*Who needs bridging Heparin therapy, and which Heparin might I use?

 

WarfarinGuide

* How long do I treat with Warfarin after a first DVT?
*Which artificial heart valves require that higher level of anticoagulation?
*How do I respond to an INR of 7.4?
*This pt needs Warfarin, how do I get it started?
*How long do I anticoagulate with Warfarin for A-fib before a planned cardioversion attempt?
*When do I give Vitamin K to reverse Warfarin anticoagulation and at what dose??

 

Link to the UpstateOnline article featuring Dr. Joshua Steinberg

http://upstateonline.info/static/April12-April192012/blog/story-2/index.html

The free software Apps listed here and other Apps developed by Dr. Steinberg are available on  itunes . (Compatible with iPhone, iPad and iPod touch.)

 

 

 

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