Calculator: Opioid Equivalence

Opioid Equivalence Calculator Opioid Equivalence Calculator Oral Morphine Dose mg (per day) Preparations IV/IM/SC Oral Sublingual Transdermal Rectal IV/IM/SC preparations Fentanyl (0.2): µg Sufentanil (2): µg Codeine (0.25): mg Hydromorphone (15): mg Morphine (3): mg Oxycodone (3): mg Pethidine (0.4): mg Oral preparations Codeine / Dihydrocodeine [0.1–0.15] (0.13): mg Dextropropoxyphene (0.1): mg Hydrocodone (1): mg […]

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Exquisite etymology

Every now and then I come across weird words. Not just medical, mind, every subject. I figure I’ll put them in this little jar and come back once in a while to shake it and smile. Aglet: (noun) a metal or plastic tube fixed tightly round each end of a shoelace.

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PHYScalc: Sodium

Let’s start with the Adrogué–Madias (A-M) formula (1997): Na+ deficit = TBW fraction x weight x ΔNa+ Sodium Deficit Calculator Sex Male (0.6)Female (0.5) Weight: 80 kg Starting [Na+]: 110 mmol/L Target [Na+]: 115 mmol/L Sodium deficit = ksex × Wt × Δ[Na+] = 150 mmol Glucose-adjusted Sodium Calculator Glucose-adjusted Sodium Calculator Measured [Na+] 115 […]

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Simple Molecule Size Searcher

This is just to find out what molecules are the right size for what sort of extracorporeal removal, if at all. These weights are (mostly) just an approximation, especially as they get into the tens of thousands. Have a go. I found it interesting, hopefully you might, too. NB: Haemodialysis generally removes molecules <20kDa in […]

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Enterocutaneous fistula

The approach is graphically summarised here. It’s based on Alex Yartsev‘s awe-inspiring Deranged Physiology post, as well as  Cohen et al (2016),  Lundy & Fischer (2010) and Evenson (2016). The final decision-loop ignores the third possibility, which is that the patient is stable enough to go on living with a chronically-discharging ECF. I had to draw the line […]

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Simple Trial Searcher

Select the intervention / condition / study from the drop downs and hit search. alternatively just start typing in the ‘search’ box and it’ll udpate live. If you want all ACS-related stuff, type ACS into the search bar. If you want just the ACS stuff related to NSTEMI, consider the dropdown instead. Search ICU Trials […]

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