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Installing a Book Card .................................................... 7
Selecting a Book ............................................................ 8
Using the Color Keys ...................................................... 8
Viewing a Demonstration ............................................... 9
Changing the Settings .................................................... 9
Looking up Drugs ........................................................... 10
Finding Drugs by Category ............................................. 11
Reading Drug Monographs ............................................. 12
Searching for Words....................................................... 13
Highlighting Search Words ............................................. 14
Expanding Your Searches ............................................... 15
Reading Cross-references, Footnotes, and Tables ........... 16
Using Bookmarks ........................................................... 17
Transferring Words Between Books ................................ 18
Book Card Care ............................................................. 18
Copyrights, Patents, and Trademarks ............................. 19
Appendix: Key to Abbreviations ..................................... 19
Index .............................................................................. 22
2
Preface
This 1997 edition marks the twentyfourth year of publication of
nous Medications
Annual revisions meet the tremendous
need for clear, concise, complete, and
accurate information on newly released
and existing IV drugs. This has been a
huge year for new IV drug approvals
by the FDA. Sixteen new drugs are included (two are available only in
Canada and the United Kingdom, and
one is a new formulation of an old
product [warfarin] with a newly approved FDA indication.) In addition,
there are many important updates,
such as changes in dose, additional
disease-specific doses, refinements in
dosing applications, new indications,
new drug interactions, additional precautions, and new information in antidotes. In some of the monographs,
you’ll find new, helpful charts for dilution and/or rate of administration. In
the Appendix of this User’s Guide,
you’ll find a key to abbreviations. In the
“Introduction” section (found under
the menu item “Drugs”), the Important
.
Intrave-
IV Therapy Facts are grouped to help
identify the information you want
quickly.
Health care today is an intense environment. The speed of change is overwhelming, but the authors and
publisher of
have a commitment to provide all
health professionals who have the responsibility to administer IV medications with complete, accurate, current
information in a clear, concise, accessible, and reliable tool. Each specific
drug must be able to be interpreted for
a specific patient. All drugs currently
approved for intravenous use (with the
exception of opaque dyes used in radiology, some general anesthetics used
only in OR, and a few rarely used
drugs [see Appendix B] are included.
In addition, all information has been
thoroughly revised to incorporate the
most current documented knowledge
available.
Intravenous Medications
for use in critical care areas, as the
nursing station, in the office, in public
Intravenous Medications
is designed
3
Preface
health and home care settings, and by
students and the armed services. Pertinent information can be found in a
few seconds. Take advantage of its
availability and quickly review every intravenous medication before administration.
The nurse is frequently placed in a variety of difficult situations. While the
physician verbally requests or writes
an order, the nurse must evaluate it for
appropriateness, prepare it, administer
it, and observe the effects. Intravenous
drugs are instantly absorbed into the
bloodstream, hopefully leading to a
prompt therapeutic action, but the risk
of an inappropriate reaction is a constant threat that can easily become a
frightening reality. It will be the nurse
who must initiate emergency measures should adverse effects occur.
This is an awesome responsibility.
If, after reviewing the information in
travenous Medications
questions about any order you are
given, clarify it with the physician, con-
, you have any
In-
sult with the pharmacist, or consult
your supervisor. The circumstances
will determine whom you approach
first. If the physician thinks it is imperative to carry out an order even though
you have unanswered questions or
concerns, never hesitate to request
that the physician administer the drug,
drug combination, or dose himself or
herself. In this era of constant change,
the physician should be very willing to
supply you, your supervisor, and/or
the pharmacist with current studies
documenting the validity and appropriateness of orders.
All information presented in this product is pertinent only to the intravenous
use of the drug and not necessarily to
intramuscular, subcutaneous, oral, or
other means of administration.
Betsy L. Gahart
Adrienne R. Nazareno
4
Key Guide
Color Keys
MORE
(red) Expands a word search.
SPEC
(green) Shows the location of
the text that you’re reading.
SEARCH
(yellow) Goes to the Word
Search screen.
LIST
(blue) Lets you add, find, or re-
move a bookmark.
Function Keys
BACK
Erases typed letters or backs
up to the previous screen.
Shifts keys to type capitals or
CAP
punctuation.
CARD
Exits the book you’re reading.
Clears all searches and high-
CLEAR
lights the Drugs menu.
ENTER
Selects a menu item, starts a
word search, or starts the highlight in text.
Displays help messages.
HELP
Highlights the Drugs menu.
MENU
ON/OFF
Turns BOOKMAN on or off.
At the Word Search screen,
SPACE
types a space.
✻
At a menu, shows the full title
?
of the highlighted item. At the
text, shows its location (same
SPEC
as
).
Direction Keys
Moves the cursor, highlight, or text.
Pages up or down.
DN
UP
Pages down.
SPACE
Key Combinations*
✩
BACK
+
Goes to the top level of the
Drugs menu from a lower level.
✩
CARD
+
Transfers a word between books.
✩
ENTER
+
From a highlighted item on
the Drugs menu, goes directly to
the text. At the text, highlights a
cross-reference or bookmark.
DN
✩
+ At a drug monograph, goes
or
to the next or previous mono-
UP
graph, if any. After a word search,
shows the location of the next or
previous match.
*Hold the first key while pressing the other key.
5
✩
+Q-P Types numbers.
✩
+ At the Word Search
screen, types a hyphen.
+ At a menu, goes to the last
CAP
or
or first item. At a drug monograph, displays the next or
previous section.
+At the Word Search
CAP
✻
?
screen, types an asterisk to
stand for a series characters or spaces in the
search word(s).
➤
Understanding the Color Keys
The color keys (red, green, yellow,
and blue) perform the functions
listed in this Key Guide only for this
book card.
Other books have their own color
key functions, which are labelled on
their cards or on the BOOKMAN
keyboard. For more information,
read “Using the Color Keys.”
Key Guide
Quick Keys*
When you are reading a
drug monograph, the Quick
keys display these sections:
A
Actions
Antidote
O
Compatible With
T
C
Contraindications
Dilution
S
Dose Adjustments
D
L
Drug/Lab Interactions
X
Incompatible With
Indications and Usage
I
Neonatal/Infant Dose
N
Pediatric Dose
P
Precautions
W
Rate of Administration
R
Side Effects
E
Usual Dose
U
*You can use the Quick keys only when a drug
monograph is on screen.
6
Introduction
Installing a Book Card
Your new BOOKMAN book card is a
powerful, portable electronic reference
that you can use anywhere. Simply install it into your BOOKMAN and you’re
ready to go.
Using this book, you can search for
detailed monographs by generic and
trade name drugs, by categories of
drugs, and even by words appearing in
monographs. Cross-references, footnotes, and tables provide additional information.
You can also place your own bookmarks in the text to quickly find the
drug monographs and other sections
that you use most often, as well as
look up the meanings of abbreviations,
and transfer words to look them up in
other relevant BOOKMAN books.
➤ Using the Instruction Label
This User’s Guide is accompanied
by a self-adhesive instruction label
that can affixed to the inside top
cover of your BOOKMAN for quick
reference.
Warning! Never install or remove a
book card when your BOOKMAN is
turned on. If you do, information that
you entered in its built-in book and in
any installed book cards will be erased.
1. Turn your BOOKMAN off.
2. Turn your BOOKMAN over.
3. Align the book card tabs with
the notches in a card slot.
4. Press the book card until it
snaps into place.
➤
Removing a Book Card
Caution: When you remove a
book card that does not have a
built-in battery of its own, information that you entered in that book
card may be erased.
7
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