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106 VOTE

Dilution Box Needed in Medications so calculations are correct on diluted medications

Medications need a additional box so that the correct concentration of the medication can be entered as well as the diluted concentration. Would ideally have this in the medication set up box in parameters so a dilution can be entered if you always use the same dilution.

Would also have this box in the medication box when adding a medication to the treatment sheet so for drugs that we dilute differently the doctor can enter what they need for that patient. This way calculations would be correct even in medications that have dilutions needed. Currently you either have to enter the undiluted concentration which leads to the calculation being incorrect (which is dangerous) or you have to pick a diluted concentration which is impractical for drugs that can be diluted multiple different ways. 

  • Kathryn Gates
  • Feb 2 2018
  • Planning To Implement
  • Attach files
  • Tina Brunnet commented
    1 Jun 11:03pm
  • Kerri Hoey commented
    11 Feb 05:07pm

    This would be useful for CRIs as well.

  • Shana O'Marra commented
    17 Dec, 2019 04:23pm

    This change should also permit CRIs consisting of diluted drugs, which is an important functionality that is currently missing from Smartflow.  Thank you, Kathryn, for suggesting! 

  • Tyson McBride commented
    20 Jul, 2019 12:23am

    Is there any progress on this? 

    I can see that it has been open for voting since Feb 2 2018?

    I would love for this to be developed!!!

  • Admin
    Ben Nitschke commented
    1 Oct, 2018 05:41pm

    Polina, did you see Dr Gates' recommendations?


    Smartflow Dilution Recommendation

     

    Many medications need to be diluted either to a standard preassigned dilution or a custom one so there are two areas I think this should be added.

     

    Firstly if you had an optional box in the settings/parameters area when you first created a medication the doctor could preassign a concentration to dilute the medication to in this set up area. This would have to be optional but if they entered it here it should carry through onto the next area (screenshot 2).

    The would need to have the option to leave it blank however because many medications do not need to be diluted or the dilution concentration is variable.

     

     

     

    The second area that would need the addition would be when signing a patient up for that medication on the treatment sheet itself. The pop up box to put the dosage in should also have this diluted concentration box. If in the settings the medication was set up with a preassigned concentration like in the first screenshot then this concentration should auto fill into this field. (see e.g. below with 30mg/ml filling in).

     

    If the field was left blank in the parameters set up this should be blank and allow someone to enter a dilution concentration for themselves. The drop down options are the same as for concentration (mg, mcg, ml, etc).

     

    If they DO NOT enter a dilution concentration then the total dose in mg and ml should be based off the concentration at the top of the screen. (375mg/ml) as it is currently. If they DO enter a dilution concentration like in this example then the dosage and total ml should be calculated based on the diluted concentration (30mg/ml in this example).

     

    This would mean that the total mg is the same in both examples but the volume of ml is different depending on whether the medication is undiluted or diluted.

     

     

  • Kathryn Gates commented
    1 Mar, 2018 04:22pm

    Thanks so much for looking into this addition - I really think it would be a hugely helpful addition that all hospitals would use!

    I have attached a word document with screenshots of what I was imaging. Please let me know if you need any clarification or if you have any questions on how it would work!

    Kathryn

  • Admin
    Ben Nitschke commented
    19 Feb, 2018 12:50pm

    This is a great idea! Can you please draw a sketch with the fields required for this calculation to happen?


    Thank you

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