Based on Coumadin Dosing Guidelines From the University of Michigan Cardiovascular Center
For Windows XP / Vista
Simple yet Powerful and Easy to Use, Consists of a Patient and Lab Database and
Automatic Dosing Calculator Only $49.95
This is the Main form where patients can be selected from Last name, Date of Birth,
or Social Security Number
Patients are then listed alphabetically by Last Name along with DOB, Gender, Race,
SSN, and Date Added
Last Name may be selected by first letter of the alphabet of check "Display Total
Database" and all patients are listed
Patient's may also be Displayed based on a User Defined "Last Lab Date > n Days"
Function
Patient Database May be Searched by First Letter of Last Name, Date of Birth, or
Social Security Number
Lets Click the Add New Patient Button:
Patients are easily added to the Database by Name, DOB, Race, Gender, SSN, and Date
Added
This same form is used to edit Patients already in the Database
When done click " Add Pt " and the user is taken back to the Main Form
The Patient Database can be Searched by First Letter of Last Name, Date of Birth,
or Social Security Number
By highlighting the Patient in the List Box, the Data portion of the Application
can be accessed by clicking the "View Patient" Button or Double Clicking the Patient's
name in the List Box
Lets Click the View Patient Data Button from the Main Form:
This takes us to the Lab and Dosing Database Form
Initially this Form only shows General Patient Information at the top of the Form
To initially Add Data click the Add New Button
This takes the User to our Add New Dailog Form
If the patient has no prior data then the form is mostly blank. Start by adding
the Patient's Current Dose in the 7 Day fields
If needed the Dose entered in Dose 1 can be used to add this Dose to Days 2 -7 by
clicking the "Click to Copy Dose" button
After all 7 Doses are entered, the Doses an be totaled by clicking the "Click to
Total Dose" button. This however is automatically done when the "Run button" is
clicked. If the "Click to Total Dose" button is clicked, this value is added to
the Current Dose field and the "Week" radio button is selected
Note also the messages displayed by rolling over the "Click to Copy Dose" and the
"Click to Total Dose" buttons
These messages are disabled by clicking the "Disable Messages" Checkbox
The Default Target INR is automatically set to "2.0 - 3.0"
In the example below the data entered in the Add New form is taken and a new dose
is calculated and entered into the database. If this entry is selected the new data
is displayed as well as messages that correspond to that dosing event
In the example below the last 7 day Current Dose is automatically entered in the
7 day dose fields. To perform another calculation the user needs to make sure the
current 7 day dose is correct and enter a new Lab Date and INR, then click the "Add
New" button. The PT value is optional and is not used in the calculations.
The new data is shown in the form below.
If a specific Entry is Selected, then this entry is easily edited. In the example
below, the Dose on Days 1 and 3 where changed. Note every entry allows for the addition
of "Dosing Notes", added to help the clinician remember any non routine events or
instructions like "Gave extra 7 mg Dose Day 1 & 3".
The Print Function prints the entire Patients history of Lab Dates with corresponding
INR, PT, Current and Previous Doses
As image belows shows the top portion of the Print Preview dialog box for the Patient's
Datasheet
In the first image below one can see an example of "Delinquent Labs" with Patients
Name, Last INR and Last Lab Date
The image below this shows the top portion of the Print Preview dialog box for the
"Delinquent Labs" form
In the image below 2 Links are seen. The first is to the University of Michigan
Initial Dosing Guidelines.
The second link is to a calculator I wrote for initial Inpatient Coumadin Dosing.
Please note the University of Michigan does not have initial Outpatient Dosing Guidlines
The image belows shows the University of Michigan
Initial Dosing Guidelines web page which is connected to the first link
The image belows shows the University of Michigan
Initial Dosing Guidelines which I wrote to a web based calculator. This is connected to the second link.
The image belows shows the some Quick Start Instructions to help any user rapidly get up to speed and take full advantage of this application.
