Lexicomp® Online™
Contents
1. or student REMS Prescribing and Access Restrictions Lexicomp_ EEJ eemo Interactions Brug LO Calculatlona LV Compatibility Pathont Education Toc in mane Infectious Diseases Charta Spacal Topics bi This all inclusive database assists In the diagna Changed Last 7 Days syndromes organisms diagnostic tests and an Pharmacologic Therapeutic Category Monographs for Anthrax Botulism Smallpox Et REMS Prescribing and Access Restrictions pees Description of Fields The Infectious Diseases Black Box Warnings database contains monographs for Disease Special Alerts Syndromes Organisms Diagnostic Tests Disease Syndromes Name Common nomenclature for ihe disease Related Information srences to other pertinent information found in his Acedia other parts of the For more information visit us online at www lexi com or call 866 397 3433 9 Lexicomp Online User Guide lt Return to Table of Contents BROWSE BY CATEGORY Toxicology Databases The Explore by general category links allow the user to browse the available databases that are part of Lexicomp Online Clicking on the Toxicology button from the home page will take the user to a listing of the available toxicology databases This screen provides brief overviews of each toxi cology database that is available within Lexicomp Online The left side of the screen provides links to the av2. This will allow the user to search all of the text in the Lexicomp Online system and can be used to find a keyword or topic regardless of what field the word appears For more information visit us online at www lexi com or call 866 397 3433 4 Lexicomp Online User Guide lt Return to Table of Contents oe _ _ Lexicomp Interactions Brig LO Calculations LV Compatibilty Patient Education Toxicology More Clinical Tools Limit search to Erer ang diiran r offer keyword Search SS A Pn by General Category Risedronate Bisphosphonates Oral and Risk for Esophageal Alendronate Bisphosphonates Oral and Risk for Esophages Cancer Explore by General Category The Explore by General Category function allows the user to browse the available databases using different indexes The databases are classified into six main categories Drugs Diseases Toxicology Patient Education Laboratory and International Drugs To browse the available drug databases click the Drugs button to browse the available disease databases click the Diseases button to access toxicology information click the Toxicology button to browse the patient education databases click the Patient Education button to browse available laboratory databases click the Laboratory button and to browse the international drugs information click the International Drugs button New Drug Approvals amp Special Alerts These sections will dynamic
3. Drug Information Lexicomp Online USER GUIDE Table of Contents THE LEXICOMP ONLINE HOME PAGE Searching from the Home Page cccseeeeseeeeeeeneeennneeaeeeaees 3 Limiting Searches within Monograph Sections ccceceeeees 4 Explore by General Category ccssssssssssseseeeseeeeeeeeeeeeceeeeeeees 5 New Drug Approvals amp Special Alerts ccccccssssseeeeeeeeeeeenees 5 Clinical Decision Tool Bar esssssseessssssssseeerreessssssssrrrressssssseen 6 Rocni Blole agi gic res meter pene ran ERE EREET 6 Additional LIAS eats seca secenncntciers veteeusoneectecneossraenerroextateneeteiceeonsess 6 BROWSE BY CATEGORY BY st cg Datip a S a en ene een rete Terra ee ete nee 7 Disease Databases ccccccceccecnnnnneeeeseteseeeseeeeseceeeeeceeeeceeeeeeeees 9 Toxicology Databases xsiieisscs lt savcticatewesesasnvsniotnppsveretnencedoantatasseenss 10 Patient Education Databases sssssesseeseeeeeeeeeceeeeeeeeeeees 11 Laboratory Databases sates vinetneds se cconchensneescnraentateatuanteiucteasieeianes 12 International Drug Databases seeeeeeeeeeeesessssssssssssseeseeerrrreee 13 REVIEWING SEARCH RESULTS Search Results WindoW c cccececcececcececececcececceecececescececeees 14 Filter Results lt cccicuvensoxsnaessacenaestvedakssemcadaevsaeutaauesatebedieeacsevntenteewers 14 Field SElSCtION cccscoscscocesescosecescocvcccecsscvcecaseccvcacascesac
4. click on the image Note To access the drug identification tool for identifying unknown medications click on the Drug ID button in the Blue Tool bar To return to the monograph information simply click on the Monograph tab at the top of the content panel For more information visit us online at www lexi com or call 866 397 3433 7 lcci Lind search io T LV Compatibility Palloni Education Toxlcology More Clinical Tools Dugi rig bee poche Sete Showing 1 10eSS 121155 Meat Pee Lexicomp Online User Guide lt 4 Return to Table of Contents THE DRUG MONOGRAPH Lexicomp Tia Li search io T Interactions Drug l 0 Calculations LW Compatibility Pathont Education Toxicology Mora Clinical Tools Warfarin Lexi Drugs Navigation Tree Monograph images Adult Patient Education Pediatric Patient Education 9 m imot section E Swich language E Prin Help Pronunciation i o Warfarin Lexi Patient Education Adult jan nd Nania Pronunciation WAR fer in Pharmacologic Category U S Brand Names Coumadin Jantoven What key wamings do need AA s ia Para inte hoit kakina Brand Names Apo Wartarin Coumadin Mylan Warfarin Novo Warfarin this drug When is it not safe to use this Mexican Brand Names Coumadin Whittle this drug used for Pharmacologic Category Anticoagulant Coumarin Derivative How doas this drug wark How is this drug best taken _ What
5. CLINICAL TOOLS Dependencies amp Risk Rating Scale Dependencies if applicable Identifies various factors that may influence the occurrence or severity of the interaction The factors may involve patient specific variables such as organ dysfunction eg renal hepatic smoking status genotype e g VKORC1 haplotype or phenotype e g CYP2D6 poor metabolizer Additional factors may relate to specific pharmaceutical dosage forms routes of administration and or specific dosing regimens The presence of one or more factors may result in an increased risk and or severity of interaction or conversely disqualify an interaction Highlighting this information at the top of the monograph enables the clinician to more thoroughly evaluate the interaction relevance for a specific patient Risk Rating Rapid indicator regarding how to respond to the interaction data Each Interact monograph is assigned a risk rating of A B C D or X The progression from A to X is accompanied by increased urgency for responding to the data In general A and B monographs are of academic but not clinical concern Monographs rated C D or X always require the user s attention The text of the Patient Management section of the monographs will provide assistance regarding the types of actions that could be taken The definition of each risk rating is as follows A No Known Data have not demonstrated either pharmacodynamic or pharmacokinetic Interaction interactions betwe
6. an alphabetical list of the available calculators in the left panel Select the desired calculation by searching for keywords in the Lookup box or by scrolling through the list of calculations displayed The Browse Category drop down menu can be used to browse a specific subset of calculators The available categories include Adult Conversions Dental Emergency Drugs General Infusions Pediatric Pharmaco kinetics and Toxicology Click on the desired calculator and it will appear in the right content panel To perform a calculation enter in the required variables Note You must change the units before entering a value if you are changing from the default settings i e when entering weight change the unit to lbs before entering a patient weight of 180 pounds When a value is entered and the unit input is changed the value will be converted to the new unit Once all the inputs are entered click the calculate button to perform the calculation Advanced Lite Support Neonatal To ensure patient safety input data is checked against accepted values ranges throughout the calculation process When an input is restricted click on the input aang ONLI Calon button to display the accepted 6 ei Hautes T AAA range If a value is entered Weight should be betwee 1 aad 200 hg that falls outside of the ac cepted range a warning will be displayed after the calculate button is clicked This warning will b
7. at the top right of the Navigation Tree box To hide the Navigation Dosing Adult Tree box and expand the screen space for monograph viewing click the Hide link in the top right corner of the box To open the Navigation Tree Dosing Geriatric once it has been hidden click the Show Tree link in the top left corner of Dosing Pediatric the monograph window Dosing Renal impairment Dosing Hepatic impairment Uses Clinical Practice Guidelines For more information visit us online at www lexi com or call 866 397 3433 15 Lexicomp Online User Guide lt Return to Table of Contents THE DRUG MONOGRAPH The second navigation method is located in the top right area of the monograph display in a box titled Jump to Section Click on this box and an alphabetical list of all sections and sub sections is displayed in a drop down menu To jump to a particular section click on the desired field from TALER Boxed Ware the drop down list pisila ei d nai Lastly the drug monograph can be viewed by ing The FDA approved lobs DATTE R scrolling through the entire document using the Sute bumay Of thia intonation Ft Alergy and Idiosyncratic Reactions standard browser scroll bars located on the left or avew aa av antigena a eee i Canadian Brand Names side of the monograph window Cardiovascular Considerations Toxicology Moro Clinical Toola MMD 16 Seren Linking to Other Content from a Drug Monograph Throughout
8. do do if miss a Adult amp Pediatric Patient Education From the monograph clicking on the patient education tabs will display the patient education document Adult or Pediatric for that drug This document can be navigated using the same three methods used to navigate a drug monograph 1 the left panel Navigation Tree 2 the Jump to Section drop down menu in the upper right corner of the content panel or 3 scrolling the document using the right side scroll bars The patient education handouts are written at a consumer level and can be viewed multiple languages To view the document in a different language click on the Switch Language drop down menu in the upper right corner of the content panel Available languages will be displayed using this menu To print the document click on the Print link in the upper right corner of the content window and a list of the available printers your computer is connected to will be displayed Lexicomp Enter drug disease or other keyword ioe Limit search to 7 Interactions Brug LO Calculatlons LV Compatwility Patlent Education Toxioology Warfarin Lexi Drugs Navigation Tree Monograph images AdultPatient Education Pediatrie Patient Education maich Lone Pronunciation chinese isimplifted ee Warfarin Lexi Patient Education Adult Spanish Creole Marcas canadienses kiani didga i ieee Pronunciation WAR tar in German Categoria te
9. dosing drip rates and organ function assessment in both adults and children e L V Compatibility full access to the King Guide to Parenteral Admixtures for comprehensive analysis of Admixture Y Site and Syringe compatibilities e Patient Care Packet Creator access to multi language patient education materials for medications disease conditions procedures and discharge instructions e Toxicology access to information on agents of toxicity antidotes and decontaminants household products toxicology specific calculators and drug identification in one single tool e More Tools this section contains access to several other tools including gt Web Search a medically focused search engine that queries predetermined vetted medical websites providing additional resources and information gt Drug Plans access to over 4 700 insurance formularies including managed care organizations pharmacy benefits manager companies health maintenance organizations self insured companies and other health care plans gt Indexes access a list of all available databases using alphabetical and other relative indexes Recent Documents Classic Online Feedback Corporate User Guide Logout This button allows the user to review the last ten 10 documents accessed This functionality is local a E AE Fluconazole nioc to the computer and therefore may reflect the searching activity of multiple users on computers that a
10. the drug monograph hyperlinks are presented that allow the user to link to additional content In some instances these links provide access to related content within Lexicomp Online such as calculators disease organ ism content infectious disease drugs only pharmacogenomics information charts special topics allergy idiosyncratic reaction information pregnancy lactation detail and AHFS content to name a few Lexicomp l Feedback Cormorate User Guide Logoul F TEI biad EM ha k ht a Search Limit search io Recent Docuwmes Warfarin Lexi Drugs Expand All g Intemeiona Dreg LO Coleulations LY Carmpati tality Patient Education Tex heloay More Cilea Tools sm Transport Effects substrate of CYP1A2 minor 269 major 2019 minor 3A4 hie ower Along with the additional Lexicomp content other hyperlinks provide access to content found on the Internet such as FDA medication guides Clinical Practice Guidelines FDA warnings alerts and PubMed links for references Expand All ALERT U S Boxed Waming M Medication Safety Issues Special Alerts Sound alike look alike issues High alert medication PPDa 2009 National Patient Safety Goals H Brand Names Pharmacologic Category Dosages e Uses Cinical Practice Guidelines Administration and Storage Contraindications Hypersensitivity to warfarin or any component of the formulation hemorrhagic Issues tendencies eg patients bleeding from the GI resp
11. LEXCOTAD auch hs ie AHFS Essentials Adult and Pi _ Canadian Brand Names l Interactions DrogLO Calculations LV Compatibility Patient Educa i lids Derived from the more extensive and d Chara Specal Topics provides a deeper leval of actionable daw Available Ind Tr Changed Last 7 Days more detailed questions at the point of c on Tis information a premier source of Pharmacologic Therapeutic Cataga Lexi Dru z drug use in pregnant and breast feeding v i Sii RANS pharmacologic actions and effects aione Lexi Drugs Prescribing and Access Restrictions U S Brand Names Black Box Wamings Canadian Brand Names For more information visit us online at www lexi com or call 866 397 3433 Charta Special Topics Changed Last 7 Days REMS Black Box Warnings Special Alerts names fram over 100 counties Lexicomp Online User Guide lt Return to Table of Contents BROWSE BY CATEGORY Generic Names This link will display an alphabetical index of generic drug names Click on a letter to display a list of generic drugs that begin with that letter From the list of drugs you can view the drug monograph by clicking on the name of the medication U S Brand Names This link will display an alphabetical index of brand name products marketed in the United States Click on a letter to display a list of brand name products that begin with that letter From the list of brand name products you can view a drug monograph by clicking
12. Laai km m tere ee Fr bomm tot e ee er Baisa mee Bum bi Sa Bem at ea i Se Boi ba e eme Ba et re ee anb aria T Fej a mrak amlee epa ae ar meig a a eer o ola Pei bs e a b a E j N n ae ee a a Fa bie ee mu CE AA RAA aAa aa D eee bee ir Fa eee t e PE Fi Fir Se bie ee ee ie ee eee ee 2 aga a P pe s jpa ee oe Geirch Lisi ee mas meem e a oe zj VARETA SL SCLC eee meiha TARTRATE Auen To view compatibility information for a specific pair metren click the compatibility symbol to display detailed information For more information visit us online at www lexi com or call 866 397 3433 23 Lexicomp Online User Guide lt 4 Return to Table of Contents Feedback Comoraie User Guide Logout Lexicomp a ee Interactions Drag LD Calculations LV Compatibility Pellent Education Toxicology More Clinical Tools S L H Patient Education iiwsciioos Gray LD Ealuuiao Lexi Patient Education The Patient Education tool can be accessed via the Blue Tool bar at aaa r the top of the screen This tool provides an opportunity to access and conditicnaPrecedures print patient focused materials addressing conditions procedures and medications Searching for leaflets The right content panel includes several tabs across the top to allow the user to find desired leaflets using searching or browsing alphabetically or by topic To search for a topic enter a keyword into the search box and click the Search button A list
13. NICAL MODULES Drug and herbal interaction analysis Lexi Interact m Identification of solid oral drugs Lexi Drug ID Comprehensive medical calculations Lexi CALC m King Guide to Parenteral Admixtures Lexi l V Compatibility Patient education module Printable patient leaflets providing drug disease condition and procedure information for your patients m Medical Internet search portal Web Search m Assessment diagnosis and treatment of poisonings and drug overdoses Lexi Tox OPTIONAL ADD ON RESOURCES m 5 Minute Clinical Consult Martindale The Complete Drug Reference Lexi Drug Plans e SM m Formulink For more information visit us online at www lexi com or call 866 397 3433 2 I V Compatibility information copyright King Guide Publications Inc Lexicomp Online User Guide lt Return to Table of Contents Welcome to the Lexicomp Online User Guide Welcome to Lexicomp Online Lexicomp Online is a collection of clinical databases and clinical decision support tools that provides users with a comprehensive medical library This guide is designed to help users understand and navigate all of the features of the Lexicomp Online application The initial home screen of the application provides users access to Lexicomp s content via global searching or by browsing the available content In addition to browsing searching our clinical databases the blue tool bar across the top of the applicatio
14. Y Compabbility Patient Education Toxicology More Clinical Toots Available Intemational Drug indexes International Drug Databases Martindale The Complete Drug a International Drug Databases Drugs and Ancillary Substances Manufacturers p gt Drug Reference m Martindale is the industry s most reliable and respected intemational drug reference Maintained with the same cl N exceptional standards Lexi Comp follows Martindale provides an unbiased and thorough review of Martindale The British Approved Name BAN pharmaceutical products available wordwide Martindale offers an unrivalled global focus on the identification International Non Proprietary Name of medications local equivalents manufacturers and more INN Therapeutic Use E Lexicon p Feed Enter grug cisease or other keyword EEE unt search io gt Intaractiona Drug LD Calculations LV Compatibility Patlant Education Towlcology Awallable Indexes Martindale The Complete Drug Reference Martindale The Complete Drug Biss Martindale The Complete Drug R Drugs and Ancillary Substances Manutachinars Martindale ls the Industry s most rellable and respected Intermatic same exceptional standards Lexi Comp follows Martindafe provk Gharte Spectal Topics pharmaceutical products available woeldwide Martindale offers z Fharmacologic Therapeutic Category identification of medications local equivalent
15. above options the Packet Content panel also allows the user to modify the font size for the entire packet using the Font Size for Printout drop down menu In addition to font size the leaflets are available in multiple languages Under each leaflet type subsection Conditions Procedures etc is a drop down menu with the available languages To select a different language click on the drop down menu and high light the desired language only available languages will be displayed in the drop down menu For more information visit us online at www lexi com or call 866 397 3433 25 Lexicomp Online User Guide lt 4 Return to Table of Contents CLINICAL TOOLS Feedback Corporala User Guide Logout Lexicomp eee Interactions Drag LD Calculations LV Compatibility Patlent Education Toxicology More Clinical Toole Z Toxicology The toxicology tool is accessed via the Blue Tool bar at the top of the screen The Lexi Tox tool combines information on agents of toxicity antidotes and decontaminants household products toxicology specific calculators and drug identification in one point of care application Lexi TOX Drug 1 0 Calculations Searching in Lexi Tox From the opening screen enter any keyword i e drug household product into the search box and click the Search button To assist with searching a possible keyword list will appear after you enter at least four 4 characters To
16. acket Contents O Engish copy of non English leafets Conditions Procedures O Patient Summary O Signature P prognana Paga Chronic Obstructive Pulmonary Font Size Disease COPD Including Regular lip Se Clear Store Current Packet Packet Contents The left side of the screen displays the Packet Contents panel This panel allows the user to select several options for the packet being created and will also display a list of the current leaflets that are included in the packet The packet options that can be added include 1 English copy of non English leaflets checking this box will automatically print an English copy in addition to any non English language leaflets This functionality is designed to assist an English speaking clinician when counseling patients that do 1 not speak English fluently Print Options C English copy of non English leaflets Patient Summary C Signature Page Font Size Regular 12 pa 2 Patient Summary checking this box will create a cover sheet document that is 3 customized with the patient s name a listing of the packet contents and any related notes This page can also be customized to include an institutional logo 3 Signature Page checking this box will create a document designed to be filed in a patient chart that summarizes the packet contents and allows both patient and clinician to document the patient education process In addition to the
17. ailable indices for each database Click on the database name to display a more detailed overview of the content available in that database as well as a list of the editorial panel The Available Toxicology Indices links on the left side of the screen can be used to browse each database via a number of useful indices which were reviewed above Lexicomp Enter drug disease or oihar keyword T oem Limi tamh o F inima ona Drug LO Calculations LY Compatibility Patient Education Toxicology More Clinical Tools Toxicology Databases Lexi Tox is a toxicology resource designed for point of care use in the assasament diagnosis and treatment of poisonings and drug overdoses This module contains information on agents of toxicity including chemicals pharmaceuticals envenomations nuclear biologic and terrorism agents as well as nontoxic agents antidotes and decontaminants household products toxicology specific calculations and a drug Lexicomp Ermer orug disease or a search teeter Interactions Brug LO Calculations LV Compatibllity Patent Edu ation Toxic Lexi Tox Lexl Tox is a toxicology resource designed for p of polsonings and drug overdoses This module chemicals pharnaceuticals envenomations The unique name given to identify the monograph as an agent of toxicity A monograpt may be a group or class of polsons or it may be one particular poison dapen
18. ally display new ill ticki chal i itt nore Ceres Took s U S drug approvals and the most recent Special Alerts added to the Lexi Drugs database Clicking Limit search to on any topic will direct the user to the indicated r f Search Hawg Appa Lexi Drugs monograph Vandotanib Tumpis ipilirumats Linagiptin M ET Special Alerts a Hiona Cancer Ora and Rink for Esophageal Thardranai Baphosphe nates Oral and Risk for Esophageal Bisphosphonates Ormi and Risk tor Alandromate and Choalecalciferal Bisphosphonates Oral and Risk for For more information visit us online at www lexi com or call 866 397 3433 5 Lexicomp Online User Guide lt 4 Return to Table of Contents Lexicomp interactions Oreg LO Calculations LV Compatibility Falloni Educasion Toxicology More Clinical Tools Feedback Corporate User Guida Logout New Drug Approvals Clinical Decision Tool Bar The blue Clinical Decision Tool Bar provides access to all clinical tools that are included in the user s account This bar is always available from any screen in the application and provides access to the following tools e Interactions a complete drug and herbal interaction analysis program that uses a predictive evidenced based model e Drug Identification identify unknown solid oral dosage forms based on Imprint Dosage Form Shape and or Color e Calculators access to over 75 medical calculations designed to assist in drug
19. an assigned risk rating A B C D or X Each letter represents a different level of urgency in responding to the identified interactions The risk rating scale is defined in more detail on the following page You can also filter the level of interactions that are displayed in this area using the available drop down menu In addition to the risk rating scale any depen dencies associated with a particular drug interaction will also be listed For more information visit us online at www lexi com or call 866 397 3433 Patient Education 19 lt 4 Return to Table of Contents Feedback Cormorsta User Guide Logout Toxicology More Clinical Tools Search Interact Warfarn Laimer DOES NOT eadress chemical compabbiity mimi to gampa of mid he or more LV chugs legates in fog parma poet Lexicomp Interaction Analysis ier Pracia Dele By Choking OF ek Erythrocin Erythromycin Syatemic TD ever HMR aetna barar DO Habaari tee Pipesgeensin indunesn 9 hrun Woe Peete CYP kois Lipitor Atorvastatin E Erytheoon Manije Antibotos Srm ee PA weee poten H Antagoniste Lopressor Metoprolol Me misreciecs of Rii Level Aer Gpeter iDa St Johns Wori O Enean Piopi sanies T Erann CYPRIAN Submete D eer PIMOHGeA Ripgocines rbEo EE Werer gama H Angani Tithe Aiai Reasi neers Ama a uration Thi erpii ar Fory of oneaties pointes sghot Lexicomp Online User Guide lt Return to Table of Contents
20. an has been selected a search box will display in the right content panel along with several additional tabs across the top To find a drug enter a drug name into the search box brand or generic or click on the Browse tab at the top of the monograph to view an alphabetical listing of choices by generic name brand name or therapeutic category search Lexicomp ain ert i hipatiionp Drug LO Falclabcrs Select Plan AARP Medicare Complete Han AARP Medicarehs Pian Eakenced Agina Medicare Premier Plan Agina Medicare Ax Costes Plot Pan Agina Medicare Ax Exentials Atina Mediare Ax Premier CareSource Advantage CIGA Medicare Bat Plan Ome CIGNA kiedicare Au Plan Two FreedomBlug PPO Select Humana Gold Cholee PFS Molina Medicare Options Dhio Medicaid Paramound Acvaniage Paramound Gite Enhanced Medical amp Qrug TRICARE North Ohio E Drug Plans Wob Search Eini ETE LW Compal Pputhent Educa Tr Welcome to Lexi Drug Pla Select a plan to begin When using the search method enter the drug name brand or generic into the search box and click the Search button The results will then display below the search box To view the drug monograph containing information on the formulary status of the drug click on the hyperlinked term bhin actioni Drug LE Calevlations Lv Coonan ba lity Patient Education Anina Medicare Ax Esenrntials Aetna Medicare Ax Premier EareSource Advantage For mor
21. aveeces 14 ACCESSING INFORMATION WITHIN A DRUG MONOGRAPH M nograph 8 6 erent eee ener esiaine nii 15 Navigating a Monograph ssesccsscxcererscensacenssucsgrasssersacagantsertccencend 15 Linking to Other Content from a Drug Monograph 16 Accessing Images Patient Education Leaflets 17 CLINICAL TOOLS ateraco S esserti res ep pence con poet ENO E EEO e ENESE N Ees 19 Drag D aeea E T 21 Calculations ectte cease wencecnects concep eddessdebecnpueduoyseuceeaeboneiset 22 LV Compa Dihty sanatesseereatacnauetencensteaictecdocentacvansennndescuueasewadtere 23 Patient Education Packet Creator ccsssssssseseeeeeceeeeeeeeeeees 24 TOOG spre a EAA ce re de EE 26 DS SRC eaxdeccrs acssasionnqoradudasnbowadsedannsanistwetnonmsenondeveddonsiossauseaninant 28 Brug PANS sees geet gates ocd cane pesto A meso seven os eee ee 29 3 Wolters Kluwer Health For more information visit us online at www lexi com or call 866 397 3433 lt Return to Table of Contents Welcome to the Lexicomp Online User Guide With this guide learn how to navigate the following clinical databases and modules CLINICAL DATABASES INCLUDE Lexi Drugs with AHFS Essentials amp AHFS DI for hospital and academic clients Lexi Drugs International Pediatric Lexi Drugs m Geriatric Lexi Drugs Lexi Natural Products a Lexi Pharmacogenomics e e r TM m exi Infectious Diseases m Lexi Lab amp Diagnostic Procedures CLI
22. cting a drug from the alphabetical list displayed below the search box Once you have found a medication of interest click on the drug to move it into the Search List box To view stability and uncombined information for this medication click the View Results button From a single drug monograph you can view the compatibility ETAGE yp E table for that drug by clicking on the View Compatibility Tien cee eet oe tet Table link References can also be displayed by clicking the vsised Rigel leek Piaeberien Ta Page 4250003 blue reference links within the monograph text Vea ey ae ee ee SL Eee GE PEP ef Ya 4 jl L Aeee AA Ar je Pean rire ea a bi Li pe i EH HL Yidi in Aie jA detrei ator e r pected rit ef 2 be JO dew bred e paate ipri oreg fer ji piui in She eetrigeriicr Steed Ge P foun Bf es Serre JE P eee ie Thm Gar or pur bane io A io Te Pree Bree sees a ag ee ee ee ee ee a ey PESTE a a a i Sa raha anton eae ae he etait ee eS ee ee es eee BIE ag ee in ee Sy Sine In addition to single drug compatibility the King Guide also allows the user to enter up to 10 different medications to check for admixture Y site or syringe compatibility To begin a a se See enter a drug name in the search box and use the Go Eick arry dng ii wiam Radel mensch T button to add each drug to the Search List Jovy to Section Y libe firings Adnainturns On Seer i face Lee a pe Erna Fep
23. d the system will only allow additional characteristics that are possible Note Multiple colors can be entered by returning to the drop down menu and selecting additional colors As characteristics are entered the system will begin to display the number of matches that meet the entered criteria As more characteristics are entered the list will continue to narrow intericinn Brig in Once the product has been identified additional information can be viewed by clicking on the drug image The additional information displayed includes a larger image when available NDC manufacturer and a written description of the imprint code mati HA 2 BS SS eee pepper i u T i a l For more information visit us online at www lexi com or call 866 397 3433 21 Lexicomp Online User Guide lt 4 Return to Table of Contents ACCESSING CLINICAL TOOLS Lexicome Eem Interactions Drag LO Calculations V Compatibility Patlent Education Toxicology More Clinical Tools Calculations Lexicomp The calculations tool is accessed via the Blue Tool bar at the top Enter drug doane cr ck of the screen Lexi CALC is a comprehensive medical calculations Calculstions 1N Compaticitty Patient application covering infusions adult and pediatric organ function assessment and other conversion calculations Upon opening the tool the user is presented with
24. ding upon its Uniqueness U S Brand Names For more information visit us online at www lexi com or call 866 397 3433 10 Lexicomp Online User Guide lt Return to Table of Contents BROWSE BY CATEGORY Patient Education Databases The Explore by general category links allow the user to browse the available databases that are part of Lexicomp Online Clicking on the Patient Education button from the home page will take the user to a listing of the available patient education databases This screen provides brief overviews of each patient education database that is available within Lexicomp Online The left side of the screen provides links to the available indices for each database Click on the database name to display a more detailed overview of the content available in that database as well as a list of the editorial panel The Available Patient Education Indices links on the left side of the screen may be used to browse each database via a number of useful indices which were reviewed above eS d Lexicomp Feechack Carmerate User Erts drug deate of olhar keyword Limit Search th Select Language x intoracti ona Drug LD Gile alculators E EA 7 Pationt Education Toxicology 5 Mir Available Indexes Patient Education Adult Medication Patient Education Adult niin seme Patient Education Adult Medication Names Lexi Patient Education Lexicomp s patient advisory database provides vital info
25. ditional details on antidotes or link to dosing calculators when available Lexi TOX aa Emte poi Bi g 4 fe ha Ji hole prc fas 4 ati ea Lae Toxkcology Moda Benzodiazepines Lexi Tox Navigation Tres Benzodiazepines jumpto Section E Prim Help Treatment Antidote s Flumazanil Flumazenil has bean shown to safely and efficaciously revaree the CNS depression that ia associated with the therapeutic use of benzodiazepines for anesthesia and sedation however the safety of flumazend in the poisoned patient especially comatose patients and mixed overdose patients remains controversial Gueye 1996 Proudfoot 1995 Spivey 1992 Weinbroum 1996 Williams 2008 Clinical Tools in Lexi Tox Similar to the Blue Tool bar in the main Lexicomp Online application Lexi Tox also provides access to clinical tools that are relevant to the management and treatment of acute toxicology and emergent overdose situations These clinical tools include Drug Identification Calculations and Web Search Drug 1 0 Caleulethoere Loare Toxkcohagy Mode For more information visit us online at www lexi com or call 866 397 3433 27 Lexicomp Online User Guide lt Return to Table of Contents CLINICAL TOOLS Lexicomp Interactions Drg LO Caloulatlons LY Competitality Pallent Education TOK hoaaloay y Drug Plans 7 Wib Search Limi search bo cia Emis wrug dinit al amer kay word DIETE Web Search T
26. drug is listed in the interactions section Use This will limit the search to the Use section of the monograph This allows users to enter a particular disease or condition and see a list of drugs that have that use listed as either a labeled or off labeled indication Warnings Precautions This will limit the search to the Warnings Precautions section of the monograph This allows users to enter in a specific keyword and see a list of all drugs that have that keyword listed in the Warnings Precautions section NDC This will limit your search to the NDC section of the monograph This allows users to search for drugs using NDC numbers Methodology This will limit your search to the methodology section of a lab monograph This allows a user to see a list of laboratory tests that use a particular methodology Pharmacologic Category This will limit the search to the Pharmacologic Category section of the monograph This allows the user to enter a specific pharmacologic category and see all drugs that are part of that category Field name This will limit the search to only section headings This allows users to search for drug monographs that contain a specific field Manufacturer This will limit the search to the Manufacturer section of the monograph This allows the user to enter a manufacturer name and see a list of drugs that have that manufacturer listed Note This search is only effective with brand name products All Text
27. e displayed in red text The page at hete fenline says and will instruct the user to correct the value that is out of range before the calculation can be performed ee a Additional Information Ube ead Gornet To start over click the Reset a Ahir mgin 2 mgoni img button to clear all values and ME E begin the calculation again H bape To print a calculation click the Print button in the upper right corner of the content panel and the printer options will be displayed LEKUN For more information visit us online at www lexi com or call 866 397 3433 22 Lexicomp Online User Guide lt Return to Table of Contents SEARCHING amp NAVIGATION Lexicomp eerie Interactions Drug LD Calculations LV Compatibility Pallant Education Toxicology More Clinical Toole I V Compatibility KING GUIDE TO PARENTERAL AT Les The I V Compatibility tool can be accessed via the Blue Tool bar at the top of the screen This tool provides access to information SS on stability and compatibility for over 400 drugs and solutions Jes se This information is provided through a partnership with King setters tennant sine eo ng rg Lit e j a a eo Sirok L mam a camana m horan Guide Publications Clicking on V Compatibility in the NEA a l Blue Tool Bar opens the King Guide to Parenteral Admixtures home page in its own window Begin by entering a drug name in the search box or by sele
28. e information visit us online at www lexi com or call 866 397 3433 29 Premera Acie ta gr Patima ine eared ee more ab rg TELAI Siorth Gan Lexicomp Online User Guide lt 4 Return to Table of Contents CLINICAL TOOLS To browse and select the drug from one of the available alphabetical indexes first click the Browse tab at the top of the content panel This tab will present the user with three 3 index options Generic Drug Name Brand Drug Name Therapeutic Category Select the desired index and an alphabetical listing will be presented Click on a desired letter and further click on the drug therapeutic category of choice to display the formulary status of the drug bioractiorna Drug LO Galewatharn LY Gornpartibility Pathent Education Once in the formulary monograph the Strength Status Cost and Notes will be displayed for any available dosage forms Also a therapeutic category listing will be displayed as a hyperlink imerections Urugi D Calculations LV Competiblity Patient Education These links can be used to display other drugs in the given category ABCODOEFGHI J KI Inftarictlona Dray LO Caleulaticime LE Carpaltillty Pant Educata intermctions Drug LO CGaculwthena LV Gompati bility Patent Education Te Breng gt gt Brand Name TRIGARE North Ohio Bran ii U aa A E PE CET ERTE PE HER FT aTa EAF Apina Medicare Rx Costes Piua Pien Apna Medicare Ri Essentials Agtna M
29. edicare Ru Premier CareSource CIGNA Medicare Rx Plan One ele of For more information visit us online at www lexi com or call 866 397 3433 30
30. en the specified agents No Action Data demonstrate that the specified agents may interact with each other but there is Needed little to no evidence of clinical concern resulting from their concomitant use Data demonstrate that the specified agents may interact with each other in a clinically significant manner The benefits of concomitant use of these two medications usually outweigh the risks An appropriate monitoring plan should be implemented to identify potential negative effects Dosage adjustments of one or both agents may be needed in a minority of patients Monitor Therapy Therapy aaa be taken in order to realize the benefits and or minimize the toxicity resulting from Modification concomitant use of the agents These actions may include aggressive monitoring empiric dosage changes choosing alternative agents Data demonstrate that the specified agents may interact with each other in a clinically significant manner The risks associated with concomitant use of these agents usually outweigh the benefits These agents are generally considered contraindicated Avoid Combination Data demonstrate that the two medications may interact with each other in a clinically Concer significant manner A patient specific assessment must be conducted to determine whether the benefits of concomitant therapy outweigh the risks Specific actions must To view more detail about a particular interaction click on a hyperlinked term to review
31. estrictions that fall outside of the FDA s REMS program From this list the user can click on any drug and access the full monograph Black Box Warnings This index provides a list of all drugs that have a black box warning issued by the FDA From this list the user can click on any drug displayed and access the full monograph for that drug Special Alerts This index displays a list of all drugs that have a Special Alert The Special Alert field displays important information such as new warnings adverse reactions recalls etc that is of a time sensitive nature From this list the user can click on any drug and view the entire drug monograph For more information visit us online at www lexi com or call 866 397 3433 8 Lie rage Generic Names Enpo Fe Gerr hiiren inger AEGDEF GH IELM Lae iru U S Brand Names Dia the OLS Geared Mamie dee AEBE FOGOH i KL B Lambru Canadian Brand Names Lip pnp Brat Cortese r e Bia aa ABEGEFPGH I JELE a ra Charts Special Topics Eira the Cpa Tiia neta Ace eid r Linn Chega Changes in Last 7 Days Examine my ert geed int Lit 7 Or lewis pe Monographs with Presc Aiei a Type 4 Tee Lee T Lae a Monographs with Black Ekpe ihe iapa mii Black Boo AIUT ipis FT Lexicomp Online User Guide lt Return to Table of Contents BROWSE BY CATEGORY Disease Databases The Explore by general category links allow the user to browse the availab
32. esults list and a list of the available fields within that monograph will display From this list the user can select a field of interest and immediately open the drug monograph to that section Interncitons Brug 1 0 Calculations LV Compatibllity PatlentEducsiion Toxicology More Cilnical Tools Search Results monograph name beginning with Warfarin FilterResuts Print Ava lable Sectio ns eatment of Elevated INR Di ALERT U S Boxed Warming Administration LW Pediatric and Neonatal Lexi Drugs Administration I V Detail Warlarin Updated 737 Administration Oral ees Aiverse Reactions AHFS Essentials Adult and Pediatric Alergy and are fo mn i iin For more information visit us online at www lexi com or call 866 397 3433 14 Lexicomp Online User Guide lt Return to Table of Contents ACCESSING INFORMATION WITHIN THE DRUG MONOGRAPH fil exl comp Enter drug dises or other keyword O Search Lim search fo Intoractions Drug ID Calculations LV Compatibility Patient Education Toxicology Moro Clinical Topl Warfarin Lexi Drugs Navigation Tree Monograph images Adult Patient Education Pediatric Patient Education nd All jump to Section BH Print Help ALERT U S Boxed Waming M Warfarin Lexi Drugs T Special Aleris ALERT U S Boxed Warning the Foa approved labeling includes a boxed waming See Pronunciation Wamings Precautions section for a concise summary of this information For verba
33. g Indices links on the left side of the screen can be used to browse each database via a number of useful indices Lexicomp Enter drug disease or other keyword Search Limit search to v interactions Drag LO Calculations LV Compatibility PatlentEducation Toxtoology Se Tools f Available Drug Indexes Drug Databases Lexi Drugs Pint Helo Geren Hare Drug Databases U S Brand Names Canadian Brand Names Lexi Drugs CHP TOPEA Qur most comprehensive drug database Lexi Drugs covers every patient population as well as the Changed Laat 7 Daya following clinical speciatties Pharmacy Nursing Intemal Medicine Cardiology Oncology Psychiatry Pharmacologic Therapeutic Catagory Anesthesiology and Dentistry Independently rated as the 1 drug database for the PDA Lexi Druge includes up to 67 fields of information presented alphabetically including Adverse Reactions Canadian brand names Dosing FDA Special Alerts Medication Safety Issues Pharmacodynamics Kinetics and trade Prescribing and Access Restrictions names from over 100 countries Special Alerts Ped tal Lexi Specifically designed for Pediatricians other clinicians who work with pediatric patients or in any situation Pediatric and Neonatal where pediatric dosing information is required this database contains detalied guidelines that have been Lexi Drugs researched Sq eee ee ote E ciadas Over 000 dni with monographs that cover up Generic Names ie
34. he Web Search tool can be accessed via the Blue Tool bar at the top of the screen under More Clinical Tools Web Search is a tool that allows the Lexicomp Online user to expand a search to other medically based web sites To begin enter a desired search term in the Lexicomp Online search box search terms can be any medically related keyword Once the desired term is entered into the search box click on the Web Search button from the Blue Tool bar under More Clinical Tools Results are displayed in a separate window with access to content from various resources plus additional links to abstracts and primary literature More Elinical Toole F Drug Plans Wiot Soarch noosa Diabetes in pregnancy Oiegnes AD PS SB 100 sce pone pac Gomme E MedlinePlus Natoma Linrary of Madona page of haathicen Enig and otter information hit Pubmed Clinical Advanced Cote EF NLM Pubmed Clinical Search Iho tes meii bralne in olein jours using correct renin Conte ES MLM Pubmed for Health Caro Professionals Ah Search MATEA joumals ung Correct Arminiy a ODE SEOUT fom EF FirstGov sit Search the NIH COC end otter kiari goverment sins Cm EI ClinkcalTriats gov hor ire of Heat Danae of pull one privaa ciel ris fom EF Bandolier waa D Health AtoZ EEL IA DATE TISH FREF TLALE ARE RT of the Sant Adulte GH Search bor dlfls by Greil After the results are displayed click on any of the links to access mo
35. hold Products database using an alphabetical index To browse the Lexi Tox database click on the Toxicology button to display an alphabetical listing Choose a letter to display the topics that begin with that letter of the alphabet A similar process can be used to browse the Household Products database Classic Onling Foodbeck Capou Heur Guidu Logout Agents of Toxicity Explore the Agents of Toxicity index ABCBEFGHI JRLMNOPORSTUVWK Z Salmonella Montyphoidal cipauted atari Accessing content in Lexi Tox To review information about a specific household product click on the hyperlinked term displayed under the House hold Products database This database will provide information on the product selected including manufacturer ingredients and MSDS derived safety information From the Household Products database you can click on any hyperlinked ingredient from the ingredient table to be taken to the Lexi Tox monograph for that chemical The Lexi Tox database is designed to provide information on the signs symptoms diagnosis and treatment of acute poisonings and emergent overdose situations To review information within this database use the same navigation techniques available throughout Lexicomp Online including the left panel Table of Contents links or the alphabetical Jump to section drop down menu at the top of the content panel Throughout the Lexi Tox database there are hyperlinks that allow the user to access ad
36. information on e Patient Management e Interacting Members Class Exceptions e Fully referenced discussion of the available literature e References To return to the Interaction Analysis summary page click on the Interaction Analysis tab at the top of the content panel To return to the initial search screen to enter in additional item click on the Drugs tab at the top of the content panel The Clear button will clear all items from the list and allow the user to start a new regimen For more information visit us online at www lexi com or call 866 397 3433 Lexicomp Online User Guide lt Return to Table of Contents CLINICAL TOOLS Lexicomp a es Interactions Drug LO Calculations LV Campatitllity PatlentEducation Toxicology More Clinical Toole Drug ID The drug identification tool is accessed via the Blue Tool bar at 7 the top of the screen Lexi Drug ID is an application that allows lessees Brig LO Calairo LY Cori y Pateri identification of tablets capsules and other oral solid dosage forms To begin enter known product characteristics such as Imprint Dosage Form Shape and Color Note When entering an imprint code enter each discrete marking from the tablet as a separate imprint i e to identify a tablet with RDY on one side and 200 on the other side enter in RDY and select that imprint then enter 200 and select that imprint As soon as one characteristic is entere
37. iratory or GU tract aneurysm cerebrovascular hemorrhage Medication Safety Issues following spinal puncture and other diagnostic or therapeutic procedures with potential for significant bleeding Medication Guide history of bleeding diathesis recent or potential surgery of the eye or CNS major regional lumbar block anaesthesia or surgery resulting in large open surfaces blood cyscrasias severe uncontrofied or malignant For more information visit us online at www lexi com or call 866 397 3433 16 Lexicomp Online User Guide THE DRUG MONOGRAPH Lexicomp Ener drug disease or offer keyword Intoractione Drug 10 Calculations Warfarin Lexi Drugs Navigation Tree Search LV Compatibility Limi search io Pathont Education Accessing Images Patient Education Leaflets Toxlcology lt Return to Table of Contents In addition to the monograph information additional content is available via the tabs across the top of the monograph window Clicking on these tabs will give users access to 1 images of solid oral dosage forms 2 adult patient education material and 3 pediatric patient education material i i Lexicomp Enter rug disease or dihar keyword Interactions Grog 10 Calculations Images From a monograph clicking on the images tab displays a list of the available products with images oral solid dosage forms To view a larger image and additional detail about a particular product
38. le databases that are part of Lexicomp Online Clicking on the Diseases button from the home page will take the user to a listing of the available disease databases This screen provides brief overviews of each disease database that is available within Lexicomp Online The left side of the screen provides links to the available indices for each database Click on the database name to display a more detailed overview of the content available in that database as well as a list of the editorial panel The Available Disease Indices links on the left side of the screen can be used to browse each database via a number of useful indices which were reviewed above J Search Lim search to interactions Drug L Calculations LY Gompatil iity Pathont Education Tosleology More Cilnleal Tools v 5 Minute Clinical Consult Pint Help a Disease Databases Infectious Diseases 5 Minute Clinical Consult Ahenakon tnt This point of care diagnostic and patient management tool is designed to help support your patient care Charta Special Topics decisions and addresses more than 900 medical conditions using a clinically onented approach Provided Changed Last 7 Days by Lippincott Wiliams amp Wilkins a Wolters Kluwer Health Company the 5 Minute Clinical Consult data Pha peutic DNS base is a practical and relevant clinical reference guide that is perfect for the busy practitioner resident
39. led keyword Dnr LO Caley tethoees LY oem ity Potent Education Taxigoiogy All Results Once you have entered your search term clicking the Search button or hitting the enter key on the keyboard will initiate a global search across all available databases Any database that has information on the keyword searched will be displayed on the Pediatric and Neonatal Lexi Drugs results screen Wiastariny Upcened 2120 19 AHFS Essentials Adult and Pediatric Verein Sodium Lpesisd SAT AHFS DI Adult and Pediatric Lexi Drugs Wipri bpm NTT Treatment of Elevated INA Dua to Warfarin For more information visit us online at www lexi com or call 866 397 3433 3 Lexicomp Online User Guide lt Return to Table of Contents THE LEXICOMP ONLINE HOME PAGE Feedback Corporate User Guide Logout Lexicomp interactions Dreg LO Calculations LV Compatibility PailentEducation Toxicology More Clinical Tools Help ie New Drug Approvals PRET Vandetanib Adverse Reactions Talaprevir F MENA Ipilimumat a i Charta Special Topics Abiraterone Acman ji Drug interactions Linagliptin Drug iisa More mew drug approvals Disa Warnings Precautions Toxic OE Special Alerts Patie yin Rlsedronaia Bisphosphonaies hin es Ery Oral and Risk for Esophageal Labo Field Name Cancer Afendronais Bisphosphonaiss Oral and Risk for Esophageal Cancer inter Manufacturer All Tec Limiting Searches Within Monograph Sections I
40. mation visit us online at www lexi com or call 866 397 3433 24 Lexicomp Online User Guide lt Return to Table of Contents CLINICAL TOOLS Preview Current Packet To preview the current contents of your packet click the Preview Current Packet tab at the top of the content win dow This will display all of the documents that you have currently added to your packet as well the Patient Summary and Signature Page if selected From this preview screen you can choose to add the patient s name and any notes to be printed on the Patient Summary and Signature Pages Note this information is not stored in the system and will be lost if you exit this tool or print the packet and start over P aimi S A Calculators 1 Compatibility Patient Education Toshoohogy More Clinical Tools v Patient EqduCatION provided by Laxicomp and UpToDate Packet Cantante Search Browse Stored Pac Preview Currant Packet Conditions Procedures Refresh Help Print This surgery can reduce symptoms but E does not always work Disease COPD inciudirg This topic retrieved from UpToDate on Oci 19 2012 Se oct eae Topic 15430 Version 4 0 All SCS ane Updated 26 new evidence becomes valabile and Our per nevi process l complete Release 20 10 C2032 Healthy Living figure 1 Normal lungs seaplane erangi A interactions DrugiD Celoulatore IV re Patient Education prevised by Laxicomp as Print Options P
41. n addition to basic global searching Lexicomp Online allows users to perform a more refined search of the clinical content To perform a more targeted search within a specific section of the monograph click the Limit search to drop down arrow to view a list of possible sections that can be searched To limit your search to a particular field simply click on the desired listing from the drop down menu Below is a comprehensive listing of the sections that can be searched specifically Monograph Name This is the default search that limits the search to the title of the monograph Adverse Reactions This will limit your search to the Adverse Reactions section of the drug monographs and allows the user to enter a particular adverse reaction and see a list of all drugs that have this adverse reaction listed Contraindications This will limit your search to the Contraindications section of the monograph This allows the user to enter a particular condition and see a list of drugs that have the condition listed in the contraindication section Charts Special Topics This will limit your search to the Charts Special Topics section of the database This allows the user to enter any keyword and the system will return any Chart Special Topic that contains that keyword Drug Interactions This will limit your search to the Drug Interactions section of the monograph This allows the user to enter in a specific drug or drug class to see if that
42. n allows the user to access all clinical decision support tools THE LEXICOMP ONLINE HOME PAGE Feedback Corporate User Guide Logout Lexicomp Interactions Drug LO Calculations LV Compatibility Patent Education Toxicology More Clinical Tools y Limi search io i 2 New D Wari I Search rug Approvals anaes Vandetanib Warfar CO KP Telaprevir Warfare Agents Chemicals Iplimumed Warfarin E Abiratarone Acetate Warfarin Diet Linagliptin Warfarin Gene Mutations More new drug approvals Warfarin Level Warfarin Management Warfarin Sodium Special Alerts Rimedronate Bisphosphonates Oral and Risk for Esophageal Cancer Alendronate Blephoephonates Searching from the Home Page From the opening screen enter any keyword i e drug lab disease in the search box and click the Search button To assist with searching a possible keyword list will appear after you enter at least four 4 characters To select a suggested term simply click on the desired search term and the system will automatically perform a search and display the results Additionally if you misspell a search term you will be presented with a Did you mean list of possible Saar air r A Mavi SP Lins search wo search terms To perform a new search using the correct term simply click on the desired search term and you will then seea Search Results monograph name beginning with Warfarin results list for the correctly spel
43. n browsing by body system click on the desired body system to see a list of topics available In either case the Preview and Add options will function the same as outlined above SS Stored Packets To access the Lexicomp pre defined packets or any custom stored packets click the Stored Packets tab at the top of the content window A list of available packets will be displayed To use a pre defined packet click the Load button to the left of the desired packet This will add all of the patient education materials that are part of this packet If desired you can return to the Search or Browse tabs at the top of the application to add more documents to your packet before printing Patel Sey Lexicomp also allows the user to store a custom packet that is created by the user To create a custom packet use the Search or Browse functionality to add all of the desired leaflets to your packet Once you have added all desired leaflets click the Stored Packet tab and then choose the Store Current Packet Contents button This will allow you to enter in a name for your packet Please keep in mind that the naming convention used should not contain any patient identifiers to avoid any HIPPA conflicts Once you have entered your name click the Store button to save the packet contents The next time you access the Patient Education tool your packet will be available under the Stored Packet tab For more infor
44. of matching topics will be displayed To preview a leaflet click on Preview and the leaflet will be dis played in a preview window To add a leaflet to the printable packet from the preview mode click the Add button to exit the preview mode click Close To add the leaflet to the printable packet from Tra prye ery serra ry Renee men a inhaa nd a em cama P 5 Loe ew ee wo bery ee pee ee ee ed eo Pa ld ey i the search results screen click the Add button next to the desired Sere leaflet Continue this process until all desired leaflets are added to a narod a ts alg mee der tbe rtm pineal a g L E OT irena amai ar a a Firmen g reii TEA EESE 2 er ee p eee ee eee ee y TE e ea Mad kE gerah f PA LEi ia h a aE EA E we a e eE A O E E E To find leaflets by browsing the available documents via an alphabet E ical or topical index click the Browse tab at the top of the content i iesms Engi Cokie V Cospeibiy Feisal fhesa Pasleelayy panel From this screen the user can choose to browse conditions J procedures discharge instructions healthy living topics and medication pess cram leaflets both adult and pediatric To view available topics click on the desired hyperlink under the type of leaflet you wish to view Alphabetically or By Body System When browsing by alphabetical index select a letter of the alphabet to view the topics that begin with that letter Whe
45. on a product from the list Canadian Brand Names This link will display an alphabetical index of brand name products marketed in Canada Click on a letter to display a list of brand name products that begin with that letter From the list of brand name products you can view a drug monograph by clicking on a product from the list Charts Special Topics This link will provide an alphabetical listing of all Charts Special Topic documents available within this database The Charts Special Topics section consists of supplemental information such as drug comparison charts treatment overviews and other therapeutically relevant topics Changed Last 7 Days This index displays all drugs that have been updated or modified in the last seven 7 days From this list the user can click on any drug and view the monograph Pharmacologic Therapeutic Category This index will display an alphabetical listing of all pharmacologic categories Clicking on a pharmacologic category will display all drugs in that category From this list the user can click on any drug displayed and access the full monograph for that drug REMS This index provides a list of all drugs that have a Risk Evaluation and Mitigation Strategy REMS as required by the FDA From the list dis played the user can click on any drug and access the full monograph Prescribing and Access Restrictions This index provides a list of all drugs that have restricted access or prescribing r
46. rapdutica Marcas estadounidenses Coumading Jantoven Malian tener en cuenta antes de tomar este medicamento Marcas mexicanas Coumadin Razones por las que no debe tomar este medicamemo Marcas canadienses Apo Warlarin Coumadin Myla For more information visit us online at www lexi com or call 866 397 3433 18 Lexicomp Online User Guide Lexicomp Interactions Drag LD Calculations LV Compatibility Interactions The interactions tool is accessed via the Blue Tool bar at the top of the screen Lexi Interact is a complete drug and herbal interaction analysis program Begin by entering the list of medications to be analyzed The interactions tool allows users to enter medications both prescription and over the counter natural products foods and or alcohol To enter an item begin typing a keyword into the Search box After you enter at least four 4 characters suggested terms will populate and you can select the desired term from the list If multiple products match your search term a list of products will appear To add that medication to the medication list simply click the add button Continue this process until all items are added To remove an item from the list uncheck the selected box next to the product you wish to remove Once the list is complete click the Analyze button to perform an analysis The Interaction analysis screen provides a summary of interactions and
47. re by General Category available databases that are part of Lexicomp Online Clicking on the Drugs laboratory button from the home page will take the user to a listing of the available laboratory databases This screen provides a brief overview of the laboratory and diagnostic procedures database that is available within Lexicomp Online The left side of the screen provides links to the available indices for this database Click on the database name to display a more detailed overview of the content available in that database as well as a list of the editorial panel Lexicomp Enter drug diskase or other keyword lei Lim eearch io F Interaciona Drug LO Calculations LY Gorpatlty lity Pathont Education Taseohogy More Ciinieal Tools Avallanie Laboratory Indexes Laboratory Databases Lab Tests and Diagnostic Print een Laboratory Databases Alphabetical List Charte Special Topics tea i Changed Last 7 Days ys With this database obtain detailed descriptions of diagnostic tests and procedures as well as current information conceming the background and context of laboratory tests Access information on patient preperation specimen collection handling and clinical test result Interpretation within numerous clinical areas and diagnostic disciplines L m H Far exicomp Enter drug disonse or other keyword Eire Limit search to Interactions Brug LE Calculations LV Gompatibill
48. re detail Access to full text articles from the results will depend on your institution s subscriptions to those sites Cac Seno Sumay 20 par paga Meta Raceriy Adrias Results 1 to 20 of 576 68 free full text articles in PubMed Wottrar sprints i Thenaria E Bennik C ante a Cartenaar B raeg AA URAVE A R ARO CUBE ETD For more visit us online at www lexi com or call 866 397 3433 28 Contral citrate gaia nagata regi Mines digmaling in rodent ard h 2 Gun irene 20710 Lexicomp Online User Guide CLINICAL TOOLS Lexicomp lt 4 Return to Table of Contents Feedback Corporate User Guide Logoul Intecione Drug LD Caloulathons LV Compatibility Fatlent Education Tak Hah ses Drug Plans The Drug Plans tool is accessed via the Blue Tool bar at the top of the screen under the More Clinical Tools heading The Lexi Drug Plans tool provides the formulary status of medications and other plan specific information for over 4 700 prescription drug plans This application may be customized to limit the plans searched to only those applicable to a given facility or healthcare system This module is an optional resource within Lexicomp Online To begin select a plan from the Select Plan window If desired you can filter the plans that are shown in this window by selecting a state from the drop down box located directly above the Select Plan window Once a pl
49. re located in common areas of the facility Sodium Nitrite and Sodium Thicsulfate Hydrocortisone Topical Li Additional Links e Corporate This link will take the user to the Lexicomp corporate website www lexi com e Feedback Send feedback directly to Lexicomp via a Feedback Carporata U Guide l t web based feedback form I LOMOMIA LEO LUJS LOpou e User Guide This link will take the user to the comprehensive user manual that can be viewed or printed ala Mom Clinical Toolin v e Logout For subscribers with login password access and a limited number of concurrent users this link will log the user out so another user can log into the system on another computer For more information visit us online at www lexi com or call 866 397 3433 6 Lexicomp Online User Guide lt 4 Return to Table of Contents BROWSE BY CATEGORY Drug Databases The Explore by General Category links allow the user to browse the databases included in Lexicomp Online Clicking on the Drugs button from the home page will take the user to a listing of available drug databases This screen provides brief overviews of each drug database that is available with Lexicomp Online The left side of the screen provides links to the available indices for each database Click on the database name to display a more detailed overview of the content available in that database as well as a list of the editorial panel The Available Dru
50. rmation on over 1800 adult U S Brand Names Lexi Patient Education follows a question and answer format ideal for patient counseling Our patient advisory Canadian Brand Names compliance with JCAHO standards and are written at an easy to comprehend reading level The medication be nged Last 7 Days avaliable in 19 languages Pharmacologic Therapeutic Category Lexicomp Enter drug disease or olhar keyword T Search Limi Search to interactens Grog lO Calculators LY Compstbdity Patiant Education Toxicol Awadlable aiii Patient Education Adult Mediation Patient Education Adult Medication Patient Education Adult Medication Lexd Patient Education Lexicomp s patient advisory database provides U S Brand Names ila E Ga PAOA E AE ERR A Canadian Brand Names compiance with JCAHO standards and are written ofan ee nore available in 19 languages Generic Name Joseph What key warnings should know about before A iy taking this drug ane harmiul conditions misiad to the uza of the drug and disease states or patient populations in which the drug Christin Reasons not to take the drug Sga distat states conditions and patient populations i Verna L For more information visit us online at www lexi com or call 866 397 3433 11 Lexicomp Online User Guide lt Return to Table of Contents BROWSE BY CATEGORY Laboratory Databases The Explore by general category links allow the user to browse the Explo
51. s manufacturers an British Approved Mame BAN INN Editor Drug Nomenclature Senior Synonyms Paul Ble U S Adopted Names aaa British Approved Names en International Nonproprietary Names E m l a For more information visit us online at www lexi com or call 866 397 3433 13 Lexicomp Online User Guide lt Return to Table of Contents SS _ 5 REVIEWING SEARCH RESULTS Search Results Window After performing a search the user will be presented with results from all databases that have a match to the search performed Only databases that are available to the user and have a result will be displayed in the search results To view the monograph within any database click on the hyperlinked drug name displayed under the desired database Lexicomp Enter drug diessa or othar Anyword SE Limit search io interactions Brug LO Calculations LV Compatibility Patient Education Toxicology More Clinical Tools Search Results monograph name beginning with Warfarin Filter Results Hogy Mare Cini The Filter Results drop down menu can be used to sort your search results to display on specific databases The filter results can be used to filter by the following topic areas e Drug Content e Toxicology Content e Disease Lab Content e Patient Education Content e International Drug Content Field Selection To activate the Field Selection menu hover the cursor over the hyperlinked drug name in the r
52. select a suggested term simply click on the desired search term and the system will automatically perform a search and display the results Additionally if you misspell a search term you will be presented with a Did you mean list of possible search terms To perform a new search using the correct term simply click on the desired search term and you will see a results list for the correctly spelled keyword Once you have entered your search term clicking the Search button or hitting the enter key on the keyboard will initiate a global search across both the Household Products and Lexi Tox databases Any database that has information on the keyword searched will be displayed on the results screen When searching for a particular brand name product such as Lysol or Drano results will likely display in the Household Products database and when searching for a topic that has an actual treatment monograph i e a drug or chemical results will likely appear in the Lexi Tox database Bai r Lexi Tox Dreg LO Lfioulatiors ao Toxicology Mode search Results lysol in Toxicology All Results Household Products Database a Brand All tri For more information visit us online at www lexi com or call 866 397 3433 26 Lexicomp Online User Guide lt 4 Return to Table of Contents CLINICAL TOOLS Explore by general category The Explore by general category box allows a user to browse either the Lexi Tox database or the House
53. tim wording of the boxed b Brand Names warning consult the product labeling or wenw fda gov Pharmacologic Category Special Alerts Dosages Warfarin Jantoven Recall Due to Mistabeled Bottle Update February 2011 Uses Clinical Practice Guidetnes Pronunciation Administration and Storage E Issues WAR far in Mosteation Saey sues U S Brand Names coumssing Jantovens Monograph Display bo se Interactions Drug I D Calculations Once a user selects a database by clicking on a drug name or using the pa AES SE a eT A a Field Selection function on the Search Results page the drug monograph will be displayed In the top left corner of the screen the monograph title and database name will be displayed as a point of reference Navigating a Monograph ALERT U S Boxed Waming Once in the monograph the user has three ways to navigate the informa mi tion presented The first method is to use the Navigation Tree displayed Special Alerts on the left side of the screen This box provides a table of contents view Pronunciation of the available sections of the drug monograph To jump to a particular l i Panoa Brand Names section click on the desired section Sections that have a gt sign next to them have sub sections that allow the user to jump to more specific areas Pharmacologic Category of content To expose all of the sub sections at once click the Expand 7 Dosages All link
54. ty Patient Edueotion Toxicology Available Indexes Lab Teste and Diagnostic Procedures Lab Tests and Diagnostic pean Lab Tests and Diagnostic Procedu Alphabetical List With this database obtain detailed descriptions of diagnostic test Charts Special Topics eet ee preparation specimen collection handling and clinical test result Pharmacologic Therapeutic Category areas and diagnostic disciplines scription of Fields Name Specific testprocedure name selected monograph For more information visit us online at www lexi com or call 866 397 3433 12 Lexicomp Online User Guide lt Return to Table of Contents SEARCHING amp NAVIGATION International Drug Databases The Explore by general category links allow the user to browse the OTT Catagory available databases that are part of Lexicomp Online Clicking on the International Drugs button from the home page will take the user to a listing of the available international drug databases This screen provides a brief overview of the international drug databases that are available within Lexicomp Online The left side of the screen provides links to the available indices for these databases Click on the database name to display a more detailed overview of the content available in that database as well as a list of the editorial panel Lexicomp Enter drug dinease or ofher keyword AFi Limi samh io F oe inter cions Drug LO Calculatons L
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