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SIDE A SIDE A SIDE B SIDE B Demonstration Calculator Demonstration Calculator Multispecialty Multispecialty
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SIDE A SIDE B Demonstration Calculator – Multispecialty.

Mar 26, 2015

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Page 1: SIDE A SIDE B Demonstration Calculator – Multispecialty.

SIDE ASIDE A SIDE BSIDE B

Demonstration Calculator – MultispecialtyDemonstration Calculator – Multispecialty

Page 2: SIDE A SIDE B Demonstration Calculator – Multispecialty.

SIDE ASIDE A* Centimeter measuring scale

* Body Temperature conversion scale

* Hypothermia and Fever Ranges for three

types of thermometers

* Annual CFalendar with simplified month-to-

month transition

* Fixed Holidays marked on annual calendar

* Automatic adjustment for Average

Menstrual Cycle Length

* Infants Age (in days) calculator

* Sperm Exposure scale

* Date of Ovulation and Implantation

* Pregnancy Landmarks scale

* Future or past Menstrual Cycle markers

* Gestational Age accurate to one day

* CRL, BPD, and Fetal Weight scales

* BMI Calculator and Body Type ranges

* Vital Signs calculator for Respiration and

Heart Rate adjusted for patient age

Marketing information surface area

Page 3: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Centimeter ScaleCentimeter Scale

The Centimeter Scale located at the top of Side A is used for a wide variety of medical applications, including measurement of skin lesions.

Page 4: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Body Temperature ScaleBody Temperature ScaleThe Body Temperature scale displays a patient’s hypothermia or fever range, and interconverts Fahrenheit to Centigrade

Body Temperature ranges are displayed for three types of thermometers – Eardrum scan, Oral, and Rectal.

In this example, the patient’s body temperature of 102.9°F (39.4°C) is a low grade fever by rectal thermo-meter but a mid grade fever by ear or oral thermo-meter.

Page 5: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Annual Calendar ScaleAnnual Calendar ScaleMonth - to - Month TransitionsMonth - to - Month Transitions

A small diagonal line marker is used to easily and rapidly identify the first day of each month on the Calendar Scale in order to facilitate easy month-to-month transitions for clinical scheduling.

Page 6: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Fixed Holiday MarkersFixed Holiday MarkersFixed holidays are marked by color dots on the Calendar Scale to assist clinical scheduling near certain holidays.

Christmas – red dot

Halloween – orange dot

Forth of July – blue dot

St Patrick's Day – green dot

Valentines Day – red dot

New Years Day – black dot

Page 7: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Average Cycle Length ScaleAverage Cycle Length Scale

The Average Cycle Length scale automatically adjusts the position of the Last Menstrual Period (LMP) marker to compensate for variations in Menstrual Cycles

In this example:

LMP on January 7 for 36 day cyclesLMP on January 15 for 28 day cycles

LMP on January 21 for 22 day cycles

Page 8: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Average Cycle Length ScaleAverage Cycle Length Scale

The Average Cycle Length scale automatically compensates for cycle variations to greatly improve accuracy in Gestational Age and Due Date

Due Date is onNovember 3rd

Example:

LMP is on January 25 for average cycle

length of 28 days

Page 9: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Average Cycle Length ScaleAverage Cycle Length ScaleExample: For LMP on January 26th

Due Date is onNovember 13th

if average cycle length is 38 days

Due Date is onOctober 28th

if average cycle length is 22 days

38

22

Page 10: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Sperm Exposure ScaleSperm Exposure Scale

Rarely, sperm may remain viable for up to 7 days before ovulation. Most conceptions occur with sperm 0 to 3 days old. Eggs are fertilizable for 28 hours after ovulation, so intercourseup to 24 hours after ovulation may result in conception.

Example: Intercourse between April 17 and April 25 may result in pregnancy.

Page 11: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Early Pregnancy LandmarksEarly Pregnancy Landmarks

Example: For LMP on May 16

Embryo Implantation is on June 6

Missed next Menstrual Period would have been on June 13

Pregnancy test would be positive between June 10 and June 19

Ovulation is on May 30

Page 12: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Mid Pregnancy LandmarksMid Pregnancy LandmarksBiochemical Screen –---------- August 5 to Sept 6Chorionic Villus Sample - August 11 to August 25Nuchal Translucency -------- August 22 to Sept 8Amniocentesis ------------------- Sept 8 to Sept 31Tri/Quad Screen AFP ------- Sept 22 to October 7

Level II Ultrasound ------- Oct 7 to Oct 28Early Viability –----------- Nov 4 to Nov 18GTT, RPR, H/H, Ab ---- Nov 18 to Dec 16RhoGam injection ------ Dec 16 to Dec 31Group B strep ------------ Feb 4 to Feb 18

Example:LMP=June 328 day cycles

Page 13: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Infant Age in DaysInfant Age in Days

Example 2:

For Birthday on October 5, infant age on June 26

is 263 days

Example 1:

For Birthday on October 5, infant age on

December 17 is

73 days

Birthday

Calculate Infant Age by aligning the Birthday Marker (also the LMP 28 day marker) with baby’s date of birth, then align the cursor marker with the current date. Read the infant's age in days at the cursor marker position on the Light Blue Days Scale.

Birthday

Page 14: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Gestational AgeGestational Age Crown-Rump Length and Fetal WeightCrown-Rump Length and Fetal Weight

Example:

On March 20 the gestational age is 8 weeks 3 days

This is Day 59 of gestation, and Fetal Heart Motion should be visible on ultrasound

The Crown Rump Length (CRL) should be 18 mm

Fetal weight is approximately 1.5 gms

Displays the average

Crown-Rump Length (in mm) and Fetal Weight (in gms) for gestational age range 4 weeks 2 days to 12 weeks 4 days, for each gestational age and corresponding calendar date.

Page 15: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Gestational AgeGestational Age Biparietal Diameter and Fetal Weight Biparietal Diameter and Fetal Weight

Example:

On September 5 the gestational age is 32 weeks 2 days

This is Day 226 of gestation, and CBC should be ordered.

Biparietal Diameter (BPD) should be 8.3 cm

Fetal Weight is approximately 1800 gms

Displays the average

Biparietal Diameter (in mm) and Fetal Weight (in gms) for gestational age range from

12 weeks 4 days to 42 weeks for each gestational age and corresponding calendar date.

Page 16: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Menstrual Period PredictorMenstrual Period Predictor

Example:

For LMP on June 1, in 2 cycles the expected MP will start July 27.

1st dot

Calculates past and future expected calendar dates of Menstrual Periods for patients with regular 28 day cycles. Align the LMP 28 day marker with the current date, then align the cursor marker with a red dot on the Light Blue Days scale and read the calendar date indicated by the cursor. Use the 1st, 2nd, 3rd, 4th,etc red dot to predict Menstrual Dates for 1, 2, 3, 4, etc cycles in the future.

2nd dot

Expected MP in 2 cycles

Page 17: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Menstrual Period PredictorMenstrual Period Predictor

Example:

For current Menstrual Period on July 27, the Menstrual Period two cycles ago started on June 1.

1st dot2nd dot

Current MP

To calculate past calendar dates of Menstrual Periods, align the cursor marker on the appropriate (1st, 2nd. 3rd ,etc) red dot on the date of the current or last Menstrual Period, then read the date of the desired past Menstrual Period at the LMP 28 day marker.

MP 2 cycles ago

Page 18: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Body Mass Index CalculatorBody Mass Index Calculator

Calculates the Patient’s Body Mass Index (BMI) from Height and Weight, and displays the result using color coded body type ranges.

Use the Pink field on Side A

Example:

Patient Weight is 190 lbsPatient Height is 5’ 9”

Align 5’ 9” with 190 lbs on the Height & Weight scales

The BMI is 28 kg/m2

in the Overweight range

Page 19: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Respiration Rate CalculatorRespiration Rate CalculatorCalculates patient's rate of respiration from total number of inspirations during a time period ranging from 10 seconds to 45 seconds.

Example:

The patient has 6 inspirations during a 20 second observation period.

Align the 20 second marker with the Respiration 6 marker

The Respiration Rate is 18 per minute (rpm)

In This Case:

For a 4-year-old child, this

respiration rate is in the

Hypoventilation range

For a 16-year-old patient,

this respiration rate is in the

Normal range

Page 20: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Pulse Rate CalculatorPulse Rate CalculatorCalculates patient's heart rate from total number of pulses during a time period ranging from 10 seconds to 45 seconds. The most common time period used to measure pulse rate is 15 seconds, identified by a bold marker on the time scale.

Example:The patient has 28 pulses during a 15 second observation period.

Align the 15 second marker with the Pulse Count 28 marker

The pulse rate (heart rate) is 110 per minute (bpm)

In This Case:

For a 4-year-old child, this

heart rate is in the Normal

range

For an Adult, this heart rate is

in the Tachycardia range

Page 21: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Marketing SpaceMarketing SpaceOn this demonstration model, there are two blank regions on Side A and one large region on Side B available for marketing information.

Page 22: SIDE A SIDE B Demonstration Calculator – Multispecialty.

SIDE BSIDE B* ECG Heart Rate calculator– two speeds

* Conversion Scale – centimeters to inches

* Waist to Hip Ratio calculator

* Waist to Hip Ratio mortality risk calculator

– male and female

* Waist to Hip Ratio population percentile

– male and female

* Conversion Scale – pounds to kilograms

* Drug Dose calculator by Body Weight

* Drug Dose Syringe Volume calculator by

Body Weight

Large surface area for marketing information

Page 23: SIDE A SIDE B Demonstration Calculator – Multispecialty.

ECG Pulse Rate CalculatorECG Pulse Rate Calculator

This scale calculates a patient's heart rate by measuring the distance between one or two QRS complexes on a standard ECG strip.

Align the first QRS complex with the reference arrow on the scale.

For ECG paper speed of 25 mm/sec, read heart rate at the Second QRS complex. For ECG paper speed of 50 mm/sec, read heart rate at the First QRS complex.

Read heart rate (in bpm) at the position of the First or Second QRS complex, depending upon ECG paper speed.

Page 24: SIDE A SIDE B Demonstration Calculator – Multispecialty.

ECG Pulse Rate CalculatorECG Pulse Rate Calculator

This scale calculates a patient's heart rate by measuring the distance between one or two QRS complexes on a standard ECG strip.

For Bradycardia, use the Dark Green scale

at paper speed of 25 mm/sec. Read heart rate at the First QRS complex.

For Low Heart Rates

(Bradycardia)

Align the first QRS complex with the reference arrow on the scale.

Page 25: SIDE A SIDE B Demonstration Calculator – Multispecialty.

ECG Pulse Rate CalculatorECG Pulse Rate Calculator

For standard paper speed of 25 mm/sec, this patient has a heart rate of

35 beats/min as indicated at the

First QRS complex on the Dark Green scale.

For standard paper speed of

25 mm/sec, this patient has a heart rate of 112 beats/min as indicated at the Second QRS complex on the Light Green scale.

1100 22

00 11

xxxx

xx xxxx xx

for Bradycardia

for Normal Range or Tachycardia

Page 26: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Inch to Centimeter ConverterInch to Centimeter ConverterInterconversion of Inches to Centimeters is done using the Waist-to-Hip Ratio scale in the pink field on side B.

Lay a straight edge or paper edge, aligned with the center of the calculator, across the scales to inter-convert centimeter measurements to inch measurements.

47 inches equals

120 cm

Page 27: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Waist to Hip Ratio CalculatorWaist to Hip Ratio Calculator

Example:

For a patient with Waist Circumference of 45 in and Head Circum-ference of 50 in:

Align the 45 marker on the Waist inches scale with the 50 marker on the Hip inches scale.

Read the Waist to Hip Ratio (0.9) in the WHR Window.

Calculates the Waist to Hip Ratio (WHR) from the patient's Waist Circumference and Hip

Circumference (in inches or centimeters)

Page 28: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Waist to Hip Ratio Waist to Hip Ratio Mortality Risk and Population Percentile by SexMortality Risk and Population Percentile by Sex

The Relative Risk of Mortality for a woman is 1.4

The Relative Risk of Mortality for a man it is 0.9

Women with a WHR of 0.9 are in the 85th percentile.

Men with a WHR of 0.9 are in the 55th percentile

Example:

For a Waist-to-Hip Ratio of 0.9

1.4

0.9

85th

55th

The Waist-to-Hip Ratio is useful for determining the a patient's general risk of Mortality. This feature also calculates the Population Percentile for the patient's waist to hip ratio.

Page 29: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Pound to Kilogram ConverterPound to Kilogram ConverterThis feature interconverts body weight from Pounds to Kilograms, or vice versa.

Align the patient’s body weight at the Weight in Pounds marker, then read the patient's metric body weight at the Weight in Kilograms marker.

Example:

70 kg - - - - - - - - - - - equals - - - - - - - - - - - - 154 pounds

In this example, a 154 pound patient weighs 70 kilograms.

Page 30: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Drug Dose Calculator Drug Dose Calculator by Body Weightby Body Weight

Rapid determination of a drug dose is accomplished by aligning the patient's Body Weight (in pounds or kilograms) along the outer yellow scale, then reading the Drug Dose (in milligrams) where the appropriate reference line intersects the Dose Scale.

Patient weighs 146 lbs Example:

A patient who weighs 146 pounds needs a medication administered at 0.75 mg/kg.

The calculated dose is 45 mg.

Page 31: SIDE A SIDE B Demonstration Calculator – Multispecialty.

Drug Dose Calculator Drug Dose Calculator by Syringe Volumeby Syringe Volume

Rapid determination of the Syringe Volume of an injectable drug is accomplished by aligning the patient's Body Weight (in pounds or kilograms) along the outer yellow scale, then reading the Syringe Volume (in milliliters) at the level of the Red Field inside the syringe diagram.

Example:

A patient who weighs 280 pounds needs a Pharmatropin injection.

The calculated volume of Pharmatropin

is 0.60 ml.