Has bled calculator

Digoxin calculator to determine the optimal maintenance dose of digoxin for both heart failure and atrial fibrillation patients, based on the Bauman-DiDomenico and Koup-Jusko methods. Advanced aminoglycoside pharmacokinetic calculator. Includes a variety of dosing strategies and calulation methods to determine an optimal gentamicin, tobramycin, or amikacin dose. Advanced vancomycin pharmacokinetic calculator. Includes a variety of dosing strategies and calulation methods, including Bayesian modeling, to determine the optimal vancomycin dose. Online calculator to convert equivalent doses of corticosteroid compounds. Total phenytoin correction calculator converts a measured total phenytoin level to a corrected total and estimated free level. This calculator accounts for renal dysfunction, serum albumin level, age, and comorbidities. Total parenteral nutrition (TPN) calculator to determine a patient's macronutrient requirements (dextrose, protein, and lipids) GIR (glucose infusion rate) calculator for total parenteral nutrition (TPN) Online calculator to convert equianalgesic doses of opioid narcotic analgesics. Calculator to determine the minimum number of subjects to enroll in a study for adequate power. Calculator to determine the post-hoc power of an existing study. Printable extended-interval aminoglycoside nomograms. HAS-BLED calculator for evaluating major bleeding risk in patients with atrial fibrillation. Calculator to estimate enteral nutrition (tube feeding) needs in adults patients. Summarized landmark critical care trials -- right at your fingertips! Tool to convert OR (odds ratio) to RR (risk ratio) from logistic regression. Calculator to analyze a patient's enteral and parenteral nutrition intake, including calories, dextrose, protein, and lipids. Conversion tool to calculate benzodiazepine equivalents (convert equivalent benzodiazepine doses). Visually analyze the 10-year ACC/AHA

AÇÕES CRÍTICAS Os riscos e benefícios específicos do paciente da anticoagulação devem ser avaliados cuidadosamente em todos os pacientes que são candidatos potenciais à terapia de anticoagulação de longo prazo. FÓRMULA Adição dos pontos selecionados: Critério Pontos Hipertensão +1 Doença renal +1 Doença hepática +1 História de AVC +1 Sangramento importante anterior ou predisposição a sangramento +1 INR lábil +1 Idoso (idade > 65) +1 Uso de medicamentos que predispõe ao sangramento +1 Uso de álcool +1 Observação: HAS-BLED é um acrônimo para hipertensão, função hepática/renal anormal, histórico de derrame, predisposição para sangramento, INR lábil, idosos, uso de drogas/álcool. FATOS E NÚMEROS Pontuação HAS-BLED Grupo de risco Risco de hemorragia grave** Sangramentos de 100 pacientes ao ano*** Recomendação 0 Relativamente baixo 0.9% 1.13 A anticoagulação deve ser considerada 1 Relativamente baixo 3.4% 1.02 A anticoagulação deve ser considerada 2 Moderado 4.1% 1.88 A anticoagulação pode ser considerada 3 Alto 5.8% 3.72 Alternativas à anticoagulação devem ser consideradas 4 Alto 8.9% 8.70 Alternativas à anticoagulação devem ser consideradas 5 Alto 9.1% 12.50 Alternativas à anticoagulação devem ser consideradas >5* Muito Alto - - Alternativas à anticoagulação devem ser consideradas * Pontuações maiores que 5 eram muito raras para determinar o risco, mas provavelmente ultrapassam 10%. * Dados de risco da Lip 2011. * Valores de risco de Pisters 2010. LITERATURA ORIGINAL/REFERÊNCIA PRIMÁRIA Pisters R, Lane DA, Nieuwlaat R, et al. A Novel User-Friendly Score (Has-Bled) To Assess 1-Year Risk Of Major Bleeding In Patients With Atrial Fibrillation: The Euro Heart Survey. Chest. 2010;138(5):1093-1100. VALIDAÇÃO Lip GY, Frison L, Halperin JL, Lane DA. Comparative validation of a novel risk score for predicting bleeding risk in anticoagulated patients with atrial fibrillation: the HAS-BLED (Hypertension, Abnormal Renal/Liver Function, Stroke, Bleeding History or Predisposition, Labile INR, Elderly, Drugs/Alcohol Concomitantly) score. J Am Coll Cardiol. 2011 Jan 11;57(2):173-80. doi: 10.1016/j.jacc.2010.09.024. Epub 2010 Nov 24.

To Germany, you bled. He sent you to the South Pacific to fight the Japanese, you bled. You bleed for nike indoor soccer shoes. But when it comes time to seeing your own churches being bombed and little black girls be murdered, you haven't got mizuno soccer cleats. You bleed when the white man says bleed; you bite when the white man says bite; and you bark when the white man says bark. I hate to say this about mizuno youth soccer cleats, but it's true. How are you going to be nonviolent in Mississippi, as violent as you were in Korea? How can you justify being nonviolent in Mississippi and Alabama, when your mizuno indoor soccer shoes are being bombed, and your little girls are being murdered, and at the same time you're going to violent with adidas world cup shoes, and Tojo, and somebody else that you don't even know. WZY_________________________Look at the American Revolution in 1776. That revolution was for what? For adidas soccer cleats. Why did they want land? Independence. How was it carried out? Bloodshed. Number one, it was based on land, the basis of independence. And the only way adidas f50 adizero shoes could get it was bloodshed. The French Revolution -- what was it based on? The land-less against the landlord. What was it for? How did soccer indoor shoes get it? Bloodshed. Was no love lost; was no compromise; was no negotiation. I'm telling you, you don't know what a revolution is. 'Cause when you find out what new soccer shoes is, you'll get back in the alley; you'll get out of the way. The Russian Revolution -- what was it based on? Land. The land-less against the landlord. How did nike total 90 soccer shoes bring it about? Bloodshed. You haven't got a revolution that doesn't involve bloodshed. And you're afraid to bleed. I said, you're afraid to bleed. As long as discounted soccer cleats sent you to Korea, you bled. He sent you to Germany, you bled. He sent you to the South Pacific to fight the Japanese, you bled.

Ago, Egeskov Castle could only be accessed via drawbridge. Luckily, it’s easier to experience the castle’s lush gardens, arched-window architecture and renovated décor today. © Toerisme Vlaams-Brabant 8/ Kasteel van Gaasbeek Belgium’s prized castle can be found just outside of Brussels. Kasteel van Gaasbeek has changed hands many times since its formation in the 13th century. Today, it’s owned by the Flemish Community so that its 124 acres of elegant grounds can be open to the public. 9/ Gediminas' Tower The Gediminas’ Tower is a small fortress at the top of a hill that was originally built of wood in the 1400s. Soon after, the tower was fortified with brick and stone and became the anchor of the Vilnius Castle complex. Now, the Gediminas’ Tower is the only part of the castle that remains in tact. 10/ Bran Castle Located in Romania, the Bran Castle is still an extravagant property. From the peaceful courtyard to its secret passages, it’s the prototypical European castle. It’s been nicknamed “Dracula’s Castle,” as it’s speculated that Bram Stoker drew inspiration for the story of Dracula from Bran Castle. © www.slovenia.info/D. Mladenovič 11/ Bled Castle Overlooking Lake Bled in Slovenia, the Bled Castle dates back to the 12th century. A mix of Romanesque and Renaissance-style architecture make it the perfect look back at European design. The castle remains one of Slovenia’s most popular tourist attractions. 12/ Spišský hrad – The Spis Castle The Spiš Castle in Slovakia is one of the largest castles in all of Europe. The property has been in ruins since it burned down in 1780, but it is still a breathtaking landmark. In fact, the castle has been a popular setting for films, including Dragonheart and The Lion in Winter. © German National Tourist Board 13/ Eltz Castle The Eltz Castle in Germany is still owned and used by descendants of the family that called the castle home in the 12th century. Unlike many European castles, the Eltz Castle was never damaged by war. That’s part of what makes a tour of the grounds a true look back at what Eltz

Certain way of warfare, then they’ve neglected other elements in order to specialise. If they’re generalists, like most Space Marines are, they’ll still have various interesting elements – something about their gene-seed, their fleet, or their homeworld. Interesting elements that make them stand out but, crucially, don’t make them immediately “better” than other Chapters.Here’s an example. There are three Chapters called the Triarchy. They’re all Blood Angel Successors: the Charnel Guard, the Red Seraphs, and the Angels Numinous. They’re Alan Bligh’s, John French’s, and my own personal Chapters, respectively.The Charnel Guard are the gothic and undead elements of vampirism, amped up to 11. They’re black-armoured, corpse-like, stasis-crypt-using murderers that have countless blood rituals they don’t tell anyone about. The Red Seraphs are the Renaissance and the artistry of Rome in power armour. Their armour is ornate, they try to overcome the Flaw in their gene-seed by amplifying their angelic qualities and focusing on mental and spiritual purity. And the Angels Numinous are the warlike element of mythological angels – they’re the Armies of Heaven that bled and bled and bled as they fought Satan’s Fallen Angels. They wear armour of dark bronze, have a vaguely Persian culture, and sacrifice their Death Company in battle as a blunt instrument, not as honoured brothers but as spiritual failures.Three Chapters: all angels, all vampires, all just as violent and dangerous as each other, but each with specific cultural angles that make them credible and unique without making them “better” than anyone else.The second