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Resources & Downloads

We offer a rich library of resources available for direct download and online use. Included on this page are a large number of drug infusion calculators and drug dosing calculators. Some of the material was developed directly by the VASG; some of the calculators originate from member professionals across the globe. Becuase we all think a bit differently, what solves a problem for one individual may not help another.

As always, please let us know if you cannot find what you need on the site. We will either direct you to a suitable resource or create one for you.


Drug Delivery Calculators

Below you will find calculators for CRI/MCI drug administration (both IV fluids based and syringe pump based infusions), epidural drug administration, total intravenous anesthesia (alfaxan, propofol, & fentanyl/midazolam), emergency drugs, blood pressure related drug administration, local anesthetic blocks, and IM based anesthesia.
While most of the calculators are based upon specific drug concentrations (clearly delineated in each calculator) some are being developed with a variable drug concentration option to expand their flexibility.

As a point of clarification, the mere fact that a calculator is in our library does not mean that the VASG wholeheartedly embraces that particular product, combination of products, or application in all clinical settings.

Our goal is to improve the quality of life and longevity of animal family members while making life easier for veterinary professionals. We acknowledge that there are professionals in practice settings that limit the availability of drugs and equipment. We embrace the challenges faced by veterinary professionals in limited settings be it a housecall practice in Rwanda, spay neuter programs in Yucatán, or anywhere else across the globe.

DOUBLE CHECK ANY AND ALL CALCULATORS PRIOR TO USE!

As always, it is the practitioner’s obligation to become familiar with the drugs and techniques discussed on our website before applying these techniques to their patients.

Download Collection
Click here to download the entire collection, in English, as a compressed folder.


Analgesic CRIs

    IV FLUID BAG INFUSIONS

    Please note: the patient's weight does NOT affect the amount of drug added to the fluid bag. Only the IV bag size, the drug dose rate (mg/kg/hr), and the fluid delivery rate (ml/kg/hr) influence the drug amount; larger bags, higher drug dose rates, and slower IV fluid administration rates all increase drug amount added to the bag and vice versa.

    SYRINGE PUMP INFUSIONS

    Syringe pump based calculators allow you to select one or all of the listed drugs. You choose your preferred drug dose rate and duration. Added saline increases final volume, minimize drug trapped in delivery lines (low volume high pressure extension lines provides an additional benefit in this respect).

    While single drug CRI/MCI can be easily managed by a programmable syringe pump like the Medfusion 2010i, these pumps are more costly. Multiple drug syringe pump CRI/MCIs are always volume based infusions which means that we can use of the least expensive syringe pumps; many are available on the secondary used equipment market. The Medfusion 2001 and the Razel A-99 are often available for a minimal investment.

    Click on the slider tabs below and scroll through the panes to see our analgesic infusion calculators.

    1. Why don't you have original calculators that were totally based in weight by pounds?

      - It became too difficult to maintain two completely separate calculators. As the number of calculators increased it forced the webmaster to duplicate the effort whenever an enhancments was deployed. In the mean time, give our new unified calculators a try: you can weigh in pounds, use the pounds to kilogram converter at the bottom of the current calculators, then transfer the patient's weight in kilograms to the weight field at the top of the calculator. Even if your brain wants to think of drug doses in mg/lb/hr, you can easily adjust to the kilogram oriented calculators as each calculator clearly provides the drug dose rate range for each drug making it easy to select a low, medium, or higher end dose rate. REMEMBER - WHEN USING THE WEIGHT CONVERTER, YOU WILL NEED TO MANUALLY TRANSFER THE PATIENT'S WEIGHT IN KILGRAMS INTO THE UPPER WEIGHT FIELD - IT WILL NOT TRANSFER AUTOMATICALLY!!!

    2. Why is a maintenance fluid rate calculator embedded in the IV fluid bag based calculators?

      - Simply for convenience. Should the user have a need to match drug CRI/MCI drug delivery with maintenance fluids needs, the calculators facilitate this process. REMEMBER - YOU WILL NEED TO MANUALLY TRANSFER THE MAINTENANCE FLUID RATE (IN THE PREFERRED MULTIPLE) INTO THE UPPER FLUID RATE FIELD - IT WILL NOT TRANSFER AUTOMATICALLY!!!

    3. What if the drug concentration of the product at my practice is different than the concentration listed on the calculator?

      - If enough requests are made for a variety of drug concentrations we may make a calculator that allows for variable drug concentrations; but this interjects an additional level of risk should the user fail to input the correct drug concentration.

    Single Agent Infusions

    Single agent CRI/MCIs can be delivered as solo infusions or as part of a combination of independent infusions. One bag, one drug, insures total control over the delivery of each included drug. There is down side however: each drug demands its own bag, its own line, and its own infusion pump. In addition, you have the challenges associated with tying the lines into the patient. Multiple line T-ports can help facilitate this process.

    Caution needs to be exercised regarding the total fluid volume delivered to the patient as you vary drug delivery. Minimizing fluid delivery rates in your CRI/MCI recipe minimizes the risk of fluid overload but it maximizes the amount of drug added to each bag; using smaller IV bags helps mitigate this concern.

     

    Multiple Agent Infusions

    Multiple agent CRI/MCIs offers clean simplicity: one bag, one pump, one line. The downside is that all drugs are influenced when an increase or decrease is made in the total fluid rate. Given the extremely low cost of the most commonly used CRI/MCI drugs, this seems of minor concern; if you want to adjust your drug dose ratios, simply mix up a new bag of solution.

    Single Agent Infusions

    Single agent CRI/MCIs can be delivered as solo infusions or as part of a combination of independent infusions. One syringe, one drug, insures total control over the delivery of each included drug. There is down side however: each drug demands its own syringe, its own line, and its own syringe pump. In addition, you have the challenges associated with tying the lines into the patient. Multiple line T-ports can help facilitate this process.

    Eliminating saline added to a syringe pump CRI/MCI should eliminate the risk of fluid overload to small patients.

       

    Multiple Agent Infusions

    Multiple agent CRI/MCIs offers clean simplicity: one syringe, one pump, one line. The downside is that all drugs are influenced when an increase or decrease is made in the delivery rate. Given the extremely low cost of the most commonly used CRI/MCI drugs, this seems of minor concern; if you want to adjust your drug dose ratios, simply mix up a new syringe of solution.

Epidurals

    These calculators are each based on a different opioid analgesic and each includes the option to use the local anesthetic bupivacaine. If you elect not to use a local anesthetic, you may use saline to achieve your preferred final volume.

    Preservative free products are preferred over preservative containing product. Whether or not a practitioner uses a preservative containing product is a personal decision. When preservative containing product is used, methylparaben is preferrable over formaldehyde preserved product.

    In addition, see: Sheilah Robertson's Clinician's Brief PDF.

E-Drugs

    We believe that a patient's odds for survival increase during an emergency if exact doses of the main emergency drugs are drawn up and immediately available at the anesthetized patient's side. The calulators below allow you to easily calculate emergency drug doses and print the sheet for inclusion in the patient's planning process.

    Click on the slider tab below for our emergency drug calculators.

Opioid Reversal

    We currently have a very long-term opioid analgesic product on the market with low frequency potential to cause sustained heavy sedation and inappetance. Unlike a patch, this product cannot be removed from the patient; only time will lead to a reduction in unwanted effects. These effects may be high-level and may last 5 or so days.

    We believe that any practice utilizing long duration opioid analgesic therapy has a responsibility to maintain the capability of providing sustained opioid antagonism therapy.

    We think it is especially important that emergency facilities be fully prepared to manage long-term opioid antagonism therapy.

    Naloxone is currently the only useful mu opioid antagonist available for opioid antagonism. Unfortunately, the cost of this drug has skyrocketed making long-term opioid reversal therapy a very costly proposition.

    Click on the slider tab below for our naloxone CRI calculators. These calculators so also calculate the cost of the drug for billing and stocking related purposes.

BP Drugs

    IV FLUID BAG INFUSIONS

    Please note: the patient's weight does NOT affect the amount of drug added to the fluid bag. Only the IV bag size, the drug dose rate (mg/kg/hr), and the fluid delivery rate (ml/kg/hr) influence the drug amount; larger bags, higher drug dose rates, and slower IV fluid administration rates all increase drug amount added to the bag and vice versa.

    SYRINGE PUMP INFUSIONS

    Syringe pump based calculators allow you to select your preferred drug, syringe size, and your preferred drug dose rate. Drug volume, added saline volume, and final fluid delivery rates are calculated for you. Use low volume high pressure extension lines to minimize drug trapped in the estension set.

    These are all volume based deliveries which lend themselves to the use of the least expensive syringe pumps; many are available on the secondary used equipment market. The Medfusion 2001 and the Razel A-99 are often available for a minimal investment.

    Click on the slider tabs below to view our blood pressure related drug calculators.

TIVA, IM Anesthesia, N-3s, Local Blocks

    IM Anesthesia

    IM anesthesia is an attractive option in a number of settings including remote locations and spay-neuter clinics. Unfortunately, IM anesthesia is often associated with sacrifices in patient safety; but this does not have to be so.

    Once the IM agents are given, the patient should be closely monitored. Once anesthetized, the patient should be intubated and supplemental oxygen initiated. IV catheters and IV fluids are ideal. Once the procedure is complete, alpha-2 antagonists, preferrably atipamezole, should be administered to shorten the time to independent airway protecion.

    We promote IM protocols that include flexibility rather than a single rigid protocol applied across a broad patient population; flexibility to adjust to the individual needs of the patient. We suggest protocols that include a mu agonist over those with kappa agonists to improve the overall analgesic impact.

    Omega-3 Fatty Acid Supplements

    Omega-3 fatty acid supplementation is an important element in the management of chronic inflammatory disease. The comprehensive review by Bauer in JAVMA, December, 2012 established osteoarthritic dosing guidelines that are far above any label dosing of current OFA supplements.

    Local Anesthesia - Ring Blocks

    Local anesthetics should be applied in almost all surgical situations; they are inexpensive and very low risk when applied correctly. Our protocols include lidocaine for quick onset and bupivacaine for long duration. A mu opioid is included to extend analgesia without extending motor block (as would be expected when corticosteroids are included in local blocks).

    Click on the slider tabs below and scroll through the panes to see our calculators.

    Dexamethasone with bupivacaine increases duration of analgesia in ultrasound-guided interscalene brachial plexus blockade. Vieira PA, Pulai I, Tsao GC, Manikantan P, Keller B, Connelly NR. Eur J Anaesthesiol. 2010 Mar;27(3):285-8.

    Therapeutic use of fish oils in companion animals. Bauer JE. J Am Vet Med Assoc. 2011 Dec 1;239(11):1441-51.


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