Physostigmine::Physostigmine(double age, double height, double weight) : Antidote(age, height, weight) {
a = "Physostigmine Antidote Algorithm \n",
b = string("As a secondary treatment of anticholinergic syndrome. ") + FDA + "\n\n",
c = "";//getRef();
Question *physWarning = new Question(a+b+
"Warning: Physostigmine Salicylate Injection should not be used in the " +
"presence of asthma, gangrene, diabetes, cardiovascular disease, mechanical " +
"obstruction of the intestine or urogenital tract or any vagotonic state, " +
"and in patients receiving choline esters and depolarizing neuromuscular " +
"blocking agents (decamethonium, succinylcholine).Patient must have normal " +
"QRS on ECG to receive physostigmine.");
physWarning->setType("warning");
insertToMap("physWarning", physWarning);
Question *physChildWarning = new Question(a+b+
"Administration of physostigmine in children should reserved for " +
"life-threatening conditions.");
physChildWarning->setType("warning");
insertToMap("physChildWarning", physChildWarning);
string physChild = a+b+
"Recommended dosage is "+toStr(physCalcChild())+"mg (0.02 mg/kg max 2mg) of physostigmine intramuscularly or by " +
"slow intravenous injection, no more than 0.5 mg per minute. If the toxic " +
"effects persist, and there is no sign of cholinergic effects, the dosage may " +
"be repeated at 5 to 10 minute intervals until a therapeutic effect is " +
"obtained or a maximum of 2 mg dosage is attained."+c;
insertToMap("physChild", physChild);
string physAdult = a+b+
"Adult dosing: When administering IV give no faster than 1mg/minute to avoid " +
"adverse events. Recommended dosage 0.5-2mg IV,IM. May repeat every 10-30 " +
"minutes until desired response."+c;
insertToMap("physAdult", physAdult);
}
Question Theme::selectQuestion( const QSqlQuery &query ) const
{ // reject into new method. Question makeQuestion(const QSqlQueru &query)
using namespace Tables::Question::Field;
Question issue;
QString id = query.value( query.record().indexOf( QUESTION_ID ) ).toString(),
text = query.value( query.record().indexOf( TEXT ) ).toString(),
type = query.value( query.record().indexOf( QUESTION_TYPE ) ).toString();
bool caseSens = query.value( query.record().indexOf( CASE_SENS ) ).toBool(),
stripSpace = query.value( query.record().indexOf( STRIP_SPACE ) ).toBool();
QTime time = query.value( query.record().indexOf( RECOMENDED_TIME ) ).toTime();
issue.setId( id );
issue.setText( text );
issue.setType( type );
issue.setTime( time );
issue.setCaseSensitivity( caseSens );
issue.setStripSpaces( stripSpace );
return issue;
}
BlackWidow::BlackWidow(double age, double height, double weight) : Antidote(age, height, weight) {
string a = "Black Widow envenomation Algorithm.\n",
b = string("For the treatment of Black Widow (Latrodectus mactans) envenomation. ") + FDA + "\n\n",
c = "\n(Merck & Co., Inc. , 2014)";
string stringSystemicReaction = string(" As with any administration of serum products, support for ") +
"systemic reaction should be made ready prior to administration";
string stringSerumSickness = string(" Patients should be observed for serum sickness for an average ") +
"of 8 to 12 days following administration of antivenin.";
string stringNeonate = a + b + string("Safety and efficacy has not been established in neonates. ") +
"Please consult neonatologist for dosing instructions.";
string stringInfantChildren = a + b +
string("Prior to therapeutic administration a skin test should be performed ") +
"to determine sensitivity to antivenin serum. Inject a 1:10 dilution of " +
"antivenin serum intradermally. If there is no reaction after 10 minutes, " +
"proceed with antivenin administration.\n\nAntivenin administration in children:\n\n" +
"Intravenous administration is preferred method in children. Administer " +
"entire reconstituted vial (2.5 ml) of antivenin in 10ml to 50ml of Normal Saline " +
"over 15 minutes. Symptoms should subside in 1 to 3 hours.";
string stringAdolescent = a + b +
string("Prior to therapeutic administration a skin test should be performed ") +
"to determine sensitivity to antivenin serum. Inject a 1:10 dilution of " +
"antivenin serum intradermally. If there is no reaction after 10 minutes, " +
"proceed with antivenin administration.\n\nAntivenin administration in adolescents:\n\n" +
"Intravenous administration is preferred method in children. Administer " +
"entire reconstituted vial (2.5 ml) of antivenin in 10ml to 50ml of Normal Saline " +
"over 15 minutes. Symptoms should subside in 1 to 3 hours.";
string stringElderly = a + b +
string("Prior to therapeutic administration a skin test should be performed ") +
"to determine sensitivity to antivenin serum. Inject a 1:10 dilution of " +
"antivenin serum intradermally. If there is no reaction after 10 minutes, " +
"proceed with antivenin administration.\n\nAntivenin administration in adolescents:\n\n" +
"Intravenous administration is preferred method in the elderly. Administer " +
"entire reconstituted vial (2.5 ml) of antivenin in 10ml to 50ml of Normal Saline " +
"over 15 minutes. Symptoms should subside in 1 to 3 hours.";
string stringAdultNatural = a + b +
string("For a healthy patient aged 16 to 60, it is recommended that the patient not receive ") +
"antivenin serum and only pain symptoms should be treated. Healthly patients aged " +
"16 to 60 should receive antivenin only when envenomation symptoms are moderate to severe.";
string stringAdult = a + b +
string("Prior to therapeutic administration a skin test should be performed ") +
"to determine sensitivity to antivenin serum. Inject a 1:10 dilution of " +
"antivenin serum intradermally. If there is no reaction after 10 minutes, " +
"proceed with antivenin administration.\n\n" +
"Intravenous administration adults: " +
"Administer entire reconstituted vial (2.5 ml) of antivenin in 10ml to 50ml of " +
"Normal Saline over 15 minutes. Symptoms should subside in 1 to 3 hours. " +
"Intramuscular administration adults: " +
"Reconstitute antivenin vial with diluent supplied in kit. Administer " +
"intramuscularly to the anterolateral thigh. Placement of dose allows tourniquet " +
"to be applied in the event of systemic reaction.";
string stringSeverity = "Describe the severity of bite. ";
string *antiveninOptions = new string[2];
antiveninOptions[0] = "Severe";
antiveninOptions[1] = "Mild";
Question *severity = new Question(stringSeverity);
severity->setType("options");
severity->setOptions(antiveninOptions, 2);
prompts.insert(strQuestionMapPair("severity", severity));
Question *age0 = new Question(stringNeonate + stringSystemicReaction + stringSerumSickness + c);
prompts.insert(strQuestionMapPair("age0", age0));
Question *ageLessThen12 = new Question(stringInfantChildren + stringSystemicReaction + stringSerumSickness + c);
prompts.insert(strQuestionMapPair("ageLessThen12", ageLessThen12));
Question *age12To16 = new Question(stringAdolescent + stringSystemicReaction + stringSerumSickness + c);
prompts.insert(strQuestionMapPair("age12To16", age12To16));
Question *ageGreaterThen60 = new Question(b + stringElderly + stringSystemicReaction + stringSerumSickness + c);
prompts.insert(strQuestionMapPair("ageGreaterThen60", ageGreaterThen60));
Question *age16To60Severe = new Question(stringAdult + stringSystemicReaction + stringSerumSickness + c);
prompts.insert(strQuestionMapPair("age16To60Severe", age16To60Severe));
Question *age16To60Mild = new Question(stringAdultNatural + c);
prompts.insert(strQuestionMapPair("age16To60Mild", age16To60Mild));
}
