An Electronic Mouse Dosage Calculator

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  An Electronic Mouse Dosage Calculator Wed, 09/10/2014 - 9:01am Daniel J. Ferguson LISTED UNDER: Infusion Equipment|Anesthesia Equipment Get today's news and top headlines for research animal facilities professionals - Sign up now! Simplify the problems associated with compounding anesthetics and analgesics.  Calculating appropriate dilutions and doses for mouse injectable analgesics and anesthetics can be an intricate and time-consuming process. Determining the correct amount to administer to a mouse is dependent on several variables including animal weight, acceptable injection volume, and simultaneous administration of multiple drug agents. An inappropriate dilution or a miscalculated dose can result in excessive anesthesia or death of the animal. To simplify and streamline the process of mouse drug dilution and calculation, we have created an electronic dosage calculator in Microsoft Excel for administering injectable anesthetics and analgesics to mice. Following mouse weight, number of animals to inject, and the desired drug or drug combination inputs, the Mouse Dosage Calculator instantly displays the necessary stock and dilutant volumes to combine along with the working concentration of the preparation. All calculations were standardized to produce a final injection volume of 0.3mL. The calculator has been field tested by veterinary technicians within the University of California, San Francisco (UCSF) Laboratory Animal Resource Center on a range of mouse cases. The Challenges of Compounding Commercially produced preparations of drugs in concentrations ideal for mice are not readily available. To circumvent this dilemma, research institutions must prepare their own dilutions of acceptable analgesic and anesthetic agents, a process for which there is no single standard operating procedure. This process is an example of “compounding,” or the derivation of a specific drug preparation suitable for a purpose outside that of commercially available stock solutions. 1 Dilution of stock drugs must be performed in a sterile manner, necessitating the use of a sterile container in which they are combined and diluted. 2  Post-dilution, the expiration date must be clearly marked on the container. Although it is always preferable to make up a fresh solution on the day of administration, when this is not possible there are federal regulations that must be considered. The U.S. Pharmacopeial Convention states that the beyond-use date of a multiple-dose container is 28 days, unless otherwise specified by the manufacturer. 3  Drug package information should provide storage information, and should be adhered to closely to prevent inadvertent degradation or alteration of the drug’s physical form. Such changes can result in a less effective product, or one that causes more painful administration and unpredictable absorption. 4  The agents selected in this calculator should therefore be labeled with an expiration date of no more than 28 days, and discarded after this timeframe. Injectable anesthetic agents are often considered superior to inhalant anesthetics due to their ease of use, especially when multiple animals must be treated simultaneously as is often the case with research involving mice. However, characteristics such as species, genotype, age, and even light cycle have been shown to affect the response to anesthetic or analgesic agents. 5  Animal size is a crucial variable because relatively small injection volumes and the high variability of mouse weights, particularly in older animals, allows for a greater likelihood of inadvertent under- or

Transcript of An Electronic Mouse Dosage Calculator

An Electronic Mouse Dosage CalculatorWed, 09/10/2014 - 9:01amDaniel J. FergusonLISTED UNDER:Infusion Equipment|Anesthesia EquipmentGet today's news and top headlines for research animal facilities professionals - Sign up now!Simplify the problems associated with compounding anesthetics and analgesics.Calculating appropriate dilutions and doses for mouse injectable analgesics and anesthetics can be an intricate and time-consuming process. Determining the correct amount to administer to a mouse is dependent on several variables including animal weight, acceptable injection volume, and simultaneous administration of multiple drug agents. An inappropriate dilution or a miscalculated dose can result in excessive anesthesia or death of the animal. To simplify and streamline the process of mouse drug dilution and calculation, we have created an electronic dosage calculator in Microsoft Excel for administering injectable anesthetics and analgesics to mice. Following mouse weight, number of animals to inject, and the desired drug or drug combination inputs, the Mouse Dosage Calculator instantly displays the necessary stock and dilutant volumes to combine along with the working concentration of the preparation. All calculations were standardized to produce a final injection volume of 0.3mL. The calculator has been field tested by veterinary technicians within the University of California, San Francisco (UCSF) Laboratory Animal Resource Center on a range of mouse cases.The Challenges of CompoundingCommercially produced preparations of drugs in concentrations ideal for mice are not readily available. To circumvent this dilemma, research institutions must prepare their own dilutions of acceptable analgesic and anesthetic agents, a process for which there is no single standard operating procedure. This process is an example of compounding, or the derivation of a specific drug preparation suitable for a purpose outside that of commercially available stock solutions.1Dilution of stock drugs must be performed in a sterile manner, necessitating the use of a sterile container in which they are combined and diluted.2Post-dilution, the expiration date must be clearly marked on the container.Although it is always preferable to make up a fresh solution on the day of administration, when this is not possible there are federal regulations that must be considered. The U.S. Pharmacopeial Convention states that the beyond-use date of a multiple-dose container is 28 days, unless otherwise specified by the manufacturer.3Drug package information should provide storage information, and should be adhered to closely to prevent inadvertent degradation or alteration of the drugs physical form. Such changes can result in a less effective product, or one that causes more painful administration and unpredictable absorption.4The agents selected in this calculator should therefore be labeled with an expiration date of no more than 28 days, and discarded after this timeframe.Injectable anesthetic agents are often considered superior to inhalant anesthetics due to their ease of use, especially when multiple animals must be treated simultaneously as is often the case with research involving mice. However, characteristics such as species, genotype, age, and even light cycle have been shown to affect the response to anesthetic or analgesic agents.5Animal size is a crucial variable because relatively small injection volumes and the high variability of mouse weights, particularly in older animals, allows for a greater likelihood of inadvertent under- or overdosing.5Our calculator provides dosage calculations for eight drugs commonly used at our facility: Meloxicam,6Carprofen,6Ketoprofen,7Atipamezole,8Buprenorphine,9Ketamine,7,10Xylazine,10and Acepromazine.1Common anesthetic drug combinations can also be determined using our calculator. These include Ketamine/Xylazine1,10and Ketamine/Xylazine/ Acepromazine.1In order to determine appropriate administration of drug agents, health care professionals employ the formula below to first determine the amount of the original drug stock solution needed.Desired Dose (mg/kg) Animal Weight (kg)/Drug Stock Concentration (mg/mL)= Stock Administration Volume (mL)Once the volume of stock agent has been calculated, this volume is then combined with an appropriate volume of dilutant to yield the final volume. An acceptable volume for the final injection amount should take into consideration the size of the animal to ensure complete absorption of the agent without causing discomfort or pain. For example, it would be unreasonable to administer a 5mL injection to a mouse as there is simply not enough room inside the animal to contain this volume. Post-dilution, the working concentration of this solution is calculated using the formula shown below.Desired Dose (mg/kg) Animal Weight (kg)/Final Volume (mL)=Working Concentration (mg/mL)When performing simultaneous administration of multiple drugs, the dilutant volume and working concentrations of each drug are modified to take into account the relative changes in drug agent volumes.12Additionally, there may be interactions between drugs given in a single dose that affect the amount of each that is required to achieve analgesia or anesthesia. Calculations for working concentration of each individual drug are reliant on all components of a solution, thus making determination of working concentration for individual solutes in a multi-dose preparation rather complicated. Our Mouse Dosage Calculator solves this problem for the user.

Figure 1: Screenshots of the Mouse Dosage Calculator that depict each of the six requiredsteps. Steps 1-4 (ad) solicit input from the user on their preferred dosing parameters. Userscombine output volumes in Step 5 (e) and inject a volume of 0.3mL via routes suggested inSteps 6 (f).The Mouse Dosage CalculatorThe Mouse Dosage Calculator is a computer-based spreadsheet application designed using the Microsoft Excel 2010 software platform. The Mouse Dosage Calculator is free to download from the IACUC formulary page of the UCSF Web site.13A standard laboratory animal formulary for all anesthetic and analgesic agents used in this calculator is available online at the UCSF IACUC Web site. Since recommended drug dosages in mice may change as more research becomes available, users are always encouraged to consult the current literature or their animal care department for drug dose recommendations.The calculator file is divided between two sheets: Calculator serves as the user interface, requiring inputs and displaying instructions on how to prepare drugs; and Formulary includes the raw data such as stock concentrations and other internal metrics. As indicated within its notes section, modifying the Formulary sheet is advised against unless the users stock drug concentrations differ from those in the calculator; users may modify this sheet to resolve the disparity. However, concentrations outside those recommended have not been tested, so we are unable to guarantee the calculators effectiveness if the Formulary sheet is altered.For ease of use, our calculator functionally reverses the calculations described above in order to deliver a standardized final injection volume of 0.3mL per animal. This particular volume is acceptable for both intraperitoneal and subcutaneous injections, as well as per os delivery in mice.5Additionally, the calculator was calibrated with the consideration that the user may wish to dose multiple animals at once, and adjusts preparation volumes accordingly. In order to ensure that volumes were not too small to reliably obtain, the calculator rejects stock volumes of less than 0.05mL and dilutant volumes of less than 0.10mL. If the volumes fall beneath these values the Calculator will instruct the user to increase or decrease the number of animals as necessary in order to bring the volumes within acceptable ranges. Once the drug, dilutant, and total preparation volumes have been determined, the Calculator further projects the final working concentrations for each drug.Implementation of the Mouse Dosage Calculator is achieved by completing the six consecutive steps displayed in Figure 2.

1. As seen in Figure 2a, the user must first decide on the drug or drug combination to administer to the mice and select the corresponding option from the drop-down menu. It is important that the user first confirm that his or her stock solution matches the listed concentration, as stock concentrations outside of these parameters will yield indeterminate preparations. As noted above, the Formulary tab may be altered to reflect stock concentrations that are not inherent to the calculator, but doing so may yield unpredictable results. The 10 selections to choose from are listed below. Meloxicam (5 mg/mL) Carprofen (50 mg/mL) Ketoprofen (100 mg/mL) Atipamezole (5 mg/mL) Buprenorphine (0.3 mg/mL) Ketamine (100 mg/mL) Xylazine (20 mg/mL) Acepromazine (10 mg/mL) Ketamine (100 mg/mL) + Xylazine (20 mg/mL) Ketamine (100 mg/mL) + Xylazine (20 mg/mL) + Acepromazine (10 mg/ mL)2. Next, the user must calculate the average weight in grams of all mice they are planning to dose, and enter this value into the box seen in Figure 2b. If mouse weights are not known we recommended using the 25 gram average grams for an adult B6 mouse, or referring to an applicable weight chart for the strain.143. Figure 2c shows the box into which the user must then enter the total number of animals to which they will administer the drug or drug combination. The calculator may instruct the user to return to this step later and either increase or decrease the number for calculation purposes in order to bring preparation volumes within reasonable ranges.4. Next, the user is prompted to enter the dose they would like to deliver to the animal into the field shown in Figure 2d. When deciding on a dose amount for the drug or drugs to administer, consider the recommended ranges that appear to the right of the field. These ranges are sourced from our IACUC as described in the Methods section. Note that the suggested dosages change dynamically based on the drug agent selected by the user in Step 1.5. Using the values generated by our calculator as shown in Figure 2e, the user then combines the drug and dilutant volumes to prepare the solution in a sterile, empty vial as illustrated in Figure 3. The working concentrations are listed separately in the calculator for each drug agent, and should be used to label the prepared solution. If the calculator generates values outside of acceptable ranges as defined in the Methods section it will instruct the user to increase or decrease the value provided in Step 3. After modifying the number as instructed, the user should then return to Step 5 and proceed to prepare the solution.6. Lastly, the user will draw up 0.30mL of the prepared solution per Figure 2f into the injection syringe and administer to each mouse via one of the following routes: Intraperitoneal (IP), subcutaneous (SQ), or oral administration (PO). Users should be sure to consider local regulations on animal care and treatment when selecting a delivery route.ConclusionWe encourage laboratories or animal resource centers to adopt this calculator to significantly reduce calculation time and likelihood for error when administering injectable agents to mice. At our facility this calculator has been a valuable tool for researchers, assuring an appropriate and consistent dosage across multiple mice while reducing the likelihood of miscalculations that could result in overdosing and fatalities. Recommended dosages for drugs are based on current literature, but will vary based on factors such as animal strain, size, and age. Therefore, it is important to always be up to date with literature and remain consistent with institutional and federal regulations to ensure proper dosing. Please note that while our calculator can perform mathematical computation, it does not constitute a veterinary recommendation and should not be relied upon as a substitute for veterinary consult.References1. Taylor, Brett; Orr, Steven; Chapman, Jennifer; and Fisher, Diana. Beyond-Use Dating of Extemporaneously Compounded Ketamine, Acepromazine, and Xylazine: Safety, Stability, and Efficacy over Time. JAALAS, Nov 2009.2. [No author listed.] Policy Regarding the Use of Non-Pharmaceutical- Grade Chemicals/Compounds in Laboratory Animals. 10 Apr 2013. Indiana University School of Medicine, Institutional Animal Care and Use Committee. 15 May 2014.http://researchadmin.iu.edu/Policies/IACUC/IUPUI/POLICY_Non-Pharma_Grade.pdf3. US Pharmacopeial Convention, Inc. United States Pharmacopeia 27. Chapter Pharmaceutical CompoundingSterile Preparations. Rockville: US Pharmacopeial Convention, Inc.; 2004.4. Bill, Robert. Medical Mathematics and Dosage Calculations, 2nd edition. Ames: Wiley-Blackwell, 2009.5. Fish, Richard; Brown, Marilyn; Danneman, Peggy; and Karas, Alicia. Anesthesia and Analgesia in Laboratory Animals, 2nd edition. London: Elsevier, 2008.6. Ingrao, Joelle; Johnson, Ron; Tor, Elizabeth; Gu, Yu; Litman, Marcus; and Turner, Patricia. Aqueous Stability and Oral Pharmacokinetics of Meloxicam and Carprofen in Male C57BL/6 Mice. JAALAS, Sep 2013.7. Havard, Laurent. Compatibility and stability of binary mixtures of acetaminophen, nefopam, ketoprofen and ketamine in infusion solutions. European Journal of Anaesthesiology, Jan 2009.8. Virtanen, Raimo. Pharmacological Properties, Central Nervous System Effects, and Potential Therapeutic Applications of Atipamezole, a Selective Adrenoceptor Antagonist. CNS Drug Reviews, Jun 2006.9. Jppinen, A.; Kokki, H.; Naaranlahti T.; and Rasi, A. Stability of buprenorphine, haloperidol and glycopyrrolate mixture in a 0.9% sodium chloride solution. Pharm World Sci, Dec 1999.10. [No author listed.] Ketamine- Xylazine Combination for Rodent Anesthesia. [No publication date.] Frederick National Laboratory for Cancer Research, Laboratory Animal Sciences Program. 15 May 2014.http://ncifrederick.cancer.gov/Lasp/Acuc/Bethesda/KetamineXylazine.aspx11. [No author listed.] Office of Animal Care and Use. 05 Mar 2014. National Institutes of Health. 15 May 2014.http://oacu.od.nih.gov/12. Nowland, Megan. Guidelines on Diluting, Mixing and Compounding Sterile Pharmaceuticals. 14 Nov 2014. University of Michigan Medical School. 15 May 2014.https://wiki.umms.med.umich.edu/display/public/ULAMGSOP/Guidelines+on+Diluting%2C+Mixing+and+Compounding+Sterile+Pharmaceuticals13. [No author listed.] Anesthetic & Analgesia Dosages. 29 Jun 2012. University of California, San Francisco, Institutional Animal Care & Use Committee. 01 Apr 2013.http://www.research.ucsf.edu/aw/Proc/awDosages.asp.14. [No author listed.] Weight charts for select JAX Mice strains. 2014. The Jackson Laboratory. 15 May 2014.http://jaxmice.jax.org/support/weight/Daniel Ferguson, BA, ALAT, works as a member of the UCSF Laboratory Animal Resource Center rodent health team. University of California, San Francisco, 513 Parnassus Avenue Box 0564, San Francisco, CA 94143; (415) 476-6992;[email protected];www.larc.ucsf.eduUna Dosis calculadora electrnica RatnMi, 10/09/2014 - 9:01 amDaniel J. FergusonCLASIFICADO COMO:Equipos de Infusin|Equipo de AnestesiaRecibe las noticias de hoy y los principales titulares de la investigacin con animales profesionales de las instalaciones - Inscrbete ahora!Simplificar los problemas asociados con los anestsicos y analgsicos de combinacin.Calculando diluciones y dosis adecuadas para los analgsicos y anestsicos inyectables ratn puede ser un proceso complicado y requiere mucho tiempo.La determinacin de la cantidad correcta de administrar a un ratn depende de varias variables, incluyendo el peso del animal, el volumen de inyeccin aceptable, y la administracin simultnea de mltiples agentes farmacolgicos.Una dilucin inadecuada o una dosis calculado mal pueden dar lugar a la anestesia excesiva o la muerte del animal.Para simplificar y agilizar el proceso de dilucin de frmaco ratn y el clculo, hemos creado una calculadora de dosificacin electrnica en Microsoft Excel para administrar anestsicos inyectables y analgsicos para ratones.Tras peso del ratn, el nmero de animales para inyectar, y las entradas de combinacin de frmacos de drogas o deseados, el Dosage Calculator ratn muestra al instante las acciones necesarias y los volmenes de diluyente para combinar junto con la concentracin de trabajo de la preparacin.Todos los clculos se estandarizaron para producir un volumen final de inyeccin de 0,3 ml.La calculadora ha sido probado sobre el terreno por tcnicos veterinarios en la Universidad de California, San Francisco (UCSF) Centro de Recursos Animales de Laboratorio en una serie de casos de ratn.Los retos de Compoundingcomercialmente producido preparaciones de drogas en concentraciones ideales para los ratones no estn fcilmente disponibles.Para evitar este dilema, las instituciones de investigacin deben preparar sus propias diluciones de agentes analgsicos y anestsicos aceptables, un proceso para el que no existe un procedimiento operativo estndar sola.Este proceso es un ejemplo de "composicin", o la derivacin de una preparacin especfica frmaco adecuado para un propsito que fuera de las soluciones madre disponibles en el mercado.1Dilucin de drogas stock debe realizarse de una manera estril, necesitando el uso de un recipiente estril en el que se combinan y se diluyen.2post-dilucin, la fecha de caducidad debe estar claramente marcado en el envase.Aunque siempre es preferible preparar una solucin fresca en el da de la administracin, cuando esto no es posible hay regulaciones federales que deben ser considerados.La Convencin de la Farmacopea de Estados Unidos afirma que la fecha a partir del uso de un recipiente de dosis mltiples es de 28 das, a menos que se especifique lo contrario por el fabricante.3informacin de los paquetes de drogas debe proporcionar la informacin de almacenamiento, y debe ser adherido a estrechamente para evitar la degradacin accidental o alteracin de la forma fsica de la droga.Tales cambios pueden resultar en un producto menos eficaz, o que causa una administracin ms dolorosa y la absorcin impredecible.4Los agentes seleccionados en esta calculadora, por tanto, deben ser marcados con una fecha de vencimiento no superior a 28 das, y se descartan despus de este plazo.Agentes anestsicos inyectables se consideran a menudo superior a los anestsicos por inhalacin debido a su facilidad de uso, especialmente cuando mltiples animales deben ser tratados simultneamente como es a menudo el caso con los ratones de investigacin que implica.Sin embargo, se ha demostrado caractersticas tales como la especie, genotipo, edad, e incluso ciclo de luz para afectar a la respuesta a agentes anestsicos o analgsicos.5El tamao de los animales es una variable crucial, porque los volmenes de inyeccin relativamente pequeos y la alta variabilidad de pesos de los ratones, especialmente en animales de mayor edad, permite una mayor probabilidad de una sobredosis accidental sub o.5Nuestra calculadora proporciona clculos de dosificacin para ocho frmacos de uso comn en nuestras instalaciones : Meloxicam,6carprofeno,6Ketoprofeno,7atipamezol,8buprenorfina,9ketamina,7,10xilazina,10. acepromazina y1combinaciones comunes frmaco anestsico tambin puede determinarse utilizando nuestra calculadora.Estos incluyen ketamina / xilazina1,10y ketamina / xilazina / Acepromazina.1Con el fin de determinar la administracin adecuada de agentes de drogas, profesionales de la salud emplean la frmula siguiente para determinar primero la cantidad de la solucin de frmaco poblacin original sea necesario.Deseado Dosis (mg / kg) animales Peso (kg) / Drogas Stock Concentracin (mg / ml) = volumen de administracin de (ml)Una vez que el volumen de agente de stock se ha calculado, este volumen se combina entonces con un volumen apropiado de diluyente para dar el volumen final.Un volumen aceptable para la cantidad de inyeccin final debe tener en cuenta el tamao del animal para asegurar la absorcin completa del agente sin causar incomodidad o dolor.Por ejemplo, no sera razonable para administrar una inyeccin de 5 ml a un ratn ya que simplemente no hay suficiente espacio en el interior del animal para contener este volumen.Post-dilucin, la concentracin de trabajo de esta solucin se calcula utilizando la frmula que se muestra a continuacin.Deseado Dosis (mg / kg) peso del animal (kg) / volumen final (ml) = concentracin de trabajo (mg / mL)Cuando se realiza la administracin simultnea de mltiples frmacos, el volumen de diluyente y las concentraciones de trabajo de cada frmaco se modifican para tener en cuenta los cambios relativos en los volmenes de agente de drogas.12Adems, puede haber interacciones entre frmacos administrados en una sola dosis que afectan a la cantidad de cada uno, que se requiere para lograr la analgesia o anestesia.Clculos para la concentracin de cada medicamento individual de trabajo dependen de todos los componentes de una solucin, con lo que la determinacin de la concentracin de trabajo para solutos individuales en una preparacin de dosis mltiples bastante complicada.Nuestra ratn Dosage Calculator resuelve este problema para el usuario.

Figura 1: Imgenes de la Dosis Calculadora ratn que representan cada uno de los seis requeridospasos.Pasos 1-4 (ad) solicitar la opinin de los usuarios en sus parmetros de dosificacin preferidas.Usuarioscombinan volmenes de salida en el paso 5 (e) e inyectar un volumen de 0,3 ml a travs de rutas sugeridas enlos trmites 6 (f).El Ratn Dosage CalculatorEl Ratn Dosage Calculator es una aplicacin de hoja de clculo basado en computadora diseado utilizando la plataforma de software Microsoft Excel 2010.El Dosage Calculator ratn se puede descargar gratis desde la pgina de formulario IACUC del sitio Web de la UCSF.13Un formulario de animales de laboratorio estndar para todos los anestsicos y analgsicos se utiliza en esta calculadora est disponible en lnea en el sitio Web de la UCSF IACUC.Desde dosis de los frmacos recomendados en los ratones pueden cambiar a medida que ms investigacin est disponible, los usuarios siempre se les anima a consultar la literatura actual o su departamento de cuidado de los animales para las recomendaciones de dosis de drogas.El archivo de la calculadora se divide entre dos hojas: "Calculadora" sirve como la interfaz de usuario, que requiere insumos y la visualizacin de las instrucciones para preparar las drogas;y "Formulario" incluye los datos en bruto, tales como las concentraciones de valores y otras mtricas internas.Como se ha indicado dentro de su seccin de notas, modificando la hoja de formulario es desaconsejados menos que las concentraciones madre de frmaco del usuario difieren de las de la calculadora;los usuarios pueden alterar esta hoja para resolver la disparidad.Sin embargo, las concentraciones fuera de las recomendadas no se han probado, por lo que no son capaces de garantizar la eficacia de la calculadora si la hoja de formulario se altera.Para facilidad de uso, nuestro calculador invierte funcionalmente los clculos descritos anteriormente con el fin de entregar un volumen de inyeccin final estandarizado de 0,3 ml por animal.Este volumen en particular es aceptable tanto para intraperitoneal y subcutneas, as como per os entrega en ratones.5Adems, la calculadora se calibr con la consideracin de que el usuario puede desear para dosificar varios animales a la vez, y ajusta en consecuencia los volmenes de preparacin.A fin de asegurar que los volmenes no eran demasiado pequeos para obtener de manera fiable, la calculadora rechaza volmenes de valores de menos de 0,05 ml y los volmenes de diluyente de menos de 0,10 ml.Si los volmenes caen por debajo de estos valores de la calculadora le indicar al usuario para aumentar o disminuir el nmero de animales que sean necesarias con el fin de llevar a los volmenes dentro de rangos aceptables.Una vez que el frmaco, diluyente, y el volumen total de preparacin han sido determinados, la Calculadora proyecta an ms las concentraciones de trabajo finales para cada frmaco.Aplicacin de la Dosage Calculator ratn se logra completando los seis pasos consecutivos que se muestran en la Figura 2.

1. Como se ve en la figura 2a, el usuario debe decidir primero sobre el medicamento o combinacin de medicamentos para administrar a los ratones y seleccione la opcin correspondiente en el men desplegable.Es importante que el usuario primero confirmar que su solucin madre coincide con la concentracin de la lista, como las concentraciones de valores fuera de estos parmetros darn preparaciones indeterminados.Como se seal anteriormente, la pestaa Formulario puede ser alterada para reflejar las concentraciones de valores que no son inherentes a la calculadora, pero si lo hace puede producir resultados impredecibles.Las 10 selecciones para elegir se enumeran a continuacin. Meloxicam (5 mg / mL) Carprofeno (50 mg / mL) Ketoprofeno (100 mg / mL) El atipamezol (5 mg / mL) La buprenorfina (0,3 mg / mL) La ketamina (100 mg / mL) Xilazina (20 mg / mL) Acepromazina (10 mg / mL) La ketamina (100 mg / ml) + xilazina (20 mg / mL) La ketamina (100 mg / ml) + xilazina (20 mg / ml) + acepromazina (10 mg / mL)2. A continuacin, el usuario debe calcular el peso medio en gramos de todos los ratones que estn planeando para dosificar, e introducir este valor en el cuadro se ve en la figura 2b.Si no se conocen los pesos de los ratones que recomendamos el uso de los gramos promedio 25 gramos para un B6 ratn adulto, o se refiera a una tabla de peso aplicable para la cepa.143. Figura 2c muestra la caja en la que el usuario debe entonces introducir el nmero total de animales a los que se administrar el frmaco o combinacin de frmacos.La calculadora puede indicar al usuario que vuelva a este paso ms adelante y aumentar o disminuir el nmero para fines de clculo con el fin de traer los volmenes de preparacin dentro de rangos razonables.4. A continuacin, se pide al usuario que introduzca la dosis que les gustara ofrecer a los animales en el campo se muestra en la Figura 2d.Al decidir sobre una cantidad de dosis del medicamento o medicamentos para administrar, considere los rangos recomendados que aparecen a la derecha del campo.Estos rangos se obtienen de nuestra IACUC como se describe en la seccin Mtodos.Tenga en cuenta que las dosis sugeridas cambian dinmicamente basndose en el agente de frmaco seleccionado por el usuario en el paso 1.5. Uso de los valores generados por nuestro calculador como se muestra en la Figura 2e, el usuario combina el frmaco y los volmenes de diluyente para preparar la solucin en un vial vaco estril como se ilustra en la Figura 3. Las concentraciones de trabajo se muestran por separado en la calculadora para cada agente de drogas, y se debe utilizar para etiquetar la solucin preparada.Si la calculadora genera valores fuera de los rangos aceptables como se define en la seccin Mtodos que le indicar al usuario aumentar o disminuir el valor proporcionado en el Paso 3 Despus de modificar el nmero de acuerdo con las instrucciones, el usuario debe volver al paso 5 y proceder a la preparacin la solucin.6. Por ltimo, el usuario establecer 0.30mL de la solucin preparada segn la Figura 2f en la jeringa de inyeccin y administrar a cada ratn a travs de una de las siguientes rutas: intraperitoneal (IP), subcutnea (SQ), o la administracin oral (PO) .Los usuarios deben estar seguros de tener en cuenta las normas locales sobre el cuidado y tratamiento de animales cuando se selecciona una ruta de entrega.ConclusinAnimamos a los laboratorios o centros de recursos animales para adoptar esta calculadora para reducir significativamente el tiempo de clculo y la probabilidad de error en la administracin de agentes inyectables para ratones.En nuestras instalaciones de esta calculadora ha sido una herramienta valiosa para los investigadores, asegurando una dosificacin apropiada y consistente a travs de mltiples ratones al tiempo que reduce la probabilidad de errores de clculo que podran resultar en una sobredosis y muertes.Las dosis recomendadas para los medicamentos se basan en la literatura actual, pero varan en funcin de factores tales como la cepa animal, el tamao y la edad.Por lo tanto, es importante estar siempre al da con la literatura y ser coherentes con las normas institucionales y federales para asegurar una dosificacin correcta.Tenga en cuenta que mientras que nuestra calculadora puede realizar clculos matemticos, no constituye una recomendacin veterinaria y no debe ser considerada como un sustituto de la consulta veterinaria.Referencias1. Taylor, Brett;Orr, Steven;Chapman, Jennifer;y Fisher, Diana."Ms all de Uso citas de forma extempornea Agravado ketamina, acepromacina y Xilazina: seguridad, estabilidad y eficacia con el tiempo." JAALAS, nov 2009.2. [Ningn autor en la lista.] "Poltica de uso de la no-farmacutico-grado Qumicos / compuestos en animales de laboratorio." 10 abr 2013 Facultad de Medicina, Cuidado de Animales institucional y el empleo Comisin de la Universidad de Indiana.15 de mayo 2014.http://researchadmin.iu.edu/Policies/IACUC/IUPUI/POLICY_Non-Pharma_Grade.pdf3. Convencin de la Farmacopea de Estados Unidos, Inc. Farmacopea de Estados Unidos Captulo 27 "Preparacin-Compounding estril Farmacuticos." Rockville: Convencin de la Farmacopea de EE.UU., Inc .;2004.4. Bill, Robert.Matemticas Medicina y clculos de dosis, segunda edicin.Ames: Wiley-Blackwell, 2009.5. Pescado, Richard;Brown, Marilyn;Danneman, Peggy;y Karas, Alicia.Anestesia y Analgesia en animales de laboratorio, 2 edicin.London: Elsevier, 2008.6. Ingrao, Joelle;Johnson, Ron;Tor, Elizabeth;Gu, Yu;Litman, Marcus;y Turner, Patricia."La estabilidad acuosa y Farmacocintica orales de meloxicam y Carprofeno en machos C57BL / 6 ratones." JAALAS, septiembre 2013.7. Havard, Laurent."La compatibilidad y la estabilidad de las mezclas binarias de acetaminofeno, nefopam, ketoprofeno y ketamina en soluciones de infusin." Revista Europea de Anestesiologa, ene 2009.8. Virtanen, Raimo."Propiedades farmacolgicas, efectos centrales del sistema nervioso, y aplicaciones teraputicas potenciales de Atipamezol, un selectivo de los receptores adrenrgicos antagonista." Drug Reviews SNC, jun 2006.9. Jppinen, A .;Kokki, H .;Naaranlahti T .;y Rasi, A. "Estabilidad de la buprenorfina, el haloperidol y la mezcla de glicopirrolato en una solucin de cloruro sdico al 0,9%." Pharm Sci Mundial, Dec de 1999.10. [Ningn autor en la lista.] "Combinacin ketamina Xilazina para roedores Anestesia." [Sin fecha de publicacin.] Laboratorio Nacional de Frederick para la Investigacin del Cncer, Laboratorio Programa de Ciencia Animal.15 de mayo 2014.http://ncifrederick.cancer.gov/Lasp/Acuc/Bethesda/KetamineXylazine.aspx11. [Ningn autor en la lista.] "Oficina de Cuidado de Animales y el empleo." 05 de marzo de 2014. Institutos Nacionales de Salud.15 de mayo 2014.http://oacu.od.nih.gov/12. Nowland, Megan."Directrices sobre la dilucin, mezcla y agravar estriles farmacuticos." 14 nov 2014 Universidad de Michigan Medical School.15 de mayo13. Comit [Ningn autor en la lista.] "Anestesia & Analgesia Dosis." 29 de junio de 2012. Universidad de California, San Francisco, Institucional Cuidado de Animales y uso.01 de abril 2013.http://www.research.ucsf.edu/aw/Proc/awDosages.asp.14. [No hay autor que aparece.] "tablas de peso para seleccionar cepas JAX Tipo Ratones". 2014. El Laboratorio Jackson.15 de mayo 2014.http://jaxmice.jax.org/support/weight/Daniel Ferguson, BA, ALAT, trabaja como miembro del equipo de salud de roedores Centro de Recursos Animales de Laboratorio UCSF.Universidad de California, San Francisco, 513 Parnassus Avenida Caja 0564, San Francisco, CA 94143;(415) 476-6992;[email protected];www.larc.ucsf.edu