Clinical tools

Your clinical toolkit

Calculators, scales and references nurses reach for every shift — including a deep ICU section for ventilation, ABGs, CRRT, sedation and delirium.

All tools

Every tool in one searchable grid.

Showing 23 of 23 tools

BMI Calculator

Body Mass Index for adults (≥20 yrs). Uses WHO classification.

BMI
Enter height and weight to calculate.
BMI is a screening tool, not a diagnostic. Interpret alongside body composition and clinical context.

Body Surface Area

Mosteller formula. Used in chemotherapy dosing and haemodynamic indices (e.g. cardiac index).

BSA
Enter height and weight.
BSA-based dosing is approximate — always cross-check against the regimen's preferred formula (Du Bois, Mosteller, Boyd).

Drug Dosage

Volume to administer using the desired-over-stock formula.

Administer
Volume of stock (or number of tablets) to give.
Always double-check high-risk medications with a second nurse and the original order.

IV Flow Rate

Pump rate (mL/hr) and gravity drip rate (gtt/min) in one calculation.

Pump rate
Gravity drip
Drop factor is printed on the IV tubing package — confirm before relying on the gtt/min figure.

Creatinine Clearance

Cockcroft–Gault estimate used for renal-based drug dosing.

Estimated CrCl
Enter all fields to estimate.
Use lean or adjusted body weight in obesity. eGFR (CKD-EPI) is preferred for CKD staging.

Ideal Body Weight

Devine formula. Used for lung-protective tidal volumes and weight-based dosing.

Ideal Body Weight
Enter height
Adjusted Body Weight
Used when actual > 1.2 × IBW
Heights below 5 ft (152 cm) fall outside Devine's validated range — use clinical judgement.

Tidal Volume (Lung-Protective)

ARDSnet target: 4–8 mL/kg of Ideal Body Weight. Default 6 mL/kg.

Target tidal volume
Enter sex and height.
Pair with plateau pressure ≤ 30 cm H₂O. Reduce Vt toward 4 mL/kg if plateau exceeds target.

Ventilator Modes Reference

Bedside summary of the modes you'll actually see in adult ICU.

VC-AC (Volume Control, Assist Control)

Fixed Vt, every breath (mandatory or triggered).

Set
Tidal volume (Vt) · Rate · PEEP · FiO₂ · I:E or flow
Use
ARDS (lung-protective), most general ICU ventilation.
Pros
Guarantees minute ventilation; predictable Vt.
Watch
Pressure varies with compliance — monitor plateau ≤ 30 cm H₂O.

PC-AC (Pressure Control, Assist Control)

Fixed inspiratory pressure; Vt varies with compliance.

Set
Inspiratory pressure · Rate · PEEP · FiO₂ · I:E
Use
ARDS, paediatrics, post-op cardiac.
Pros
Lower peak pressures; better in stiff lungs.
Watch
Vt can fall as compliance worsens — watch tidal volume closely.

SIMV (Synchronized Intermittent Mandatory Ventilation)

Mandatory breaths synchronised with patient effort; spontaneous breaths in between.

Set
Vt or pressure · Rate · PS for spontaneous breaths · PEEP · FiO₂
Use
Weaning bridge (historic), some post-op pathways.
Pros
Allows spontaneous effort between mandatory breaths.
Watch
High WOB if PS is too low; less common as a primary mode today.

PRVC (Pressure Regulated Volume Control)

Targets a set Vt at the lowest pressure possible breath-to-breath.

Set
Vt target · Rate · PEEP · FiO₂ · Pressure limit
Use
Modern default in many ICUs.
Pros
Volume guarantee with pressure control’s comfort.
Watch
Reduces support as compliance improves — may mask deterioration.

CPAP / PS (Pressure Support)

Spontaneous breathing only; PS boosts each patient effort, CPAP holds airway open.

Set
PS level · PEEP / CPAP · FiO₂ · Trigger sensitivity
Use
Weaning, spontaneous breathing trials, OSA.
Pros
Comfortable; preserves diaphragm activity; ideal weaning mode.
Watch
Patient must have reliable respiratory drive; risk of apnoea if oversedated.

PC-BiPAP / BiLevel

Two pressure levels (Phigh / Plow) with spontaneous breathing allowed at both.

Set
Phigh · Plow · Thigh · Tlow · PS for spontaneous breaths · FiO₂
Use
ARDS, COPD, post-op, transition out of deep sedation.
Pros
Combines pressure-controlled ventilation with patient comfort and spontaneous breathing.
Watch
Pressure asynchrony if settings poorly tuned; monitor Vt and patient effort.

APRV (Airway Pressure Release Ventilation)

Prolonged Phigh with brief releases to Plow; spontaneous breathing throughout.

Set
Phigh · Plow · Thigh (long) · Tlow (short, 0.4–0.8 s) · FiO₂
Use
Refractory hypoxaemia, severe ARDS.
Pros
Recruits collapsed alveoli; can improve oxygenation in severe ARDS.
Watch
Auto-PEEP from short release; complex to titrate; sedation balance.

HFOV (High Frequency Oscillatory Ventilation)

Very small Vt at 3–15 Hz; constant mean airway pressure.

Set
Mean airway pressure · Frequency (Hz) · Amplitude (ΔP) · FiO₂
Use
Neonatal/paediatric refractory hypoxaemia (adults rarely).
Pros
Theoretical lung-protective ventilation in severe ARDS.
Watch
No evidence of benefit over conventional in adults (OSCAR/OSCILLATE); now rare.

NIV — BiPAP (non-invasive)

IPAP supports inspiration, EPAP holds airway open. Via mask.

Set
IPAP · EPAP · Rate (optional) · FiO₂
Use
COPD exacerbation, cardiogenic pulmonary oedema, post-extubation support.
Pros
Avoids intubation; great for COPD/CPE.
Watch
Mask fit, vomiting/aspiration risk, claustrophobia.

NIV — CPAP (non-invasive)

Single continuous pressure; entirely spontaneous breathing.

Set
CPAP · FiO₂
Use
Cardiogenic pulmonary oedema, OSA, mild hypoxaemic failure.
Pros
Simple; recruits lungs; reduces preload in CPE.
Watch
No inspiratory support — not for fatigued patients.
Always confirm mode-specific settings against your unit's protocol and the patient's clinical trajectory.

ABG Interpreter

Quick primary disorder + compensation read from pH, PaCO₂ and HCO₃⁻.

Interpretation
Enter pH, PaCO₂ and HCO₃⁻ to interpret.
Always interpret alongside PaO₂, anion gap, lactate and the clinical picture.

Mean Arterial Pressure

Perfusion-focused average arterial pressure across the cardiac cycle.

MAP
Enter both systolic and diastolic values.
Sepsis bundle target is MAP ≥ 65 mmHg. Higher targets may be needed in chronic hypertension.

P/F Ratio (PaO₂ / FiO₂)

Oxygenation index used for ARDS staging by the Berlin definition.

P/F ratio
Enter PaO₂ and FiO₂.
ARDS staging applies when PEEP ≥ 5 cm H₂O and the cause is not fully explained by cardiac failure.

Glasgow Coma Scale

Quick neuro assessment scored from 3 (deep coma) to 15 (fully alert).

GCS Total
15 / 15
Mild injury · E4 V5 M6
GCS ≤ 8 typically indicates the need for definitive airway management.

RASS — Sedation Scale

Richmond Agitation-Sedation Scale. Typical ICU target is 0 to −2 unless deep sedation is indicated.

Assessment
0 Alert and calm
Spontaneously pays attention to caregiver.
Reassess at least every 4 hours and after any sedative titration. Pair with CAM-ICU for delirium screening.

CAM-ICU — Delirium

Confusion Assessment Method for the ICU. Screen each shift in alert (or arousable) patients.

Result
CAM-ICU negative
Delirium not present at this time.
Always start with a RASS assessment. If RASS is −4 or −5, the patient cannot be assessed for delirium.

CPOT — Pain in Non-Verbal Patients

Critical-Care Pain Observation Tool for sedated or intubated adults.

CPOT total
0 / 8
No to mild pain
Self-report remains gold standard. Use CPOT only when patients cannot reliably communicate pain.

CRRT Prescription

KDIGO target 20–25 mL/kg/hr delivered; prescribe 25–30 mL/kg/hr to account for downtime.

Total effluent
Enter weight + dose.
Citrate (4% solution)
Titrate to post-filter ionized Ca.
Replacement fluid
Pre- or post-filter
Dialysate
Counter-current to blood flow
Always confirm citrate dose against post-filter iCa and your unit's CRRT protocol. SCUF removes volume only — no solute clearance.

Heparin Drip

Weight-based bolus and infusion. Defaults follow common VTE / ACS nomograms.

Bolus dose
IV push over 1 min
Drip rate
Pump setting
Always titrate against aPTT or anti-Xa per your institution's nomogram. Many protocols cap bolus at 10,000 units.

Opioid Conversion

Convert between opioids using oral morphine equivalents (MME).

Oral MME
Standardised reference.
Equianalgesic dose
As Morphine — PO
Recommended start
After 30% reduction
Always apply incomplete cross-tolerance reduction (25–50 %) when rotating, and reassess pain within 24 hr.

QTc Calculator

Heart-rate corrected QT interval. Use to flag risk of Torsades de Pointes.

QTc
Enter QT and HR to calculate.
Bazett over-corrects at high rates and under-corrects at low rates — prefer Fridericia outside HR 60–100.

Paediatric Maintenance Fluids

Holliday-Segar 4-2-1 rule for hourly maintenance + 100-50-20 daily equivalent.

Hourly rate
4-2-1 rule
24-hour total
100-50-20 rule
Use isotonic fluids (0.9% saline or balanced) per modern paediatric guidance. Adjust for ongoing losses, fever and clinical state.

Paediatric Dose

Weight-based dose with optional adult cap and volume to administer.

Raw dose
Pre-cap
Administer
Within weight-based dose
Volume
From concentration
Always double-check paediatric doses against a current formulary and have a second clinician verify high-risk medications.

Unit Converters

Quick conversions for the units you reach for most at the bedside.

Result
Conversions are mathematical; always reconcile against the medication order before administering.

Lab Values Reference

Common adult reference ranges. Search by analyte, range, or notes.

AnalyteReference rangeClinical note
Sodium (Na+)135-145 mEq/LHyponatremia/Hypernatremia
Potassium (K+)3.5-5.0 mEq/LCardiac arrhythmias risk
Chloride (Cl-)98-106 mEq/L
Bicarbonate (HCO3-)22-28 mEq/LAcid-base status
Calcium (Ca2+)8.5-10.5 mg/dLTetany/arrhythmia
Magnesium (Mg2+)1.5-2.5 mEq/LNeuromuscular, torsades
Creatinine0.6-1.3 mg/dLRenal function
BUN7-20 mg/dLRenal perfusion
Glucose (fasting)70-99 mg/dLDM screening
HemoglobinM 13.5-17.5 / F 12-16 g/dLAnemia
Platelets150-400 x10^3/µLBleeding risk
WBC4-11 x10^3/µLInfection/inflammation
pH (arterial)7.35-7.45Acid-base balance
PaCO235-45 mmHgRespiratory component
HCO3- (ABG)22-26 mEq/LMetabolic component
PaO280-100 mmHg (room air)Oxygenation
SaO2≥95%Oxygen saturation
Lactate0.5-2.0 mmol/LTissue hypoperfusion
Base Excess−2 to +2 mEq/LMetabolic status
Reference ranges vary by lab and patient population. Always cross-check the lab’s reported range.

These tools are study and practice aids. They are not a substitute for clinical judgement, organisational policy or pharmacist verification of high-risk medications.