Franklin MAR-3005 User manual


MAR-3005
Medical Book Card
User’s Guide

Medical Book System™
MBS
MARTINDALE
The Extra Pharmacopoeia
Thirty-first Edition
31

1
READ THIS LICENSE AGREEMENT BEFORE USING THE MEDICAL BOOK
SYSTEM.
YOUR USE OF THE MEDICAL BOOK SYSTEM DEEMS THAT YOU ACCEPT
THE TERMS OF THIS LICENSE. IF YOU DO NOTAGREE WITH THESE
TERMS, YOU MAY RETURN THIS PACKAGE WITH PURCHASE RECEIPT
TO THE DEALER FROM WHICH YOU PURCHASED THE MEDICAL BOOK
SYSTEM AND YOUR PURCHASE PRICE WILL BE REFUNDED. The MEDI-
CAL BOOK SYSTEM means the software product, hardware, and documentation
found in this package and FRANKLIN means Franklin Electronic Publishers, Inc.
LIMITED USE LICENSE
All rights in the MEDICAL BOOK SYSTEM remain the property of FRANKLIN.
Through your purchase, FRANKLIN grants you a personal and nonexclusive li-
cense to use the MEDICAL BOOK SYSTEM. You may not make any copies of the
MEDICAL BOOK SYSTEM or of the preprogrammed data stored therein, whether
in electronic or print format. Such copying would be in violation of applicable
copyright laws. Further, you may not modify, adapt, disassemble, decompile, trans-
late, create derivative works of, or in any way reverse engineer the MEDICAL
BOOK SYSTEM. You may not export or re-export, directly or indirectly, the
MEDICAL BOOK SYSTEM without compliance with appropriate governmental
regulations. The MEDICAL BOOK SYSTEM contains Franklin’s confidential and
propriety information which you agree to take adequate steps to protect from unau-
thorized disclosure or use. This license is effective until terminated. This license
terminates immediately without notice from FRANKLIN if you fail to comply
with any provision of this license.
License Agreement

2
Contents
Key Guide ...................................3
Foreword.....................................4
Installing Book Cards................8
Selecting a Book........................8
Changing the Settings ..............9
Viewing a Demonstration..........9
Using the Outline .......................10
Using the Index ..........................11
Searching for Words .................12
Highlighting Search Words ......14
Expanding Your Searches ........14
Viewing Special Markers...........15
Using Notes ................................16
Looking up Words
in Other Book Cards..................17
Resetting the Platform ..............18
Book Card Care..........................18
Specifications and Patents.......19
Limited Warranty (U.S. only) ....20
Index............................................21
➤ About Book Card Compatibility
WARNING This book card can be
used only with the Medical Book
System platform and will not func-
tion in any other Franklin BOOK-
MAN®platform.
The Medical Book System platform
can use Franklin BOOKMAN book
cards as well as Medical Book Sys-
tem book cards. However, Franklin
BOOKMAN platforms cannot use
Medical Book System book cards.
➤ For More Information
To learn more about the Medical
Book System™or other products
from Franklin Electronic Publishers,
call 800-665-5450 or visit the Frank-
lin Web site at www.franklin.com.
➤ Understanding the Keys
The functions of the keys may vary
according to which book card is in-
stalled and selected in the platform.
To learn how to use a particular book
card, read its user’s guide.
Notes

3
Key Guide
Color Keys
MORE
(red) Expands a word search.
SPEC
(green) At text, displays the
Outline location.
SEARCH
(yellow) Displays the search
screen.
LIST
(blue) Lets you add, find, or re-
move notes.
Function Keys
BACK
Erases typed letters, or displays
the previous screen.
CAP
Shifts keys to type capitals or
punctuation.
CARD
Exits the currently selected book.
CLEAR
Clears to the default state.
ENTER
Enters a word, selects a menu
item, or starts the highlight in
text.
HELP
Displays help messages.
MENU
Highlights the Outline menu.
ON/OFF
Turns the Medical Book System
platform on or off.
SPACE
At entry screens, types a space.
At menus and text, pages down.
?*
At menus, displays the full title
of a highlighted item. At text,
displays the Outline location.
Direction Keys
Moves the cursor, text, or high-
light.
Pages up or down.
Key Combinations*
✩
+
BACK
Displays the top level of
a menu from a lower level.
✩
+
CARD
Lets you look up a word
from or in another installed
book card.
✩
+
ENTER
At a highlighted menu item,
displays the related text. At
text, highlights a special
marker (e.g., footnote).
✩
+ At text, displays the next or
previous section or subsection.
CAP
+ At text, displays the next or
previous section or subsec
tion. At a menu, goes to the
first or last item.
* Hold the first key while pressing the second.
or

4
NOTE: This foreword of the 16th Edition of THE MERCK MANUAL contains
page references not applicable to the book card.
It has been 93 years since THE MERCK MANUAL first appeared in 1899 as a
slender 262-page text titled MERCK’S MANUAL OF THE MATERIA MEDICA.
It was expressly designed to meet the needs of general practitioners in selecting
medications, noting that “memory is treacherous” and that even the most thor-
oughly informed physician needs a reminder “to make him at once master of the
situation and enable him to prescribe exactly what his judgment tells him is needed
for the occasion.” It was well received and, by the 6th Edition (1934), THE
MERCK MANUAL had become highly valued by medical students and house staff
as well; by the end of World War II the pocket-sized manual was an established fa-
vorite ready—reference book. Today THE MANUAL is the most widely used
medical text in the world. While the book has grown to about 2800 pages, its pri-
mary purpose remains the same—to provide useful clinical information to practic-
ing physicians, medical students, interns, residents, and other health care
professionals.
Fewer physicians now attempt to manage the whole range of medical disorders that
can occur in infants, children, and adults, but those who do must have available a
broad spectrum of current and accurate information. Specialists require precise in-
formation about subjects outside their areas of expertise. All physicians need more
and more information for study and examination purposes, as well as for patient
care. Keeping up with the rapid and extraordinary advances in cellular and molecu-
lar biology, molecular genetics, and medical technology is more challenging that
ever, but THE MERCK MANUAL continues to try to meet these needs, excluding
only details of surgical procedures.
Precisely how to we attempt to meet these needs? First, from a disease orientation,
THE MANUAL covers all but the most obscure disorders of mankind, not only
Foreword

5
those that a general internist might expect to encounter but also problems associ-
ated with pregnancy and delivery; common and serious disorders of neonates, in-
fants, and children; and many special situations. Disorders are organized mainly
according to the organ systems primarily affected, on the basis of their etiology (as
with most of the infectious diseases and disorders due to physical agents), or on
the basis of disciplines (e.g., gynecology, obstetrics, pediatrics, genetics, psychia-
try). In addition, THE MANUAL contains information for special circumstances,
such as radiation reactions and injuries, problems encountered in deep-sea diving,
and dental emergencies. The entire book is updated for each new edition, and new
subjects are added, such as discussions of genetic evaluation and counseling, hu-
man immunodeficiency virus (HIV) infection in children, sports medicine, hospice
medicine, cross-cultural issues in medicine, anabolic steroid abuse, and special
considerations in performing cardiopulmonary resuscitation on infants and chil-
dren. This edition has 140 more pages of text (approximately 5%) than the preced-
ing edition. We therefore urge you to check the Index whenever you need
information, even on unusual subjects or those not commonly found in other texts.
A completely disease-oriented compendium, however, would have serious limita-
tions. Since patients usually present with complaints or concerns that must be me-
ticulously described, sorted, and deciphered, many chapters are devoted to
discussions of symptoms and signs and of how to elicit the historical and physical
data required for diagnosis. Common clinical procedures and laboratory tests used
as diagnostic and management aids are described, with emphasis on their indica-
tions, contraindications, and possible complications. New and sophisticated labo-
ratory and technologic procedures are also described, with comments on their
uses, interpretations, and limitations.
Current therapy is presented for each disorder and supplemented with a separate
section on clinical pharmacology that describes general principles, new advances,
Foreword

6
Foreword
(e.g., the role of drug receptors, plasma concentration monitoring), and details of
pharmacologic groups and specific agents; it even discusses the uses of placebos.
The use of complex equipment (e.g., respirators) is also described. Prophylaxis is
emphasized wherever possible. Finally, reference guides are provided for checking
normal values, for calculating dosages, and for converting weights, measures, and
volumes to metric equivalents.
Can so many subjects by adequately covered in a single book? You, the reader,
must be the ultimate judge, but we believe the answer is in the affirmative. This
edition required a concerted effort by many people, beginning with an internal
analysis and critique of the previous edition, even though it enjoyed highly favor-
able reviews and outstanding reader acceptance. Sections of that book were then
sent to outside experts who had had nothing to do with its preparation, to solicit
their most candid criticism. Published reviews and letters from readers were ana-
lyzed. Next, the Editorial Board met to compare reviews and critiques and to plan
this 16th Edition. Distinguished special consultants were enlisted to provide addi-
tional expertise. Then, 290 authors with outstanding qualifications, experience,
and knowledge were engaged. Their manuscripts were painstakingly edited by our
in-house staff to retain every valuable morsel of knowledge while eliminating
sometimes elegant but unneeded words. Each manuscript was then reviewed by a
member of the Editorial Board or a consultant. In many cases, additional special
reviewers were invited to comment. Every mention of a drug and its dosage was
reviewed by still another outside consultant. The objective of all these reviews was
to ensure accuracy, adequate and relevant coverage of each subject, and simple and
clean exposition. The authors then reworked, modified, and polished their manu-
scripts. Almost all of the manuscripts were revised at least 6 times; 15 to 20 revi-
sions were not uncommon. We believe that no other medical text undergoes as
many reviews and revisions as THE MERCK MANUAL does.

7
Owing to the extensive subject matter covered and to a successful tradition, the
style and organization of THE MANUAL have some unique characteristics. Read-
ers are urged to spend a few minutes reviewing the Guide for Readers (p. viii), the
Table of Contents at the beginning of each section (indicated by a thumb tab), and
the Index (p. 2717). Scrutiny of the arrangement of subject headings within each
section, of internal headings within a subject discussion, and of boldfaced terms in
the text will reveal a pattern of outlining intended to aid study of the text.
The foregoing description is a simplified review of the complex and arduous but
rewarding 5-year enterprise that culminated in the presentation of the 16th Edition
of THE MERCK MANUAL. The members of the Editorial Board, special consult-
ants, contributing authors, and in-house staff and their affiliations are listed on the
pages that follow. They deserve a degree of gratitude that cannot adequately be ex-
pressed here, but we know they will feel sufficiently rewarded if their efforts serve
your needs.
We hope this edition of THE MERCK MANUAL will be a welcome aid to you,
our readers—compatible with your needs and worthy of frequent use. Suggestions
for improvements will be warmly welcomed and carefully considered
Robert Berkow, M.D., Editor-in-Chief
MERCK RESEARCH LABORATORIES
West Point, Pa. 19486
Foreword

8
If you have installed two book cards in
the platform, you can select which book
you want to read.
1. Turn the platform on.
2. Press
CARD
.
3. Use or to highlight the book
that you want to use.
4. Press
ENTER
to select it.
Selecting a Book
➤ Resuming Where You Left Off
You can turn off the platform at any
screen. When you turn it on again, the
last screen that you viewed appears.
CAUTION Never install or remove a
book card when the platform is turned
on. If you do, information entered in the
installed book card(s) may be erased.
1. Turn the platform off.
2. Turn the platform over.
3. Align the book card tabs with the
notches in a card slot.
4. Press the book card until it
snaps into the slot.
Installing Book Cards
➤ Removing Book Cards
CAUTION When you remove a
book card from a platform, user-en-
tered information in that book card
will be erased.

9
Changing the Settings Viewing a Demonstration
Using the Setup menu, you can adjust
the type size, default state, shutoff time,
and screen contrast of this book.
The type size sets how large the charac-
ters appear on screen. The default state
sets the screen that appears when you
press
CLEAR
. The shutoff time sets how
long the Medical Book System platform
stays on if you forget to turn it off.
1. Press
MENU
until the main menus
appear.
2. Use the arrow keys to highlight
Set Type Size, Set Default State,
Set Shutoff , or Set Contrast on
the Setup menu.
3. Press
ENTER
.
4. Use or to change the setting
and then press
ENTER
.
Or press
BACK
to leave the setting
unchanged.
Before you start using this book, you
may want to see a brief demonstration of
what it can do.
1. Press
MENU
until the main menus
appear.
2. Use the arrow keys to highlight
View Demo on the Setup menu.
3. Press
ENTER
to start the demon-
stration.
4. To stop the demonstration,
press
CLEAR
.
➤ Help is Always at Hand
You can view a help message at vir-
tually any screen by pressing
HELP
.
To exit help, press
BACK
.
To read a tutorial about this book, se-
lect Tutorial from the Setup menu.
➤ Follow the Arrows
The flashing arrows at the right of
the screen show which arrow keys
you can press to scroll through
menus or text.

10
Using the Outline
The Outline contains the sections, chap-
ters, and subchapters of the printed book.
1. Press
MENU
until the Outline
menu is highlighted.
To learn how to make the Outline
menu the default state, read “Chang-
ing the Settings.”
2. Use ,,
UP
, DN , or
SPACE
to
highlight a section of the Outline.
You can also highlight a section by typ-
ing its number. To type a number, hold
down
✩
and press a numbered key.
The slanted arrow indicates a submenu.
3. Press
ENTER
.
You can also go directly to the text
by holding
✩
and pressing
ENTER
.
4. Highlight a chapter (e.g., 32 Respira-
tory Failure
) and then press
ENTER
.
To see the full title of any menu
item, press
?
✻
.
5. Highlight a subchapter (e.g.,
Intro-
duction
) and then press
ENTER
.
6. Use , DN , or
SPACE
to scroll
down the text.
7. To go to the next or previous
subchapter, hold
✩
and press
DN or
UP
.
8. Press
CLEAR
when finished.
Using the Outline

11
➤ Where in the Book Am I?
When you are reading the text of
this book, you can see the Outline
location of the current text by press-
ing
?
✻
or
SPEC
(green).
To display the full title of a high-
lighted item, press
?
✻
. This is use-
ful when a title ends in ellipses.
To go to the text associated with a
highlighted item, press
ENTER
. To go
back to the text that you were read-
ing, press
BACK
.
Using the Outline Using the Index
1. Press
MENU
until the main menus
appear.
2. Use or to highlight the
Index menu.
To learn how to make the Index
menu the default state, read “Chang-
ing the Settings.”
3. Start typing an index entry
(e.g.,
pancreatitis ).
To undo a letter, use
BACK
. You can
also use or to highlight an in-
dex entry.
4. When the entry is highlighted,
press
ENTER
.

12
Using the Index Searching for Words
Word searches let you find the occur-
rences, or matches, of words and
phrases in this book. You can type up to
34 characters in a single word search, but
you cannot search for short, common
words such as the and is.
1. Press
SEARCH
(yellow).
2. Type your search word or words
(e.g., epidural hematomas ).
To delete a letter, use
BACK
. You do
not need to type capitals or punctua-
tion in search words.
3. Press
ENTER
to see the Outline lo-
cation of the first match.
4. Press
ENTER
to see the first match.
5. If needed, highlight a subentry
(e.g.,
acute ) or reference number
and then press
ENTER
.
6. Use , DN , or
SPACE
to scroll
down the text.
7. To go to the next or previous
subsection, hold
✩
and press
DN or
UP
.
8. To return to the Index, press
BACK
.
9. Press
CLEAR
when finished.

13
Searching for Words
➤ If You Misspell a Search Word
If you enter a misspelled search
word, a list of corrections appears.
Use to highlight a correction and
then press
ENTER
.
➤ Searching for Parts of Words
If you want to find prefixes, suffixes,
and other parts of words, type an as-
terisk (✽) in place of the missing let-
ters. To type an asterisk, hold
CAP
and press
?
✻
. For example, type
hypochlor ✽ and then press
ENTER
.
Use to highlight a match and then
press
ENTER
.
Searching for Words
The search words are boxed. You
may need to scroll down to see them.
5. To see the Outline location of the
next or previous matches, if any,
hold
✩
and press
DN
or
UP
.
If “Remaining matches in Index”
appears, go to Step 7 below.
6. Press
ENTER
to see a match.
7. Press
MENU
to see the matches
listed on the menus.
After a word search, only items with
matches appear on the Outline and
Index menus.
8. Select menu items and subitems.
9. Press
SEARCH
(yellow) or
CLEAR
to
clear the search.

14
You can also search for a word by high-
lighting it in the text of this book.
1. At any text, press
ENTER
to start
the highlight.
To turn off the highlight, press
BACK
.
2. Use the arrow keys to highlight a word.
3. Press
ENTER
to search for it.
4. Press
ENTER
again to see the first
match.
5. Hold
✩
and press
DN
repeatedly
to see the Outline locations of
the next matches, if any.
6. Press
MENU
to see the menu
items with matches.
7. Press
CLEAR
when finished.
Highlighting Search Words Expanding Your Searches
You can expand each word search up to
three times to search for inflections, syn-
onyms, and similar words. Try this ex-
ample.
1. Press
SEARCH
(yellow).
2. Type cancer and then press
ENTER
.
3. Press
MORE
(red) to expand the search.
4. Hold
✩
and use
DN
to see the
Outline locations of the next
matches, if any.
To see the location of previous
matches, if any, hold
✩
and use
UP
.
5. Press
MENU
to see the menu
items with matches.
6. Press
CLEAR
when finished.

15
➤ Understanding Word Searches
and Expansions
When you do a word search, either
by entering words at the word search
screen or by highlighting a word in
the text, first headings (in bold type)
are searched for exact matches. If no
exact matches are found in the head-
ings and subheadings, then the text
is searched for exact matches.
If no exact matches are found, the
headings are searched for inexact
matches, such as inflections and
synonyms. If no inexact matches are
found in the headings, then the text
is searched for them.
A word search stops as soon as
matches are found at a level de-
scribed above. Pressing
MORE
(red)
continues the search to the next
level and finds additional matches,
if any.
The number of matches found at a
given search level may be less than
at the previous level.
Expanding Your Searches
This book contains cross-references
(indicated by ’s), footnotes (indi-
cated by ’s), and bibliographic ref-
erences (indicated by ’s). Cross-
references take you directly to related
material in the book. Footnotes and bib-
liographic references provide additional
information.
1. When you see a , , or
in the text, hold
✩
and press
ENTER
to highlight the first marker.
To highlight a subsequent special
marker, if any, on the screen, hold
✩
and press
ENTER
again.
2. Press
ENTER
.
Viewing Special Markers

16
Viewing Special Markers Using Notes
To Add a Note
You can place up to 10 notes in the text
of this book to mark and quickly find
the sections that you most often use.
1. When text is on screen, press
LIST
(blue).
2. Press
ENTER
to select Add Note .
3. Do one of the following:
• to use the default note title, press
ENTER
;
• to use your own note title, type up to
24 characters and then press
ENTER
;
• to cancel, hold
✩
and press
BACK
.
A marks the note in the text.
➤ Abbreviation Meanings
When you see an abbreviation that
you do not know in the text of this
book, first press
ENTER
to start the
highlight. Then use the arrow keys
to highlight the abbreviation.
Then press
ENTER
to see its meaning.
Press
BACK
to return to the text.
Then press
BACK
again to turn off
the highlight.
3. Press
BACK
to return to the spe-
cial marker.
4. Press
BACK
again to turn off the
highlight.

17
To Find a Note
Once you have added notes, it’s easy to
find them.
1. Press
LIST
(blue).
2. Use to highlight a note title.
Notes are listed by recency.
3. Press
ENTER
to go to that note.
To Remove a Note
1. Find a in the text of this book.
2. Press
LIST
(blue).
3. To see the full title of the note to
be removed, press
?
✻
.
4. Press
ENTER
to select Remove Note.
Or press
BACK
to exit without re-
moving the note.
Using Notes
➤ Removing All the Notes
You can remove all the notes at one
time by resetting the Medical Book
System platform. To learn how, read
“Resetting the Platform.” WARN-
ING Resetting the platform may
erase information that you have en-
tered in any installed book cards.
The Medical Book System platform en-
ables you to look up a word from one
installed book card in another installed
book card.
This book card can send words to and
receive words from other book cards.
Some book cards are not able to transfer
words. To learn if a book card can send or
receive words, read its User’s Guide.
1. Install two book cards in the
platform.
2. Select a book to read.
To learn how, read “Selecting a Book.”
3. Highlight a word in that book.
You can highlight words in menus,
lists, entries, and other text. To learn
how to highlight a word in this book,
read “Highlighting Search Words.”
4. Hold
✩
and press
CARD
.
5. Highlight the icon of the other
book card and then press
ENTER
.
The word that you highlighted ap-
pears in the other book.
6. Press
ENTER
again, if needed, to
search for the word in that book.
Looking up Words
in Other Book Cards

18
If due to electrostatic discharge or other
causes, the keyboard fails to respond or
the screen performs erratically, try the
steps below to reset the platform. Per-
form only as many steps as required to
restore normal operation.
CAUTION Resetting the platform
when book cards are installed may
erase user-entered settings and informa-
tion in those book cards. So always re-
move all book cards before resetting.
1. Hold
CLEAR
and press
ON/OFF
twice.
If nothing happens, try Step 2.
2. Use the end of an opened paper
clip to gently press the reset but-
ton on the back of the platform.
The reset button is recessed in a pin-
sized hole located near the book card
slots. CAUTION Pressing the reset
button with more than light pressure
may permanently disable it.
If nothing happens, try Step 3.
3. Remove and reinstall the batteries.
To learn how, read the User’s Guide of
the Medical Book System platform.
Resetting the Platform Book Card Care
LBS.
• Do not touch the metal contacts
on the book cards.
CAUTION Touching the electrical
contacts with statically charged objects,
including your fingers, could erase in-
formation entered in a book card .
• Do not put excessive pressure
on the book cards.
• Do not expose the book cards to
heat, cold, or liquids.

19
Model MAR-3005
• size: 5.9 x 4.2 x 0.6 cm
• weight: 0.4 oz
© 1998 Franklin Electronic Publishers,
Inc. All rights reserved.
© 1998 The Royal Pharmaceutical So-
ciety of Great Britain.
Medical Book System and BOOKMAN
are trademarks of Franklin Electronic
Publishers, Inc.
FCC Notice: Complies with the limits
for a Class B computing device pursuant
to Subpart B of part 15 of FCC Rules.
Operation is subject to the following two
conditions: (1) This device may not cause
harmful interference; and (2) This device
must accept any interference received,
including interference that may cause
undesired operation.
U.S. Patents 4,490,811; 4,830,618;
5,113,340; 5,218,536; 5,321,609;
5,396,606; 5,627,726; Euro. Patent 0
136 379. German Pats. M9409743.7,
M9409744.5. PATENTS PENDING.
ISBN 1-56712-416-X.
Specifications and Patents Limited Warranty (outside U.S.)
This product, excluding batteries, is
guaranteed by Franklin for a period of
one year from the date of purchase. It
will be repaired or replaced (at
Franklin’s option) free of charge for
any defect due to faulty workmanship
or materials.
Products purchased outside the United
States that are returned under warranty
should be returned to the original ven-
dor with proof of purchase and descrip-
tion of fault. Charges will be made for
all repairs unless valid proof of pur-
chase is provided.
This warranty explicitly excludes de-
fects due to misuse, accidental damage,
or wear and tear. This guarantee does
not affect the consumer’s statutory
rights.
This unit may change operating modes due to electrostatic
discharge. Normal operation of this unit can be reestab-
lished by pressing the reset key,
ON/OFF
, or by removing
or replacing its batteries.