Purpose: To use injected fluorescent dye to determine if a potential amputation site has adequate perfusion.     Citations with documentation. 20.01.02 Sriram & Svirbely 1997
 
conversion enter  
body weight in pounds pounds equals 0 kilograms  
 
data entry enter  
patient's body weight in kilograms kilograms  
Is the patient of light complexion? (Y or N) :-):-):-)  
Is the patient's skin color dark? (Y or N) :-):-):-)  
 
fluorescent reading at reference site prior to dye injection Reference Site    
reading 1   Yes
reading 2  
reading 3  
reading 4  
reading 5  
     
number of potential amputation levels to be tested (enter from 1-4) :-):-):-)  
 
fluorescent readings at possible amputation sites Potential Site 1 Potential Site 2 Potential Site 3 :-):-):-)  
reading 1 Yes
reading 2 Yes
reading 3 Yes
reading 4 Yes
reading 5 Yes
 
dose calculation result  
dose of fluorscein dye to inject 450 mg dye  
     
     
fluorescent reading at reference site after dye injection Reference Site    
reading 1   Yes
reading 2  
reading 3  
reading 4  
reading 5  
     
fluorescent readings at proposed amputation sites after dye Potential Site 1 Potential Site 2 Ptoential Site 3 :-):-):-)  
reading 1 Yes
reading 2 Yes
reading 3 Yes
reading 4 Yes
reading 5 Yes
     
calculate result  
data complete? Yes  
mean background reading at reference site 1  
mean reading at reference site after dye injection 4  
corrected reference level reading 3  
     
readings at proposed amputation sites Potential Site 1 Potential Site 2 Potential Site 3 :-):-):-)  
mean background reading 1 1 1 :-):-):-)  
mean reading after dye injection 3 4 3 :-):-):-)  
corrected reading 2 3 2 :-):-):-)  
dye fluorescent index 66.67 100.00 66.67 :-):-):-)  
likelihood of healing at proposed amputation site high high high :-):-):-)  
 

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