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whatever doc dictates. Would not use beats/minute tho. nm

Posted By: Smiley on 2006-01-05
In Reply to: ekg shows paced rhythm at 76 beats per minute, sm - Jelly Bean

Subject: whatever doc dictates. Would not use beats/minute tho. nm




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60% of 143 beats per minute?just
Subject: 60% of 143 beats per minute?just


ekg shows paced rhythm at 76 beats per minute, sm
Subject: ekg shows paced rhythm at 76 beats per minute, sm

should I type BMP bpm or beats/minute.  I dont' have a clue.  THANKS
Ashman beats?
Subject: Ashman beats?

got a doc stating EKG results. He spells "Aschmann's" beats, can't find any reference on google - only Ashman's beats. Any cardio MTs out there?
ectopic beats
Subject: ectopic beats

n/m
"a few beats of nystagmus..." ? nm
Subject: "a few beats of nystagmus..." ? nm


I'm hearing it now - premature beats
Subject: I'm hearing it now - premature beats


I love it. Beats leafing through your books sometimes!!! nn
Subject: I love it. Beats leafing through your books sometimes!!! nn


tachycardia present with a rate of 175 s/l atropic beats
Subject: tachycardia present with a rate of 175 s/l atropic beats


I found Ashman beats in Stedman's Cardiovascular Words (NM)
Subject: I found Ashman beats in Stedman's Cardiovascular Words (NM)

x
Physical exam - heart with some s/l perianter or preanter beats
Subject: Physical exam - heart with some s/l perianter or preanter beats


per minute
Subject: per minute


per minute
Subject: per minute

x
mcg/kg/minute or mcg/kg per minute
Subject: mcg/kg/minute or mcg/kg per minute

nm
I think it is usually mL per minute mL/min. nm
Subject: I think it is usually mL per minute mL/min. nm


per minute, (nm)
Subject: per minute, (nm)

xx
Let me think on it a minute
Subject: Let me think on it a minute

?
per minute nm
Subject: per minute nm

x
mt got it right!!!! per minute!! NM
Subject: mt got it right!!!! per minute!! NM


5 mics per minute
Subject: 5 mics per minute

It sounds like 5 "Mikes" per minute.  Talking about nitro drip.


Thanks!


per minute of oxygen??? nm
Subject: per minute of oxygen??? nm


Figured it out! 23 mL/minute
Subject: Figured it out! 23 mL/minute

nm
liters per minute
Subject: liters per minute

How do you transcribe this?  TIA
Pulse is 5 *PCs* per minute
Subject: Pulse is 5 *PCs* per minute

I am drawing a blank on PC abbreviation.  TIA!
Could be 10-minute strip as in they had
Subject: Could be 10-minute strip as in they had

the patient on telemetry for 10 minutes.
never mind, listened after end of this 10-minute
Subject: never mind, listened after end of this 10-minute

report and it was "history of IV", lol, did not hear anything like that first time through.
According to my Griffith's 5-minute consult
Subject: According to my Griffith's 5-minute consult

one symptom is listed as purple "striae" on the skin. Since it appears your second word is grouped wiht labs he wants done, some lab tests listed are for urinary cortisol, plasma cortisol, neutrophilia, lymphopenia, hyperglycemia, hyperlipedemia, hypokalemia. Anything there ringing a bell?
Per BOS, 50 mcg/kg per minute - do not mix Latin and English.
Subject: Per BOS, 50 mcg/kg per minute - do not mix Latin and English.

nm
Pulse -- Permanent or per minute?
Subject: Pulse -- Permanent or per minute?

I've been dealing with ESL dictators and I can't decide if they're saying in the PE that "pulse is 79, permanent" or pulse 79 per minute"  Any idea on which is more common?  Thanks.
hyphen in round-per-minute
Subject: hyphen in round-per-minute

She required a micro round-per-minute of Dopamine to maintain her pressure. Do I have the hyphens correct in round-per-minute? There wouldn't be a hyphen between micro and round would there? Hyphens really get me :(
Thanks.
5. 15 liters of oxygen per minute?
Subject: 5. 15 liters of oxygen per minute?

I have replayed this multiple times and could swear the RN is saying the patient received 5.15 liters per minute of oxygen but that does not seem reasonable to me. The patient is in ICU for pulmonary hemorrhage and was desatting below 80.  Feedback anyone? 
how do you write 50 micrograms per kilograms per minute? thank you
Subject: how do you write 50 micrograms per kilograms per minute? thank you


he did eyes earlier - got excited for a minute
Subject: he did eyes earlier - got excited for a minute

Thanks, though.
Heart rate 60, breathing in 14 breaths a minute?
Subject: Heart rate 60, breathing in 14 breaths a minute?

x
Any clue from other results? Fatigue at less than 1 minute is very unusual. nm
Subject: Any clue from other results? Fatigue at less than 1 minute is very unusual. nm

s
mcg and kg are Latin terms, minute is English word
Subject: mcg and kg are Latin terms, minute is English word

Don't mix and don't use slashes between kg and minute.
thank you! Looking them up. after doing a 15 minute surgery dict, I think I am a brain expert. lo
Subject: thank you! Looking them up. after doing a 15 minute surgery dict, I think I am a brain expert. lol. nm

d
I fully agree with C.J. it should be 2:1, if it is a minute it takes me 2, if it is 10 minutes it ta
Subject: I fully agree with C.J. it should be 2:1, if it is a minute it takes me 2, if it is 10 minutes it takes 15-20, etc. 1-1/2 hours of dictation should be no more than 3 or 4 hours.


I found reference to a 2-minute strip so wasn't sure if 10 mins was too long or not.
Subject: I found reference to a 2-minute strip so wasn't sure if 10 mins was too long or not.


Under PMH. MD dictates: sm
Subject: Under PMH. MD dictates: sm

 Status post trauma/repair to patient’s eye.


 


Would you leave this as is with the slash or change it?  I am permitted to change things when necessary.  Thanks.


What do you do when the doc dictates sm
Subject: What do you do when the doc dictates sm

... and I gave the patient 50 "mikes" of whatever medication.  One said to spell it m-i-q-u-e-s, one said to use m-i-k-e-s, and one hospital said not to use it at all. So, does it stand for micrograms?  Should we use slang?  Aghh!  Help, please.
I would put as doc dictates..sm
Subject: I would put as doc dictates..sm

if he says "calcium one every day" I would not input the q.d., but I would expand it as "calcium, one tablet every day." jmo and how I have been doing it with no complaints.
Exactly the way MD dictates it
Subject: Exactly the way MD dictates it

If the patient could see anything at all (I had one today where the patient could see 20/1760), then the MD would have given the value, but when there is nothing there, you just type nothing. I have a verbatim account, but even if I didn't, I still would not change it to 20/0 as that lone "0" could be mistaken as something else.
If a Dr. dictates
Subject: If a Dr. dictates

"posterior tib", meaning posterior tibial artery, do you type the abbreviation or go ahead and type out tibial?
if that's the way he/she dictates it...then yes I would. nm
Subject: if that's the way he/she dictates it...then yes I would. nm

xxx
The doctor dictates
Subject: The doctor dictates

His aortic valve appeared well-(s/l seated).  I found some examples like that, but am unsure of certainty and spelling accuracy?  Thank you in advance for any help.
Think that one is bad? my md dictates things like this...sm
Subject: Think that one is bad? my md dictates things like this...sm

I used a small, tiny, little Q-tip .... and he doesn't want me to change it.   Bizarre!!!
I have a doc that dictates same thing
Subject: I have a doc that dictates same thing

mine means adenosine thallium
I leave it as whatever the doc dictates.
Subject: I leave it as whatever the doc dictates.

It's not my job to keep them politically correct.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm

!
I have a psychiatrist who dictates like that. sm
Subject: I have a psychiatrist who dictates like that. sm

I leave most of his stuff as is even though the account is not verbatim.  A lot of times I end up wondering WTH he is talking about.  When I first got his dictations I was going back to read and relisten because I thought I must have scrambled something.  Give them what they dictate, if they don't like what they read maybe they'll take the time to think before they dictate next time. 
when doc dictates L-thyroid sm
Subject: when doc dictates L-thyroid sm

Does he mean levothyroxine or Levothroid?