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Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very

Posted By: agitated patients who couldn't swallow. nm on 2007-04-29
In Reply to: I promise, I'm not crazy...But this is a weird one! SM - New Urology Account

Subject: Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very

s


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I'm sorry. I just got it. It's valium. She's a mumbler :(
Subject: I'm sorry. I just got it. It's valium. She's a mumbler :(


could it be "...1 into rectum..." ??
Subject: could it be "...1 into rectum..." ??


s/l valium stress test
Subject: s/l valium stress test

Is he really saying ??? valium ?? stress test?  Patient has hypertension, questionable apnea and allergies.  Thanks.
true Valium stress test
Subject: true Valium stress test

You transcribe.  You get stressed.  You take Valium.  You feel better.  You passed the Valium stress test.
Think it's Sween cream. We used to use it on our Hospice pts. nm
Subject: Think it's Sween cream. We used to use it on our Hospice pts. nm

x
Is the word hospice capped or not
Subject: Is the word hospice capped or not

in a sentence. I can't seem to get a correct answer regarding this. TIA
(s/l 200 sided tape) was placed in the rectum
Subject: (s/l 200 sided tape) was placed in the rectum

This is for a D&C and i can't understand the first few words of this sentence.
what type of lab test shows no air in the rectum?
Subject: what type of lab test shows no air in the rectum?

I can't even do a s/l bc I can't make out anything except shows no air in the rectum.
Versed (midazolam) is a short-acting benzodiazepine like Valium.
Subject: Versed (midazolam) is a short-acting benzodiazepine like Valium.

x
PIXUS pharmacy --
Subject: PIXUS pharmacy --

they are those machines stocked with meds like in hospitals where you can buy your meds..
Thank you. I even called my pharmacy, and sm
Subject: Thank you. I even called my pharmacy, and sm

The pharmacist confirmed and told me how to spell it. I asked her if it was capped, and she said, "I imagine so...it's a medicine."
PS -Did you think to call a pharmacy? sm
Subject: PS -Did you think to call a pharmacy? sm

This is what I did when something like this comes up. I know they want you to use the slightest amount possible, and usually never prescribe more than a small tube at a time. This is a very huge amount. I find pharmacists usually are very helpful if you don't ask them more than a few times a year. I would rather do this than say "a pound," just picture it in your head - that's a lot.
just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?
Subject: just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?


rectum was moblilized from the sacral ala using blunt dissection
Subject: rectum was moblilized from the sacral ala using blunt dissection


Pixus - automated pharmacy
Subject: Pixus - automated pharmacy

dictation:  I inquired with the respiratory therapist to see if they had Advair, which they did not.  We did not have it in our s/l Pixus.  I can find reference to some sort of automated pharmacy something but do not know if it is capitalized, all caps, initial cap.  Anyone heard of this before?  Thanks a lot. 
This is over-the-counter and not from a pharmacist or pharmacy!
Subject: This is over-the-counter and not from a pharmacist or pharmacy!


pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine
Subject: pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine


Broke down and called pharmacy - they say Nariz. Thanks!! nm
Subject: Broke down and called pharmacy - they say Nariz. Thanks!! nm


pharmacy code for sliding scale??
Subject: pharmacy code for sliding scale??

how would one transcribe "novolog sliding scale greater than 150 3 6 9.  Also dictated earlier was sliding scale +1 +2 +3.  must be some sort of pharmacy code.  TIA!! 
This may be way off but could he be saying tablets?
Subject: This may be way off but could he be saying tablets?


boline tablets
Subject: boline tablets

sounds like "bo lean" tablets to moisten the throat?
There are Culturelle tablets.
Subject: There are Culturelle tablets.


another med help s/l sutracarl (two tablets b.i.d.) Thanks
Subject: another med help s/l sutracarl (two tablets b.i.d.) Thanks


Imitrex tablets?
Subject: Imitrex tablets?


maybe pills, tabs, or tablets
Subject: maybe pills, tabs, or tablets

xx
Found it. Sorry. She was saying Soma tablets! duh.
Subject: Found it. Sorry. She was saying Soma tablets! duh.


medication s/l Tecador? 200 mg 2 tablets tid
Subject: medication s/l Tecador? 200 mg 2 tablets tid


What is this used for? There is Amicar, but that comes in 500 and 1000 mg tablets
Subject: What is this used for? There is Amicar, but that comes in 500 and 1000 mg tablets


"Folts" Supplementation/Tablets, anyone?
Subject: "Folts" Supplementation/Tablets, anyone?

"The patient's homocysteine levels were low so he was started on *folts* (?) supplementation..."


Anyone heard of this?  Googling unearthed nothing. 


TIA!!!


Ever heard of Emerge tablets for migraines? nm
Subject: Ever heard of Emerge tablets for migraines? nm


drug s/l fen-nix 150 mg, she takes 2 tablets at night. sm
Subject: drug s/l fen-nix 150 mg, she takes 2 tablets at night. sm

doctor has accent, so this could go any way.
MSIRŪ Immediate-Release Oral Tablets?
Subject: MSIRŪ Immediate-Release Oral Tablets?


There is Slow Fe Iron tablets that comes in milligrams
Subject: There is Slow Fe Iron tablets that comes in milligrams


Femcon Fe -chewable tablets for oral contraceptive
Subject: Femcon Fe -chewable tablets for oral contraceptive

nm
Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gla
Subject: Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gland.


Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
Subject: Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,


Patient has bacterial vaginosis - treatment s/l quasents tablets.
Subject: Patient has bacterial vaginosis - treatment s/l quasents tablets.


The only thing I can find close is subtilise meaning to make senses more keen or make one's sense
Subject: The only thing I can find close is subtilise meaning to make senses more keen or make one's senses more acute?


I'm still listening and trying to fit it together to make any suggestions make sense.
Subject: I'm still listening and trying to fit it together to make any suggestions make sense.


Thank you both!! I'm going to see if I can make either of these out. nm
Subject: Thank you both!! I'm going to see if I can make either of these out. nm

x
I actually know of 2 QA who do indeed make above 17.00.
Subject: I actually know of 2 QA who do indeed make above 17.00.

s
LOL, make that above. NM
Subject: LOL, make that above. NM

nm
I need more help I just can't make out what she is saying...
Subject: I need more help I just can't make out what she is saying...

 Her left shift resolved within one day of IV antibiotics* at 645 band* Lymphocytes 41, monocytes 90 with ***.  Patient was continued on ** plus 2 feeds along with IV fluids ~~~does 645 band sound correct?~~~after monocytes 90 with S/L OPEN-SOR-PER?---AFTER CONTINUED ON S/L  IN-STRAL?
I would make just a few changes -
Subject: I would make just a few changes -

If you're asking whether the sentences look right, most of it looks okay to me, but at the very least, I'd suggest the following changes:

1. BioMed AGC anatomic femoral component, 60 mm, left.

2. BioMed all-poly patellar button, three-post, 34 mm diameter. (you might be able to expand all-polyethylene if okay with account specs).

3. Biomet DCN AGC molded tibial component, interlock finish, posterior stabilized, 12 mm thick x 65 mm wide.


Someone else may do it differently, but this is how I would type it.

BTW, did you mean BioMed on #3, or is it actually Biomet in this case?



just to make sure
Subject: just to make sure

you are saying it is Kerlix and fluffs, not Kerlix fluffs?
I would make the following changes..
Subject: I would make the following changes..

I would like to take this opportunity to wish a healthy and happy holiday season, a Merry Christmas, and a joyous New Year to you, your families, and staff members . . . . "

like that?  Many thanks in advance!  (And Merry Christmas!)


no, but i would make sure the
Subject: no, but i would make sure the

patient's name and date of service were completed in your demographic screen.
Make sure...
Subject: Make sure...

you are not mistaking for brachiocephalic.
Sorry, I can't make anything out.
Subject: Sorry, I can't make anything out.


Where I am an IC, I make 10 cpl. As an
Subject: Where I am an IC, I make 10 cpl. As an

employee they offer 8 cpl because they are paying taxes, social security, etc. Most places are 1.5 to 2 cpl lower for employees because of that.
Thank you! Had to make sure. :)
Subject: Thank you! Had to make sure. :)