| Could he have meant central venous access?  I don't knowPosted By: Margaret on 2007-09-17In Reply to: Extremities - no CVA or CVP? - medword
 
 Subject: Could he have meant central venous access?  I don't know
 
 what the CVP would be, though, unless central venous pressure line?
 
 I would have to see what the patient's other problems were I guess.  I have never heard this in an extremity exam before though.
 
 
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 CVP catheter (central venous pressure monitoring)
 Subject: CVP catheter (central venous pressure monitoring)
 
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 Central venous line placement, see message
 Subject: Central venous line placement, see message
 
 
 " 
 States:  A wire was then passed through the needle, the needle was removed, and the triple lumen was placed over the wire and the wire removed. This was sutured in place, all 3 lumens with a positive s/l "flash."   
 Is "flash" lingo for blood return? or is he saying something else.  I've not typed these before.  TURP central venous cath? Never heard nor cannot find IJA
 Subject: TURP central venous cath? Never heard nor cannot find IJA
 
 
 
 PICC stands for: Peripherally Inserted Central venous Catheter.
 Subject: PICC stands for: Peripherally Inserted Central venous Catheter.
 
 x
 venous stasis  impairment or cessation of venous flow.
 Subject: venous stasis  impairment or cessation of venous flow.
 
 
 venous  ... long-standing VENOUS ulcer!
 Subject: venous  ... long-standing VENOUS ulcer!
 
 nm
 s/l venous light or venous late on CT.  sm
 Subject: s/l venous light or venous late on CT.  sm
 
 
 Head CT:  
 There is also a small, nonaggressive lytic lesion in the left frontal bone that appeared to reflect an angioma or venous s/l "light or late".   CVT access
 Subject: CVT access
 
 Has anyone heard of CVT access?  Chief complaint is "Need for CVT (?) access"
 IV access?
 Subject: IV access?
 
 nm
 I bet he's saying access catheter then!
 Subject: I bet he's saying access catheter then!
 
 
 Yes, the KVO allows easy access
 Subject: Yes, the KVO allows easy access
 
 warranted.  In my experience, the KVO rate was used during a transesophageal echocardiogram wherein if the patient needed a bolus of a med, then the line was there to give it.  Saline was given at a KVO rate, but I think it also (slow drip) allowed hydration for the patient while undergoing the procedure.  I believe these drips given at KVO rate can be started a lot of times in the ER to allow venous access.
 Cannot access the site? - sm
 Subject: Cannot access the site? - sm
 
 Tried googling http://ssrsurgical.com/index.html but no can find.
 Is the MT able to access old records
 Subject: Is the MT able to access old records
 
 and saw this was the proper medication?  That may be where the MT got it.
 central?  (nm)
 Subject: central?  (nm)
 
 x
 central?
 Subject: central?
 
 ..
 ? Vascular access resistance
 Subject: ? Vascular access resistance
 
 s/l it, though VAR could stand for venoarteriolar reflex, venoarteriolar response, etc.
 Can you access old reports to see if it's something used routinely? nm
 Subject: Can you access old reports to see if it's something used routinely? nm
 
 s
 Can you access any of the old reports to see if he "normally" says something here? nm
 Subject: Can you access any of the old reports to see if he "normally" says something here? nm
 
 s
 s/l mitrophenov access to the bladder?
 Subject: s/l mitrophenov access to the bladder?
 
 
 apical access guidewire?
 Subject: apical access guidewire?
 
 This is a bunionectomy. s/l apical access guidewire
 Skin Axis / Access
 Subject: Skin Axis / Access
 
 
 In a mammogram, doc dictates: "At ultrasound, this does correspond to a smooth, oval, hypoechoic, well-defined nodule, which is parallel to the skin axis/access, measuring 14 x 4 x 9 mm. "  
 Is it "axis" or "access?"  Thanks in advance :-) s/l CCAP/CAPA Access Med Plus
 Subject: s/l CCAP/CAPA Access Med Plus
 
 
 We have given patient Access MedPlus number to CCAP/CAPA to see if she would qualify for any free services as she has no insurance.  It may also be "CAP/CAPA" 
 Thanks, 
   
 Abby IV access.  S/l might be multi-lumen
 Subject: IV access.  S/l might be multi-lumen
 
 
 central line
 Subject: central line
 
 endoluminal central line
 central lobar perhaps? nm
 Subject: central lobar perhaps? nm
 
 ,
 ..try central air predominance?..nm
 Subject: ..try central air predominance?..nm
 
 nm
 Here is a great educational site about IV access
 Subject: Here is a great educational site about IV access
 
 nm
 May be Mediport infusion access device? nm
 Subject: May be Mediport infusion access device? nm
 
 
 Can you access file samples? They usually say procedures over
 Subject: Can you access file samples? They usually say procedures over
 
 s
 Any chance you can access the radiology report and
 Subject: Any chance you can access the radiology report and
 
 s
 diabetic taking insulin and access?
 Subject: diabetic taking insulin and access?
 
 Sounds clear enough, "patient is diabetic, taking insulin and access"  ???
 That was my first thought, but IV access makes sense.  sm
 Subject: That was my first thought, but IV access makes sense.  sm
 
 For more context, I should have mentioned pt has suspected meningitis - has the severe headache, fever, chills, nausea, and has a positive Brudzinski.
 s/l terp balloon central - sm
 Subject: s/l terp balloon central - sm
 
 Utilizing standard terp balloon central venous kit, the right IJA was identified...
 I think it's saccadic pursuit and VII central.  nm
 Subject: I think it's saccadic pursuit and VII central.  nm
 
 nm
 found central pore?
 Subject: found central pore?
 
 
 That's it.  Although, it sounds more like central porsche.
 Subject: That's it.  Although, it sounds more like central porsche.
 
 nm
 papule with a central core - nm
 Subject: papule with a central core - nm
 
 
 Pt that needs dialysis access with s/l AlphaSplit catheter insertion.
 Subject: Pt that needs dialysis access with s/l AlphaSplit catheter insertion.
 
 I know HemoSplit, Hickman, Niagara, but this one I can't find anywhere...help!!!!
 enteral? parenteral? central? peripheral?
 Subject: enteral? parenteral? central? peripheral?
 
 
 Percutaneous Inserted Central Catheter
 Subject: Percutaneous Inserted Central Catheter
 
 
 
 Could be for central nervous system after the procedure...nm
 Subject: Could be for central nervous system after the procedure...nm
 
 s
 as postop diagnosis says severe central
 Subject: as postop diagnosis says severe central
 
 stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
   Thanks....I was wondering about the central force part.
 Subject: Thanks....I was wondering about the central force part.
 
 I find referrence to papule central this-and-that, but no central force.  Thanks!
 perhaps ൛-gauge, single-wall access needle" ? nm
 Subject: perhaps ൛-gauge, single-wall access needle" ? nm
 
 
 I do not have access to Blackwell Synergy but this is the article they have: Craniovascular Accompan
 Subject: I do not have access to Blackwell Synergy but this is the article they have: Craniovascular Accompaniments of the Vascular Headache of the Migraine Type
 
 
 PICC - Peripherally Inserted Central Catheter, nm
 x
 yes, would be referring to medial, lateral and central compartments. nm
 Subject: yes, would be referring to medial, lateral and central compartments. nm
 
 ss
 widely patton central spinal canal?
 Subject: widely patton central spinal canal?
 
 x
 My opinion: In bunionectomy there is an apical access guide, so I guess why not a guidewire?
 Subject: My opinion: In bunionectomy there is an apical access guide, so I guess why not a guidewire?
 
 
 It is PICC line - peripherally inserted central catheter
 Subject: It is PICC line - peripherally inserted central catheter
 
 :)
 Bony-impacted s/l palatally position central incisors? nm
 Subject: Bony-impacted s/l palatally position central incisors? nm
 
 .
 
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