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Folate dosages....high?

Posted By: working the weekend on 2008-11-08
In Reply to:

Subject: Folate dosages....high?

Resident says folate 100 mg via PEG and also folate 1 g via peg.  That's a lot, isn't it?


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Folate.
Subject: Folate.

x
folate variant
Subject: folate variant

This usually refers to tumors - does that fit?
Serum folate?...nm
Subject: Serum folate?...nm

nm
They do give folic acid (folate) for
Subject: They do give folic acid (folate) for

heart disease, but I can't find it in the dosage you gave.
mEq (the only way I have ever seen it and have looked also everywhere on dosages)
Subject: mEq (the only way I have ever seen it and have looked also everywhere on dosages)


DOSAGES- how to type out?
Subject: DOSAGES- how to type out?

"He will also add vitamin D to his regimen at 2 to 4,000 units per day."


How should I type this?  2-4,000?  2,000-4,000?  2 to 4,000?  I want it to be right. 


Need help with how to write dosages (sm)
Subject: Need help with how to write dosages (sm)

Subject: By AAMT rules, need help with period with drug values. (sm) Is this right? 1 gm 0.1 mg 1 mg


 I was taught that it was 1.0 mg but doc wants it to be just 1 mg and 1 gm. Help. Thanks.


Does not matter. All dosages are singular.
Subject: Does not matter. All dosages are singular.


All dosages are singular. 10 cc was injected...
Subject: All dosages are singular. 10 cc was injected...


drug dosages listed with no mg
Subject: drug dosages listed with no mg

Is it acceptable to type drug dosages with the number but not the unit of measure. For example Zocor 10 every night. I believe this may be confused with 10 pills instead of mg. What's acceptable on a verbatim account?


For one and for all, is it high power field or high powered field?? Also the hypen thing...
Subject: For one and for all, is it high power field or high powered field?? Also the hypen thing...

I spent a load of money getting trained for MT and I STILL  am not sure about this.  What do the experienced MTs think??
Hematology - know your chemotherapy and dosages well, same anatomy. n/m
Subject: Hematology - know your chemotherapy and dosages well, same anatomy. n/m

 
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...

I always blank/flag it. 
Trust us. Docs never give dosages with the word sm
Subject: Trust us. Docs never give dosages with the word sm

"chemotherapy." It makes no sense as there are hundreds of medications (where you would hear dosages) that comprise chemotherapy. Would you rather be corrected by people who are not paid to help you, or would you rather your QA catch a blunder like this? Up to you.
That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave
Subject: That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leavea a QA note just for the facility?


I agree with Hayseed...meds and dosages scare me, too. However...sm
Subject: I agree with Hayseed...meds and dosages scare me, too. However...sm

You might find assurance in the fact that (according to QuickLook) Lortab is only available with 500 along with the 5, so the 500 might be understood.  But, I would flag if you are unsure.
Medication dosages, QA marking wrong both ways!
Subject: Medication dosages, QA marking wrong both ways!

Good afternoon everyone.  I'm in need of some second opinions please.  When typing medication dosages, I have always transcribed them the same way for the last 12-1/2 years.  For example, Lortab 5 mg q.4h. p.r.n. pain. 


I have worked for the same company for a little over two years now and have never had QA say anything about this until last month, when I got a QA audit marking it off and changing it to Lortab 5 mg q. 4h. p.r.n. (with a space between the q. and the 4h.)  I thought okay, maybe I've been transcribing it incorrectly all lthis time and a new QA person picked up on it.  It happens, no big deal. 


So, I started transcribing it their way with the space, as in q. 4h.  and didn't think anything more about it.  Yesterday, I get another audit.  This time, I get dinged for typing it the way they wanted it the last audit q. 4h. with the space with a note stating it should be q.4h. with no space (the way I had been typing it). 


Now, I know they have been messing with all of the MTs big time lately, making changes daily from everything to hours, pay, policies, and procedures for vacation, days off, etc.  You name it, they've been doing it, and I really think they are trying to either find a reason to fire some of us or drive us to the point of insanity until we quit, but despite the games, I still want to make sure I'm doing my job correctly.  If I've been doing something wrong, I would like to correct it ASAP, except now I have no idea which one is correct. 


Sorry for the long, drawn out post, but I'm totally confused now and beyond frustrated.  Now, I'm questioning myself on everything, and I have no idea which way is correct as far the space or no space with the medication dosages.  Thank you for taking the time to read my question and rant.  I would appreciate any and all opinions on how you all transcribe this! 


need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage
Subject: need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage


per high power field OR per high powered field.
Subject: per high power field OR per high powered field.


Can find Nitro CR and Nitro-Bid Plateau in 6.5 mg dosages. They MIGHT be saying the generic form
Subject: Can find Nitro CR and Nitro-Bid Plateau in 6.5 mg dosages. They MIGHT be saying the generic form

s
go with high d.
Subject: go with high d.

x
It sure could be a BNP that high. The BMP has several
Subject: It sure could be a BNP that high. The BMP has several

s
...not just the high ones. nm Don't
Subject: ...not just the high ones. nm Don't

s
629 is a little high
Subject: 629 is a little high

Could they be saying "differential is 29 segs, 3 bands"?
And it is really really high
Subject: And it is really really high

Considering .08 is legally intoxicated, I think a 0.332 is just a margarita away from coma.

Someone must have wanted to tie a good one on before they went in for what was probably court-ordered rehab.
per high power
Subject: per high power

I've always typed per high power field, but Stedman's has it as "high-powered field."
High powered sm
Subject: High powered sm






Urinalysis: A Comprehensive Review - March 15, 2005 - American ...




This article reviews the correct method for performing urinalysis and the differential diagnosis for ... HPF = high-powered field; RBCs = red blood cells. ...
www.aafp.org/afp/20050315/1153.html - 71k - Cached - Similar pages


[PDF] Urinalysis: A Comprehensive Review




File Format: PDF/Adobe Acrobat - View as HTML
high-powered field (HPF) in two of three urine samples ... Urinalysis. CELLS. Leukocytes may be seen under low- and high-power. magnification (Figure 1). ...
www.aafp.org/afp/20050315/1153.pdf - Similar pages


[Clinical Preventive Services] Screening for Bladder Cancer




Depending on the reference standard used (>2 or >5 RBCs per high-powered field on microscopy), dipstick urinalysis has a sensitivity of 91-100% and a ...
cpmcnet.columbia.edu/texts/gcps/gcps0027.html - 18k - Oct 29, 2005 - Cached - Similar pages


or I'd QA it.....that's way too high a dosage....nm
Subject: or I'd QA it.....that's way too high a dosage....nm


that's much too high of a dose
Subject: that's much too high of a dose

nm
Never seen any that high and never with a decimal value, either. I'd
Subject: Never seen any that high and never with a decimal value, either. I'd

s
Value ranges high at 18 for AST
Subject: Value ranges high at 18 for AST

so your decimal point is appropriate.
s/l pseudo high C...please sm tia
Subject: s/l pseudo high C...please sm tia

Sputum grew out many gram-positive cocci, few gram-positive rods, and moderate WBCs were noted.  He had a few epithelial cells, and he also had a few yeast with ______ present.  The latter was likely not pathogenic. 


 


Thank you for any help...


Yes, actually is IS high-flow! Thanks :)
Subject: Yes, actually is IS high-flow! Thanks :)


High grade or High-grade - sm
Subject: High grade or High-grade - sm

High grade partial thickness rotator cuff tear
i would go with 42-28. 4248 is too high
Subject: i would go with 42-28. 4248 is too high

/
given for high potassium
Subject: given for high potassium

_________chloride.  S/l similar to potassium chloride but I know thats not it because his potassium is 6.9.  tytytytyty
kayexalate is given for high K+
Subject: kayexalate is given for high K+


high-grade?
Subject: high-grade?


High TSH = hypothyroidism. nm
Subject: High TSH = hypothyroidism. nm


s/l high pal albumin
Subject: s/l high pal albumin

sentence: Patient has a hx of ascites, coagulopathy and 'high pal albumin'.
could be high prealbumin
Subject: could be high prealbumin


High cholesterol?
Subject: High cholesterol?

Some cholesterol medications are superstatins... ???
terazosin- for high BP and BPH
Subject: terazosin- for high BP and BPH


for high cholesterol
Subject: for high cholesterol


or probably high ileus? nm
Subject: or probably high ileus? nm


High sensitivity CPR..
Subject: High sensitivity CPR..

What does high sensitivity CPR stand for. I couldn't find anything only CRP. TIA.

Dr. says her high sensitivity CPR also was normal.
high-grade, perhaps (nm)
Subject: high-grade, perhaps (nm)

nm
I have had them say a high number of
Subject: I have had them say a high number of

O2 per minute before. It is probably correct.
per high power field (nm)
Subject: per high power field (nm)

x
high powered field
Subject: high powered field

I have always been told it is high powered field.
Per high power field (nm)
Subject: Per high power field (nm)

.