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Heart regular rate and rhythm?

Posted By: pc on 2008-12-13
In Reply to: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int. - Lisa

Subject: Heart regular rate and rhythm?




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HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?
Subject: HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?

nm
Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear
Subject: Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear


The heart rate was regular without fills?,
Subject: The heart rate was regular without fills?,

The heart rate was regular without fills?, murmurs, clicks, or rubs.
On PE heart section doc says "Heart irregular rate regular"?? is that right
Subject: On PE heart section doc says "Heart irregular rate regular"?? is that right

pt with afib

Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r


Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.


regular RS might be regular rhythm strip if the doc is old fashioned. nm
Subject: regular RS might be regular rhythm strip if the doc is old fashioned. nm

s
Could it be "regular rate and rhythm without murmur"
Subject: Could it be "regular rate and rhythm without murmur"

xx
Heart rhythm question - sm
Subject: Heart rhythm question - sm

Is there a rhythm - regularly regular? I know there is regularly irregular, etc., but I have never heard anyone say regularly regular (seems rather redundant). I cannot find it documented anywhere. Thanks in advance for any help.


 


Becky


Could it be regular heart sounds?
Subject: Could it be regular heart sounds?


Heart: S1, S2 regular. S/l systolic is noted
Subject: Heart: S1, S2 regular. S/l systolic is noted

Or maybe systolic ____ is not heard.

Heart sounds were regular. She has a s/l pector 6 con-vat-um SM
Subject: Heart sounds were regular. She has a s/l pector 6 con-vat-um SM

which is probably somewhat restrictive of pulmonary function.
heart rate 90 to ?
Subject: heart rate 90 to ?

Dictator says what sounds like heart rate 90 to "oneteen"  would that be the correct way to transcribe?  google says oneteen means 11 so would that mean  would be 111 in this context?  Thanks! 
for the first - heart rate 80 - not sure about second. nm
Subject: for the first - heart rate 80 - not sure about second. nm

nm
heart rate
Subject: heart rate

nm
heart rate 60 beating in...
Subject: heart rate 60 beating in...

14 METS a minute?  sounds like "beating in fortreemets a minute".  New doc to me, he obviously says this over and over.


Ttarget heart rate between 60-143 bpm
Subject: Ttarget heart rate between 60-143 bpm


Irregular heart rate
Subject: Irregular heart rate

Here's my question, can a patient have an irregular heart rate and rhythm but have a normal S1 and S2 with no murmur? The patient does have recurrent atrial fibrillations. Thanks.

meant target heart rate between
Subject: meant target heart rate between

though that seems to be a wide range for a target
HEART: revealed a s/l "night" rate........
Subject: HEART: revealed a s/l "night" rate........

Under Physical exam, in the HEART section, doc says "revealed a s/l "night" rate of 96, no murmur."


Can anyone think of a word that sounds like "night," that makes sense here?


Thanks,


 


Abby


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

x
Her orthostatics are positive. Upon lying, her heart rate is 68.
Subject: Her orthostatics are positive. Upon lying, her heart rate is 68.


All I can think of/document would be "flow rate" heart failure.....sm
Subject: All I can think of/document would be "flow rate" heart failure.....sm

if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help! 
An EKG was normal except the **rate rolls** of a rapid heart
Subject: An EKG was normal except the **rate rolls** of a rapid heart

An EKG was normal except the **rate rolls** of a rapid heart.
ANA (antinuclear antibody) and sed rate (sedimentation rate)
Subject: ANA (antinuclear antibody) and sed rate (sedimentation rate)


sinus rhythm?
Subject: sinus rhythm?

SR = sinus rhythm
Aginal rhythm
Subject: Aginal rhythm

Basically, when the monitor shows a persistent flat line (asystole) or a prolonged pulseless anginal rhythm in different leads, the patient is ...

normal sinus rhythm
Subject: normal sinus rhythm

I believe
Rhythm ? Axilla without lymphadenopathy? nm
Subject: Rhythm ? Axilla without lymphadenopathy? nm

xx
s/l scabe junctional rhythm...sm
Subject: s/l scabe junctional rhythm...sm

One of these spells was accompanied by gradual slowing of sinus rate and a scabe junctional rhythm in the 30s.


monorevil sinus rhythm
Subject: monorevil sinus rhythm

I don't suppose normal sinus rhythm works here?
Meant to say angina rhythm
Subject: Meant to say angina rhythm


Probably means sinus rhythm...sounds right to me - nm.
Subject: Probably means sinus rhythm...sounds right to me - nm.

x
meaning "in sinus rhythm." nm
Subject: meaning "in sinus rhythm." nm


Might be irregularly irregular.. rhythm all over the place. nm
Subject: Might be irregularly irregular.. rhythm all over the place. nm

s
"accelerated idioventricular rhythm" is correct - sm
Subject: "accelerated idioventricular rhythm" is correct - sm

what is the "triple sensory" you are asking about. The sentence you gave does not have triple sensory in it - or am I missing something here
The probably jog as in "move with a jolting rhythm" per dictionary
Subject: The probably jog as in "move with a jolting rhythm" per dictionary


S/L Autronic atrial pacemaker rhythm? TIA
Subject: S/L Autronic atrial pacemaker rhythm? TIA


Electronic atrial pacemaker rhythm?
Subject: Electronic atrial pacemaker rhythm?

Can you perhaps hear this?
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
Probably regular
Subject: Probably regular

since everything else was normal
s/l S1, S2, regular RS
Subject: s/l S1, S2, regular RS

Is that right?  One of my infamous ESLs that I always makes me want to pull my hair out!  TIA


30 R (regular) and 60 NPH
Subject: 30 R (regular) and 60 NPH


the patient was successfully cardioverted to s/l "A2" sinus rhythm?
Subject: the patient was successfully cardioverted to s/l "A2" sinus rhythm?


EKG showed atrial paced rhythm with LVH and 2 inversions/ T inversios (sm)
Subject: EKG showed atrial paced rhythm with LVH and 2 inversions/ T inversios (sm)

EKG showed atrial paced rhythm with LVH and 2 inversions/T inversions in unilateral leads?  Is this correct?  Don’t have much cardiology experience
look in your regular dictionary
Subject: look in your regular dictionary

there is a word syncopize, derivative of syncopate, derivative of syncope.
As a regular helper here, thank YOU both!! nm
Subject: As a regular helper here, thank YOU both!! nm

x
Need a regular dictationary for this one!
Subject: Need a regular dictationary for this one!

The correct word is "integral". It means "pertaining to an essential part of the whole".
Okay, QA says regular insulin
Subject: Okay, QA says regular insulin

Is this correct? I was taught it the R was capitalized, but maybe things have changed. My Stedman's says Regular, but I know I read in my company newsletter that it was a small R.  I don't want to get a critical error. Guess where I work????


TIA!!


Regular insulin
Subject: Regular insulin

I've seen regular insulin typed both capitalized (Regular) and small (regular).  Anyone know for sure which is correct?  Anyone know which one the AAMT prefers?  Thanks in advance! 


Tammy


Regular insulin
Subject: Regular insulin

Thank you!  I didn't think it should be but you never know.  I know the brand names like Humulin and Lantus are but it kind of puzzled me to see "regular" capitalized.