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I would use saline since it's the solution he's changing from half-normal to normal, not the

Posted By: sodium itself. nm Psg Thru on 2006-11-15
In Reply to: progress note--right lower lobe pneumonia - df

Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s


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BOS has D5 in half-normal saline
Subject: BOS has D5 in half-normal saline

but if they didn't say "in" I would just put D5 half-normal saline.  JMO.
medication D-5 half-normal saline? TIA nm
Subject: medication D-5 half-normal saline? TIA nm

x
D5 half-normal saline is correct - I think BOS
Subject: D5 half-normal saline is correct - I think BOS

it's one bag of dextrose and half-normal saline - 1 bag.  They always say D5 half-normal saline.  In 30 years, I never heard them say *D5 in half-normal saline*.....I have heard D5 and half-normal saline though.


BOS, while I respect it and use it all the time, is not the end-all, be-all on many subjects and there are errors AND inconsistencies throughout the BOS.


s/l dardiado solution; equal parts chlorhexidine peroxide normal saline solution
Subject: s/l dardiado solution; equal parts chlorhexidine peroxide normal saline solution


D5 - the abbreviation for dextrose (glucose) given in a 5 percent normal saline solution. nm
Subject: D5 - the abbreviation for dextrose (glucose) given in a 5 percent normal saline solution. nm


normal saline with Hibiclens? sm
Subject: normal saline with Hibiclens? sm

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peripheral IV, normal saline and s/l KVL nm
Subject: peripheral IV, normal saline and s/l KVL nm


IV fluids with D5 1/4 normal saline with s/l
Subject: IV fluids with D5 1/4 normal saline with s/l

10 KCL per liter at 50 an hour?   and please what is the correct way to write D5 1/4 ?


Thanks


D5 quarter-normal saline
Subject: D5 quarter-normal saline


lab tests are not capitalized. 0.5 L normal saline nm
Subject: lab tests are not capitalized. 0.5 L normal saline nm

x
normal saline with 20 k/liter over approximately a 2-3 hour period.
Subject: normal saline with 20 k/liter over approximately a 2-3 hour period.

normal saline with 20 k/liter over approximately a 2-3 hour period.


wound irrigated using normal saline with a s/l septo bulb
Subject: wound irrigated using normal saline with a s/l septo bulb

Thanks.
no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Subject: limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m


antibiotic solution and saline? nm
Subject: antibiotic solution and saline? nm


He is probably saying "heparinized saline solution" which would be correct for what you are do
Subject: He is probably saying "heparinized saline solution" which would be correct for what you are doing


Yes, a normal way they
Subject: Yes, a normal way they

Perhaps meaning borderline enlarged, but not to that point yet.
S1 and S2 normal, no S3, no S4
Subject: S1 and S2 normal, no S3, no S4

this is what they usually say - might say S3 split or S3 or S4 blowing systolic murmur
Normal?
Subject: Normal?

Best to give sentence here, but could he be saying normal rectal exam.
Could it be normal?
Subject: Could it be normal?

as in soft options of a normal diet, or even maybe 'normal or soft'
AST, ALT, GGT normal. sm
Subject: AST, ALT, GGT normal. sm

s/l alkalne isophosphatase enzymes have not been done. TIA
Normal GI -----? nm
Subject: Normal GI -----? nm


Yes, it's normal, I think :-) nm
Subject: Yes, it's normal, I think :-) nm


CVA is normal?
Subject: CVA is normal?

This is in regards to an elevated hematocrit. The doctor states there is no sign of bleeding and then says what sounds like the "CVA" or something DA -all I can tell is that it seems to end in D, KCDA?  Is normal, so that is encouraging as well. There is page turning going on that makes it impossible to hear properly! 


ESR can be 0-30 to be normal. nm
Subject: ESR can be 0-30 to be normal. nm


Actually, a 38 would be more normal on my research. nm
Subject: Actually, a 38 would be more normal on my research. nm

s
ESL~~~S/L left t's were normal
Subject: ESL~~~S/L left t's were normal

Her electrolytes showed that she was hypokalemia with potassium of 3.3, and her sugar was 40. *** were normal~~~I just can't make it out.  S/L left t's were normal any suggestions?  thank you all!!


Could be CPK and isoenzymes were normal. nm
Subject: Could be CPK and isoenzymes were normal. nm


Neither. I take it, and all my lab work is normal.
Subject: Neither. I take it, and all my lab work is normal.

I am taking it to shrink my thyroid which is enlarged.
normal lab values
Subject: normal lab values

That's really nice that you took time to list several options for me!  Thanks!
situation normal, all ------ up
Subject: situation normal, all ------ up


lipase normal? nm
Subject: lipase normal? nm


normal fimbria seen
Subject: normal fimbria seen


CPH MB normal values: less than 3%-5%
Subject: CPH MB normal values: less than 3%-5%


Normal AST and ALT levels.........
Subject: Normal AST and ALT levels.........

From Google:

What are normal levels of AST and ALT?

The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum.

The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood).




Normal 10-66 but could be elevated in CKD.nm
Subject: Normal 10-66 but could be elevated in CKD.nm

nm
phallus normal? nm
Subject: phallus normal? nm

xxx
possibly..."(the) normal"..??
Subject: possibly..."(the) normal"..??

.
MM normal phenotype?
Subject: MM normal phenotype?

Does anyone know what this refers to? Is it MM or MN? 
would assume not normal
Subject: would assume not normal

not chronic for him, or something he doesn't normally show on his EKG. Sorry, probably has an accent, I assume.
Normal levels of CPK
Subject: Normal levels of CPK

are 38-174 units/L, so probably would be 13.91.
s/l GU: normal micterishid?
Subject: s/l GU: normal micterishid?

In the review of systems, the doc says "GU: normal micterishid? Has not noted any lumps in testicles..........."


Does this sound like anything real?


Thanks,


Abby


EKG sl normal brain?
Subject: EKG sl normal brain?

Her repeat EKG showed some atrial flutter.  She had small vessel ischemic changes, significant atrophy but the normal brain otherwise without mass, acute infarct or hemorrhage.


Any ideas?


Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm


probably normal LV function
Subject: probably normal LV function

meaning left ventricular
normal A and BUAs
Subject: normal A and BUAs

On examination of the neck, dictator says what s/l "Normal A and BUAs are present in the supine position."  Any ideas?