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Maybe an anesthetic reaction? Dulling of sensation? nm

Posted By: wanderer on 2007-10-07
In Reply to: akasthetic? - hiya

Subject: Maybe an anesthetic reaction? Dulling of sensation? nm

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how about anesthetic? nm
Subject: how about anesthetic? nm

//
Maybe anesthetic ?
Subject: Maybe anesthetic ?


a local anesthetic?
Subject: a local anesthetic?

Coulld it be bupivicaine?
Topical anesthetic...sm
Subject: Topical anesthetic...sm

S/l she is saying topical (let gel).  This is used on a 2-year-old for a laceration of the lip to help with superficial numbing. 


 


Thanks.


Dental anesthetic
Subject: Dental anesthetic

The patient received 2 s/l mepracain and epinephrine
Here are some anesthetic meds for you. sm
Subject: Here are some anesthetic meds for you. sm

etomidate, ketamine, propofol,


morphine, meperidine (Demerol), fentanyl, sufentanil, alfentanil and remifentanil


diazepam (Valium), lorazepam, and midazolam (Versed).


 


I sort of scanned this site etc and copied some of them.


 


http://anesthesiologyinfo.com/articles/01072002.php


 


 


 


anesthetic phase. Thank you.
Subject: anesthetic phase. Thank you.


I have heard of epicardial anesthetic so...sm
Subject: I have heard of epicardial anesthetic so...sm

I could see there being an epicardiac anesthesia. I wonder.
OB/GYN - s/o sidwell reaction?
Subject: OB/GYN - s/o sidwell reaction?

Ruptured ectopic; needs to have D&C to avoid postop bleeding from s/l "sidwell reaction."  ESL doctor says this phrase a few times but I can't get it for the life of me!  TIA.


Allergic reaction.
Subject: Allergic reaction.

This patient is allergic to sounds like serapies or curapies?  Any ideas?
serious allergic reaction???
Subject: serious allergic reaction???

Could it be?
it was serotonergic reaction per QA. nm
Subject: it was serotonergic reaction per QA. nm


s/l aerocipolous reaction....sm
Subject: s/l aerocipolous reaction....sm

He has a large area that is pink that is going up over his hip and onto the buttock.  There is not a lot of induration and it doesn’t look like an (s/l aerocipolous) type reaction.      


 


TIA 


Spartal reaction?
Subject: Spartal reaction?

There is no signs of excessive "spartal" reaction?
found articaine anesthetic spray. nm
Subject: found articaine anesthetic spray. nm

ks
?Xylocaine anesthetic, prepped and draped
Subject: ?Xylocaine anesthetic, prepped and draped


Can't think, sound like Nalbuphine or Nubain? Pre-anesthetic NM
Subject: Can't think, sound like Nalbuphine or Nubain? Pre-anesthetic NM

nm
maybe "Uricalm" - topical urethral anesthetic
Subject: maybe "Uricalm" - topical urethral anesthetic


Decidual reaction - found it
Subject: Decidual reaction - found it

xx
s/l affected grief reaction?
Subject: s/l affected grief reaction?

CHIEF COMPLAINT:  My sister-in-law is dying, and I need a note for work


ASSESSMENT:  (s/l affected) grief reaction, secondary to the situation.  I have given a note to the patient to allow him to be out of work until Monday, April 10. 


Need help.  THanks.


impacted grief reaction? sm
Subject: impacted grief reaction? sm

As per Sted's Psych. Or distorted/inhibited/prolonged/traumatic/unresolved are some others.
affective grief reaction
Subject: affective grief reaction

x
. Allergic reaction to s/l elsparginace.
Subject: . Allergic reaction to s/l elsparginace.

nm
What kind of reaction does this yield? nm
Subject: What kind of reaction does this yield? nm

s
s/l sertz anergic reaction
Subject: s/l sertz anergic reaction

The patient tried to increase her Lexapro 2 weeks ago but had a significant s/l sertz anergic reaction?


Rhinoplasty. Local anesthetic was administered to the areas....sm
Subject: Rhinoplasty. Local anesthetic was administered to the areas....sm

10 minutes of time was allowed to elapse before beginning the procedure. The area of the s/l bray cee a was removed with bacitracin. Can't figure this out!
s/l cevofluorine, a mask anesthetic given for a dental procedure
Subject: s/l cevofluorine, a mask anesthetic given for a dental procedure

nm
tetraphine hydrochloride ophthalmic solution 0.5% for anesthetic
Subject: tetraphine hydrochloride ophthalmic solution 0.5% for anesthetic

Can't find S/L tetraphine anywhere.
Cadaveric renal transplant, ?anesthetic. See message
Subject: Cadaveric renal transplant, ?anesthetic. See message

s/l she's saying he was "induced with HEG and received a total of 6 mg/kg."  ESL doc.  Could be HCG, ACG, AGG or something else entirely. I can't find anything in my books or online. 
I hadf ound that, but it is a topical anesthetic-sent in with a blank
Subject: I hadf ound that, but it is a topical anesthetic-sent in with a blank


She has had an allergic reaction to sulfanureas in the past
Subject: She has had an allergic reaction to sulfanureas in the past


since it is a serious drug reaction, I would leave a blank. (nm)
Subject: since it is a serious drug reaction, I would leave a blank. (nm)


Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm
Subject: Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm


skin reaction, itching, using Benadryl as well
Subject: skin reaction, itching, using Benadryl as well

Thanks!
Sensation ?
Subject: Sensation ?


? sensation
Subject: ? sensation


? sensation
Subject: ? sensation


LAT (lidocaine, adrenaline, tetracaine) or LET (same w/epinephrine) topical anesthetic (nm)
Subject: LAT (lidocaine, adrenaline, tetracaine) or LET (same w/epinephrine) topical anesthetic (nm)

x
urticaria (hives) sometimes sign of allergic reaction. sm
Subject: urticaria (hives) sometimes sign of allergic reaction. sm

urticaria


ercti-karci-^



An eruption of itching wheals, usually of systemic origin; it may be due to a state of hypersensitivity to foods or drugs, foci of infection, physical agents (heat, cold, light, friction), or psychic stimuli. Syn: hives (1), urtication (2).


pin prick sensation.
Subject: pin prick sensation.

We also checked 2 point and 1 point pin sensation discrimination and this was intact.   (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)


Usually a *fluttering* sensation. (nm)
Subject: Usually a *fluttering* sensation. (nm)

x
discomfortable sensation?
Subject: discomfortable sensation?

xx
gross sensation? sm
Subject: gross sensation? sm

PDF]

RN.com’s Assessment Series: Focused Neurological Assessment


File Format: PDF/Adobe Acrobat - View as HTML
Next, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...

gas/gaseous sensation?
Subject: gas/gaseous sensation?

.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm

s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception." 


Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.

is how I would do it.
pinprick sensation #1...patchiness #2....
Subject: pinprick sensation #1...patchiness #2....

but it's pinprick sensation (with a k)....*S*


not passiveness - rather patchiness.....


so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may

s
hypesthesia (loss of sensation)?
Subject: hypesthesia (loss of sensation)?


sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)

.
dr says s/l "grass" sensation while yawning
Subject: dr says s/l "grass" sensation while yawning

The working diagnosis at this point in time is paresthesias of the right thigh.

There is a s/l grass or glass sensation to light touch on the anterior and anteromedial aspect of the right thigh from the suprapatellar region to the proximal thigh region.