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Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm

Posted By: tracy on 2007-08-30
In Reply to:

Subject: Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm




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one more try Albuterol s/l sero-forum to Albuterol inhaler thanks
Subject: one more try Albuterol s/l sero-forum to Albuterol inhaler thanks


me again, could it be Albuterol serum form to Albuterol inhaler?
Subject: me again, could it be Albuterol serum form to Albuterol inhaler?


Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm
Subject: Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm


albuterol inhaler
Subject: albuterol inhaler


s/l seer-a-form-in albuterol inhaler
Subject: s/l seer-a-form-in albuterol inhaler

Is there such an inhaler as a s/l seer-a-form-in albuterol inhaler?


Thanks


theres a med called "Proair" its albuterol inhaler.
Subject: theres a med called "Proair" its albuterol inhaler.

is this patient in hospital...where is this listed at in the dictation?
We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.
Subject: We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.


So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm
Subject: So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm

then what in the H**l am I doing wrong. I just did 1 1/2 hours of dictation with 1350 line count and it took me like 12 hours. I did 4 hours last night uninterrupted. the rest this morning with little interruptions from my child (dh was home) and a couple breaks and lunch.

I thought 1350 lines were supposed to be full time work. That is what I have been hearing from so many people.

Now I am confused and really feeling like a failure as an MT. Maybe this is not my profession!
Drug s/l Fentonel HFA two puffs q4h PRN. Thanks
Subject: Drug s/l Fentonel HFA two puffs q4h PRN. Thanks


I think puffs would be a correct term there. sm
Subject: I think puffs would be a correct term there. sm

There are puffs as in like oat puffs or Cheetos puffs, etc that make good finger foods for infants.
All I could think of was cereal puffs but wasn't sure if there was a name brand infant food.
Subject: All I could think of was cereal puffs but wasn't sure if there was a name brand infant food.


PT/NOT ordered
Subject: PT/NOT ordered

For a patient who had back surgery and then came back with severe leg spasms. She was treated with IV Ancef, IV fluids at 80 and IM Toradol every 6 hours.  She was on a PCA, which was later stopped and changed to oral medication.  She received IV Decadron x 1 for the spasms, IV Pepcid x 1 and PT/NOT was ordered. 


What would the PT/NOT stand for? 


yes if it was ordered stat
Subject: yes if it was ordered stat


The UA was not obatined per s/l CAP, which was ordered.
Subject: The UA was not obatined per s/l CAP, which was ordered.

Have not heard of this one.  Suggestions?
Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

I talked with the patient and I will order the CA-125, CEA and ____ (s/l Alasa)  to rule out any problems.


Pt worried about having cancer and wanted tests ordered. 


TIA


 


Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

PSA???

male/female?
Maybe pending as in ordered, but not yet performed?
Subject: Maybe pending as in ordered, but not yet performed?


is there a lactic acid dyestat? says it was ordered and was 1.54
Subject: is there a lactic acid dyestat? says it was ordered and was 1.54


lupus screen with ANA and s/l antha? DNA was ordered
Subject: lupus screen with ANA and s/l antha? DNA was ordered


s/l night pride and Esmolol were ordered nm
Subject: s/l night pride and Esmolol were ordered nm

nm
Pt with restless leg syndrome. Lab work ordered. sm
Subject: Pt with restless leg syndrome. Lab work ordered. sm

Serum protein electrophoresis normal, ANA negative, _______ ??? vasculity is negative.
iron repletion, "once a day" as ordered?
Subject: iron repletion, "once a day" as ordered?


Albuterol
Subject: Albuterol

Could be saying albuterol unit dose, Proventil  HFA inhaler which is albuterol.  
Albuterol SVN with s/l GPT....
Subject: Albuterol SVN with s/l GPT....

x
Albuterol?
Subject: Albuterol?


albuterol SVN?
Subject: albuterol SVN?

This is for an 8 month old with pneumonia.  Is it albuterol SVN? That does not seem right and is not familar to me. 
Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
Subject: Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered

NM
q.4 hours
Subject: q.4 hours

You should ask your employer about account specifics, but the way I was taught was that if "hours" is dictated, then you should put "hours" and not "h."
8 20 hours ?
Subject: 8 20 hours ?

How do you type that? 0820?
Usually they say albuterol and Atrovent.
Subject: Usually they say albuterol and Atrovent.

Can you hear that?

Please note that albuterol is not capped, but Atrovent is.
Yes it could...and albuterol never capitlized...
Subject: Yes it could...and albuterol never capitlized...


Atrovent and albuterol
Subject: Atrovent and albuterol

Atrovent and albuterol for COPD. There is a drug called Namenda. Does the patient have Alzheimer's?
Proventil and Albuterol??...nm
Subject: Proventil and Albuterol??...nm

x
albuterol/Atrovent?
Subject: albuterol/Atrovent?

xx
albuterol urgent help
Subject: albuterol urgent help

is there something called as leave albuterol given for kids.
albuterol HFA with demrel?
Subject: albuterol HFA with demrel?

Here is the sentence:


Reviewed importance of using spacer and prescription written for albuterol HFA with spacer, sig two puffs q four to six hours with s/l demrel.


a type of albuterol?
Subject: a type of albuterol?

it sounds like she is saying "itrapromium albuterol"... Any ideas???


 


Thanks everyone!!!


Standard would be 24-48 hours from what
Subject: Standard would be 24-48 hours from what

I have done all of these years, but some physicians will allow you more time as long as you are reliable.  It also depends upon whether they use it for billing purposes. 
Just saw your post (hours later) - thanks so much.
Subject: Just saw your post (hours later) - thanks so much.

I will make a note of this site.
0710 hours - the zero goes in.
Subject: 0710 hours - the zero goes in.


0820 hours
Subject: 0820 hours

Military time
0618 hours
Subject: 0618 hours

Military time is based on a 24-hour clock. "06" is 6 a.m. 6 p.m would be 1800 hours. You just add or subtract 12 to the time on the clock after noon to get the p.m. times.

I hope this clarifies. If you have any other questions, plase feel free to ask and I'll try to explain better.
q as in q 4 hours, period or no?
Subject: q as in q 4 hours, period or no?


albuterol comes in solid form as well as --sm
Subject: albuterol comes in solid form as well as --sm

liquid or inhaler form, hence the pieces. I would think that any form of nebulizer medication could be dosed as *pieces*. jmo
yes, they give albuterol before and after the test
Subject: yes, they give albuterol before and after the test

.


There is ProAir HFA which is albuterol. See link.
Subject: There is ProAir HFA which is albuterol. See link.

http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=263990
Is he saying albuterol real fast?
Subject: Is he saying albuterol real fast?

nm
"patient uses ...and albuterol (s/l "mylar 2 not using") sm...
Subject: "patient uses ...and albuterol (s/l "mylar 2 not using") sm...

Patient w/RAD has not needed inhalers or nebulizer since moving. Doc dictates patient's med list and says "and albuterol, parenthesis, S/L MYLAR 2 NOT USING, close parenthesis."

TIA for any ideas on this...
Albuterol 0.5 "millineb"? milineb?
Subject: Albuterol 0.5 "millineb"? milineb?


how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks
Subject: how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks


OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!
Subject: OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!