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Patient given GI cocktail s/l "Green frog" in the Emergency Department. TIA. nm

Posted By: babs on 2005-10-20
In Reply to:

Subject: Patient given GI cocktail s/l "Green frog" in the Emergency Department. TIA. nm

nm


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"Ortho RICE" -- from an emergency department nurse practitioner
Subject: "Ortho RICE" -- from an emergency department nurse practitioner

very annoying young woman who says in her "Plan": ortho RICE ... I've googled but I can't find this as an "entity" -- I know was RICE is -- but usually she has not mentioned any form of "compression", so in my irritation I've just been leaving it at RICE ... would you spell it out or leave abbreviated? Ditto BRAT diet which can be banana, rice, apple sauce/apple juice + tea/toast so I leave it at BRAT. 


a frog?
Subject: a frog?

The patient had trauma to his left fifth digit on his hand.  The doctor stated that they will place a frog to stablilize and protect it!
Yep. Frog splints. See ref. sm
Subject: Yep. Frog splints. See ref. sm

Also ref for that Stax splint which everyone wants to spell stack splint!!


 


Old ortho here!!!


 


http://www.dalcointernational.com/Dalco_Splints.html


It's gig 'em, a term denoting frog hunting and is accompanied
Subject: It's gig 'em, a term denoting frog hunting and is accompanied

by a thumbs up sign. This supposedly came into being in 1930 when the Aggies played the TCU Horned Frogs, then a nationally ranked team, and an Aggie member said "What are we going to do with these Frogs? Gig 'em!"
Parsons' cocktail. See inside.
Subject: Parsons' cocktail. See inside.


Heparin cocktail with alkalinized lidocaine — C. Lowell Parsons, MDHeparin sulphate 40,000 IU


Lidocaine 2% 8 mL


Sodium bicarbonate 8.4% 3 mL


To reach a total fluid volume of 15 mL


Administration:


May be given up to twice daily. Patients can be taught to self-administer. Should be


held in the bladder for 15-30 minutes or as long as the patient is comfortable. It is the


sodium bicarbonate that allows the solution to give instant relief. See Successful downregulation


of bladder sensory nerves with combination of heparin and alkalinized


lidocaine in patients with interstitial cystitis. Parsons CL. Urology 65 (1), 2005 45-48.


some sort of cocktail for prostate cancer
Subject: some sort of cocktail for prostate cancer

I believe this is a cocktail created by this dictating physican, and he says it contains s/l genastine, selenium, and lycopene.  I can't seem to grasp that first word.  Any ideas, anyone?
some sort of cocktail for prostate cancer
Subject: some sort of cocktail for prostate cancer

Thank you for trying, mdlfcrs. I appreciate it very much!
Gillespie cocktail for interstitial cystitis
Subject: Gillespie cocktail for interstitial cystitis

can't find anything on this.  wanted to make sure I'm spelling/hearing it correctly!


Thanks in advance!


That must be it. It was given at ER - so a cocktail of meds makes sense.
Subject: That must be it. It was given at ER - so a cocktail of meds makes sense.


ALS Emergency Services
Subject: ALS Emergency Services

Advanced Life Support Emergency Services?
I can find a DMSO cocktail used for IC treatment. Experimental uses
Subject: I can find a DMSO cocktail used for IC treatment. Experimental uses

s
department?
Subject: department?

The infant's cardiopulmonary monitoring was done in s/l IMC. 


isn't it redundant to say emergency stat
Subject: isn't it redundant to say emergency stat

x
Emergency room note ...
Subject: Emergency room note ...

Emergency room note:  "The patient received an IV sandwich en route ..."  ????  Can't find anything like this ... help! 
Emergency air transport term
Subject: Emergency air transport term

s/l air-macked.

How dumb, I don't know how to spell this slang term.
admitted on an emergency basis??
Subject: admitted on an emergency basis??

Can you hear that?
BOS department capitalization
Subject: BOS department capitalization

Can anyone tell me what BOS says about capitalization of medical departments. i.e. She will be seen in cardiology next week.
Should Anesthesia Department
Subject: Should Anesthesia Department

have the first letter of each word capitalized...or not?
..for example, or Mercy Hospital Emergency Room. Totally
Subject: ..for example, or Mercy Hospital Emergency Room. Totally

s
is there a CDICU in the hospital, a department maybe
Subject: is there a CDICU in the hospital, a department maybe


oops wrong department!
Subject: oops wrong department!


Probably short for a department in that particular facility, may Admitting? You'll need to ask. n
Subject: Probably short for a department in that particular facility, may Admitting? You'll need to ask. nm

s
A Baker Act is a means of providing individuals with emergency services and temporary detention...
Subject: A Baker Act is a means of providing individuals with emergency services and temporary detention...


in general sentence, not capitalize; if stating a specific department,
Subject: in general sentence, not capitalize; if stating a specific department,

nm
these would be lower case correct? orthopedic department of the medial school.
Subject: these would be lower case correct? orthopedic department of the medial school.

perhaps a trip to the orthopedic department at the medical school would help him find somebody that could advise him regarding this approach.
Hospital department ICAR: What is the correct expansion for ICAR?
Subject: Hospital department ICAR: What is the correct expansion for ICAR?

x
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls

Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it


same doc. same patient
Subject: same doc. same patient

the lesion was vascular in natureand most likely _____ malformation.


S/L avio-lymphatic


HIV patient. Please sm.
Subject: HIV patient. Please sm.

Doc is dictating a test in relationship to patient's HIV.  He states s/l "firal row"is negative and T-cell count has actually risen since last visit.


Thanks for any/all help! 


do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and

if not, what is the chief complaint?
new patient
Subject: new patient

On a new patient is this how it should be put?  the doctor says it with chief complaint~~~~CHIEF COMPLAINT:  New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm

x
cc: the patient
Subject: cc: the patient

then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.

What is the patient's dx? nm
Subject: What is the patient's dx? nm


Are you sure the patient isn't
Subject: Are you sure the patient isn't

very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?


The patient has a ... (sm)
Subject: The patient has a ... (sm)

. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm.  I thought it might be *splint*, but it really does not sound like that. Any idea?


Thanks, Melissa


Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????

POing??? or just change to eating?  It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient

in the hospital for? Main symptoms? Specialist seeing the patient?


Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm

I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or

Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...

correct!!!  THANK YOU!!!!!!
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)

nm
Patient with AML,
Subject: Patient with AML,

Sentence reads:  We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets".  Any ideas?  TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm

only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.

Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.

It is definitely some sort of ventilator.