Protocol type for Coumadin
Posted By: gerise on 2008-07-16
In Reply to:
Subject: Protocol type for Coumadin
I have a dictator that is saying what sounds like Coumadin per "joint X" protocol... I cannot find this anywhere, but I may be hearing it incorrectly. If anyone has any ideas, I'd appreciate it.
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a type of protocol?
Subject: a type of protocol?
Here is the paragraph...
"She underwent a biopsy and pathology confirmed a non-Hodgkin lymphoma with diffuse histiocytic features. She was staged as a IIIB and was placed on a ___ protocol with CHOP/Rituxan. She underwent three cycles total per her description. "
It sounds like "swave" or "swab" protocol...any ideas???
Thanks everyone!!!
guessing "two more dose" protocol, or even "tumor dose" protocol. sm
Subject: guessing "two more dose" protocol, or even "tumor dose" protocol. sm
If either one ties in with the patient's history, etc.
Coumadin
She is somewhat concerned that her Coumadin is having a difficulty to managing it.
sentence doesn't make sense. Please Hellpppp!
Coumadin maybe
Subject: Coumadin maybe
Coumadin? nm
Subject: Coumadin? nm
coumadin
Subject: coumadin
Discharge medications...sounds like coumadin 30.5 mg p.o. q.h.s. I cannot find coumadin available in that dosage, is it possible to get coumadin in that amount? thanks!
Coumadin?
Subject: Coumadin?
Could she be referring to coumadin?
Subject: Could she be referring to coumadin?
I noticed the patient was on 5 mg of coumadin on the last progress note. Do you think she may be referring to coumadin?
Could be Coumadin, could be warfarin. Would
Subject: Could be Coumadin, could be warfarin. Would
x
sorry, that's for coumadin, can you hear PTT-LA?...nm
Subject: sorry, that's for coumadin, can you hear PTT-LA?...nm
x
Coumadin therapy w/DDT?
Subject: Coumadin therapy w/DDT?
Patient is a follow-up on Coumadin therapy with (DDT?) Is this correct? Sounds like it but can't find anything on that really except pesticide. help!
We would like to use an imidazole on this, however she is on Coumadin and that would probably ~sm~
Subject: We would like to use an imidazole on this, however she is on Coumadin and that would probably ~sm~
cause her INR to skyrocket.
Looks like Tina may have hit it, but if not, possibility of Coumadin? nm
Subject: Looks like Tina may have hit it, but if not, possibility of Coumadin? nm
,,
Could be "enoxaparin (Lovenox)" and Coumadin
Subject: Could be "enoxaparin (Lovenox)" and Coumadin
that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
Subject: that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
of himself about doing an INR level to make sure the Coumadin is therapeutic, not too much and not to little. The INR level should be between 2-3 for most labs. Sounds like he meant to say Coumadin, and may later on in the dictation talk about getting an INR level. Hope this helps!
any help? Doc will decide to *desee* her Coumadin if there is improvement. thanks! nm
Subject: any help? Doc will decide to *desee* her Coumadin if there is improvement. thanks! nm
No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
Subject: No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
I THINK I SHOULD FLAG!
his Coumadin be held s/l transilay prior to this
Subject: his Coumadin be held s/l transilay prior to this
nt
Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time
Subject: Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time.
:-)
does not give. Listed with other meds Coumadin, metoprolol, Lasix, Synthroid, calcon, potassium. nm
Subject: does not give. Listed with other meds Coumadin, metoprolol, Lasix, Synthroid, calcon, potassium. nm
nm
BSA protocol
Subject: BSA protocol
Anyone ever heard what s/l heparin BSA protocol? Thanks
s/l Tek protocol
Subject: s/l Tek protocol
I am on a new account and haven't typed ERs for a while. The patient cut her finger and needs sutures. The doc says "the wound was cleansed by ____ protocol." S/l Tek protocol. TIA.
SER Protocol
Subject: SER Protocol
MRI per acute SER?? protocol (has confusion, etc)
Is this the name of a protocol or is he just
Subject: Is this the name of a protocol or is he just
saying there is a T2 axial spur???
could it be ICU protocol?, nm
Subject: could it be ICU protocol?, nm
protocol therapy
Subject: protocol therapy
Multiple myeloma has standard/protocol/regimen therapy.
SL CITRA Protocol
Subject: SL CITRA Protocol
Sentence: He underwent (S/L) CITRA protocol with his family at the bedside. (The patient was dying).
TIA
cancer protocol...sm
Subject: cancer protocol...sm
Patient is on an antigenic study (which has now been closed) and is prepared to receive her first injection under compassion use protocol.
Does this sentence make any sense?
Gucci protocol
Subject: Gucci protocol
See if you hear Bruce protocol.
Bruce protocol
Subject: Bruce protocol
Example: The patient exercised 9 minutes through stage 3 of standard Bruce protocol, achieving 10.1 METS.
Burkitt's Protocol
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may be a late post - first one could be Burkitt's protocol second one may be L3 I am not sure
SCIP protocol
Subject: SCIP protocol
Has anyone ever heard of SCIP or SKIP protocol? This is a surgeon talking about prophylactic antibiotics. I have found on the internet SCIP protocol for skin care intervention program but am not sure if this is reliable info. Does anyone know what this is and have a source to back it up?
s/l chent protocol
Subject: s/l chent protocol
a patient with coronary artery disease and stent placements.
Sentence: The patient currently is on s/l chent protocol with the exception of fish oil, which we can add at 1 g p.o. daily.
(his medications are aspirin 81 mg p.o. daily; lansoprazole, unknown dose; atenolol, unknown dose; amlodipine, unknown dose; atorvastatin, unknown dose; clopidrogel 75 mg p.o. daily)
Performance protocol
Subject: Performance protocol
Have you heard of Alimta poor performance protocol?
Vordemarch protocol
Subject: Vordemarch protocol
Sounds like treating hypothyroidism by Vordemarch protocol (it is partially inaudible)!
Thanks in advance!
MONA protocol?
Subject: MONA protocol?
Troponin was 2.8 on admission, but, throughout the admission, that number was trending down. The patient was started on s/l MONA protocol, and also heparin drip until Cardiology had a chance to see him.
P-protocol CT - is this correct?
Subject: P-protocol CT - is this correct?
The patient had incidental finding of a 12 mm nodule in the right middle lobe during a P-protocol CT.
There is a Bruce protocol.
Subject: There is a Bruce protocol.
Help needed with ED protocol, several s/l
Subject: Help needed with ED protocol, several s/l
Patient had left lower quadrant pain. On arrival to emergency department, his blood pressure was in the 60s. They started with s/l sepsis protocol, s/l with sats decreased, improved on a s/l fullsent mask.
alcohol protocol
Subject: alcohol protocol
doc is saying "Concerning the patient’s alcohol use, the patient will be put on a s/l Was/Weiss/Wise protocol with Ativan for high Was/Weiss/Wise score."
IV s/l MM in the anti-MAG protocol
Subject: IV s/l MM in the anti-MAG protocol
n/t
SKIP protocol?
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General endotracheal anesthesia was induced after a s/l SKIP protocol was instituted.
s/l Adenowatt protocol
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Doctor dictating adenosine stress test - says "using Adenowatt? protocol" TIA
Chest CT/PE protocol
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s/l he is saying "int-stull" images of the upper abdomen show no abnormality.....
SCIP protocol - sm.
Subject: SCIP protocol - sm.
SCIP protocol = surgical care improvement project. Hope this helps you! :)
MI rule out protocol
Subject: MI rule out protocol
s/l Motibi protocol. I know I have heard it, and it hidden away in my brain somewhere. Thanks for the help!
stoop? protocol
Subject: stoop? protocol
and everyone was in agreement that she should proceed with concomitant irradiation and Temodar. (This was the standard "STOOP" protocol.)
Sounds like "stoop" but I'm not confirming that anywhere...any ideas????
Thanks!!!
s/l Keelor protocol . . .
Subject: s/l Keelor protocol . . .
The patient had a myocardial infarction and was treated with the "Keelor" protocol including aspirin, Plavix, Lovenox, and beta-blocker therapy.
CIWA protocol?
Subject: CIWA protocol?
clinical institute withdrawal assessment
http://www.mtstars.com/w-1,clinical_institute_withdrawal_assessment_(CIWA)_protocol_nm,19298.html
Tice protocol ?
Subject: Tice protocol ?
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What is correct protocol for this? s/m
Subject: What is correct protocol for this? s/m
In PMH doc says the patient is an alcoholic currently in rehab, then in Social History docs says the patient is not a drinker.
(BTW, I blanked both and put "contradictory"). It was filled back in as dictated. Which is correct?
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