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Pt in for chronic headache and history of high-risk s/l "rab mya fene" with morphine. nm

Posted By: grace on 2009-03-26
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Subject: Pt in for chronic headache and history of high-risk s/l "rab mya fene" with morphine. nm




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they also do a high-risk lipid profile for SM
Subject: they also do a high-risk lipid profile for SM

metabolic syndrome ??
Here for a repeat pap for ASCUS, high risk S/L ASPD. nm TIA
Subject: Here for a repeat pap for ASCUS, high risk S/L ASPD. nm TIA


Loss of appetite in high-risk context.
Subject: Loss of appetite in high-risk context.


MRI of the brain, given that he is at high risk for s/l bactor events. sm
Subject: MRI of the brain, given that he is at high risk for s/l bactor events. sm

Pt with vertigo/dizziness, diabetes, and CABG.  Further workup will include an MRI of the brain to rule out any brainstem ischemic disease, given that he is at high risk for __ events. 
Have headache need help quickly. Eyes s/l archasinillis. How do I type history of triple A repair?
Subject: Have headache need help quickly. Eyes s/l archasinillis. How do I type history of triple A repair?


chronic chronic chronic! Good grief.
Subject: chronic chronic chronic! Good grief.


med for chronic myalgia/chronic arthritis
Subject: med for chronic myalgia/chronic arthritis

s/l  tow-ga-lax CR.  It is prescribed for chronic myalgia and chronic arthritis
IV morphine dosage
Subject: IV morphine dosage

The RN dicatates the dosage as 20/k at 84 cc/hour.  Is this how I properly transcribe it and does that mean 20 mg per kg? 
iv morphine dosage
Subject: iv morphine dosage

maybe she is saying 20 migs (for mg) per hour at 84/cc/hour. Is this a pedi patient?
iv morphine dosage
Subject: iv morphine dosage

maybe she is saying 20 migs (for mg) per hour at 84/cc/hour. Is this a pedi patient?
one of those days - says given morphine 4 mg with
Subject: one of those days - says given morphine 4 mg with

s/l "repeatis" or "a pitus" bolus - not sure if he's stumbling and means "repeated" bolus (not sure that makes sense, either) - any ideas?
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
would they give morphine for pain plus s/l PPD??
Subject: would they give morphine for pain plus s/l PPD??


Para morphine sulfate?
Subject: Para morphine sulfate?

Has anyone heard of this?  TIA
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


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


S/l "six-mono-asteo" morphine?
Subject: S/l "six-mono-asteo" morphine?

The patient was found unconscious and brought to the hospital:

"She was positive for opiates on her screen and negative for (s/l six-mono-asteo) morphine. She had an elevated QTC and an elevated amitriptyline level"

Thanks in advance for any help
For one and for all, is it high power field or high powered field?? Also the hypen thing...
Subject: For one and for all, is it high power field or high powered field?? Also the hypen thing...

I spent a load of money getting trained for MT and I STILL  am not sure about this.  What do the experienced MTs think??
pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine
Subject: pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine


found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)
Subject: found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)

x
Dr says "OXYMORPH??? (not oxymorphine) which is equivalent to sustained release morphine sulfate
Subject: Dr says "OXYMORPH??? (not oxymorphine) which is equivalent to sustained release morphine sulfate

NM
per high power field OR per high powered field.
Subject: per high power field OR per high powered field.


Risk
Subject: Risk

The risk of surgery, olecranon bursectomy, could be a pulmonary embolism.
Maybe low risk?
Subject: Maybe low risk?


risk stratisfy?
Subject: risk stratisfy?

It has been 3 years since his last stent. The pt has coronary artery disease. He is not very active. Doctor is recommending an exercise MIBI to s/l ris-trat-is-fy him.


risk stratisfy?


CVA as a risk of low platelets?
Subject: CVA as a risk of low platelets?

Could doc have repeated the word "of" ?
sorry risk stratify....
Subject: sorry risk stratify....


risk/benefit or risk-benefit
Subject: risk/benefit or risk-benefit

No numbers, just those words.


risk-benefit ration or risk/benefit ratio?


At the risk of contradiction.. ;-)
Subject: At the risk of contradiction.. ;-)

Curette just a variant of curet.
Seems to be an organization for at-risk youth. sm
Subject: Seems to be an organization for at-risk youth. sm

See link. Bet this is it. Never heard of it either!


 


http://www.anasazi.org/


Possible risk management issue
Subject: Possible risk management issue

I think the proper form would be to type it verbatim and then flag the report for possible risk management.
can you hear risk stratisfy?
Subject: can you hear risk stratisfy?


Found it - Gail risk
Subject: Found it - Gail risk


Pt at risk for cva with factors including sm
Subject: Pt at risk for cva with factors including sm

age, s/l atria of hypertension. TIA
you could use risk:benefit ratio
Subject: you could use risk:benefit ratio

a ratio is usually used with a colon to separate, like 1:40 or risk:benefit ratio....though a hyphen would also work there, risk-benefit ratio


 


Risk Complication Sheet?
Subject: Risk Complication Sheet?

Is it the ASP or ASPR Risk Complication Sheet?
okay, at the risk of sounding like an idiot, I have to
Subject: okay, at the risk of sounding like an idiot, I have to

ask - what's "IMO" ??
TIMI risk score probably. NM
Subject: TIMI risk score probably. NM

xx
Estrict? rx for headache
s/l Estrict??
just another word for headache nm
Subject: just another word for headache nm


V


Fioricet 1-2 q.4-6h. p.r.n. headache.
Subject: Fioricet 1-2 q.4-6h. p.r.n. headache.


med for headache and sleep s/l
Subject: med for headache and sleep s/l

Will try s/l des-er-row in the evenings to help with headaches and sleep.


Thanks a bunch


 


headache medicine help, please sm.
Subject: headache medicine help, please sm.

She states that she has tried multiple medicines over the last year or two in reference to her headaches.  She has tried different triptans including Maxalt and Imitrex, none of which work.  She states Midrin works minimally, but the medicine that works the best is "her or-go-to-meen." 


Headache medication help
Subject: Headache medication help

Chronic headaches.  Stable.  We are going to continue with s/l ez-trek or az-trick?  Any clues anyone?  Unfortunately there is a lot of background noise going on.  Thanks in advance.
cephalalgia-headache
Subject: cephalalgia-headache


he's giving me a headache! nm
Subject: he's giving me a headache! nm

x
given for Migraine headache
Subject: given for Migraine headache


plus/minus headache--I think
Subject: plus/minus headache--I think

Doc is dictating intake report and says the patient has "some s/l plus/minus headache along with weakness."  Is there such a thing as a plus/minus headache?  If so, how would I type it? Please help as all my QA editors seem to be having PMS or a midlife crisis and I'd like to avoid sending this one in :-)


s/l postcordal? headache
Subject: s/l postcordal? headache

ASSESSMENT:  1.      Postcordal headache which has decreased in intensity, although she is still having tension headache during sex.


or it could be for headache prophylaxis...
Subject: or it could be for headache prophylaxis...


re: holosystolic headache
Subject: re: holosystolic headache

it is a holocephalgic headache