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

Posted By: tracy on 2008-11-11
In Reply to:

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




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


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.


Sorry, have to vent a little
Subject: Sorry, have to vent a little

I cannot believe the literacy levels of the doctors coming out of medical school these days. I have one doc who doesn't know the difference between "calculus" and "calculi." He uses "calculi" every time, even when there is only one stone.


And another - OMG!! - she uses "nephrolithasis" interchangeably with "calculus" - as in, "There is a nephrolithiasis in the right kidney."


DRIVES ME BATTY!!!!       


Thanks - that's why I come here to vent
Subject: Thanks - that's why I come here to vent

It keeps me (relatively) sane. 
Ś-vent" sheath?? sm

Used in radiofrequency ablation of saphenous vein.  I can hear a "6" but not so sure of the "vent" part.  The "6-vent" sheath was inserted over the guide wire.  Anyone heard of this? 


 


Thanks!


vent asynchrony
Subject: vent asynchrony


S/L ash-er-vent solution
Subject: S/L ash-er-vent solution

We will add an ash-er-vent solution to her Albuterol in hopes that she may have better breathing.


 


Thanks Deborah


Vent setting: 35% s/l T-bar
Subject: Vent setting: 35% s/l T-bar

thanks
could it be vent tube?
Subject: could it be vent tube?


Vent settings?
Subject: Vent settings?


Pulse ox 100% on AC 18/450, 0 of PEEP, 100% FIO2.


Do I have this written correctly?


Small vent
Subject: Small vent

To QA- I understand what verbatim means-you do not need to tell me, and especially not with sarcasm and bossiness.  The word(s) you added were not in the dictation. In other words, what you apparently heard is not what I heard.


Thanks, I feel better.


This should say "six" vent sheath.
don't know why it came out that way in the title.
This should say "six" vent sheath
I think it should say 6 French sheath
Poly-Vent. sm for list.
Subject: Poly-Vent. sm for list.


Guaifenesin and phenylpropanolamine

Pronunciation: gwye FEN e sin/fen ill proe pa NOLE a meen
Brand Names: Ami-Tex LA, Banex-LA, Coldloc-LA, Dayquil Sinus Pressure and Congestion, Despec, Entex LA, Exgest LA, G-Vent, Guaifenex PPA 75, Guaivent, Guiatex LA, Naldecon-EX Pediatric, Nasahist LA, Phentex-LA, Phenylfenesin LA, Poly-Vent, Profen LA, Stamoist LA, Triaminic Expectorant, Vanex-LA

 

---

 

below is a link with a lot of these preps (some of the headings are in Spanish, but the meds are in English etc.

 


 


http://12.42.224.225/Library/HealthGuide/es-us/DrugGuide/SearchResults.asp?letter=G&module_name=DrugGuide


 


 


s/l express-a-vent monitor sm
Subject: s/l express-a-vent monitor sm

patient has atrial fibrillation.  Doc states, we will have an AF s/l ++express a vent++ monitor done.
is it pulmono-arterial vent?
Subject: is it pulmono-arterial vent?

I can't find the "correct" way....


sounds like pulmono arterial


my best guess is pulmono-arterial vent


Echo revealed lf vent. hypertrophy with a s/l 5th
Subject: Echo revealed lf vent. hypertrophy with a s/l 5th

hypertrophy with s/l 5th person ejection fracture???
You're right Omni-Vent inhaler but
Subject: You're right Omni-Vent inhaler but

the other I cannot help you with. Only nasonex comes to mind but does come in mcg.
Omni-Vent is a definite...I told you
Subject: Omni-Vent is a definite...I told you

I was not sure about Nasonex.  Since I have no work until 9 AM and I get up early, I try to help people with only the terminology I know.  Otherwise I do not post.  I'm sorry I could not answer your question of Nasonex, but like I said, that is the only thing that comes to mind.  I looked in my drug books and found nothing other than that.  I looked in my ENT book as it has drugs listed and again nothing.  I have done a lot of research for you, be a little more appreciative.  Sounds like I got up on the wrong side of the bed this morning.  Good luck with your search.  Perhaps someone else can help you and that is your best bet when people start getting on.
I would spell it out, pulmonary arterial vent - sm
Subject: I would spell it out, pulmonary arterial vent - sm

My department would not allow us to use made up words or slang, so I would spell it out as pulmonary arterial vent, or pulmonary artery vent, and I'm not even sure about the vent.  Maybe it should actually be ventilation.  I'd have to see the context.
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?
drug may be Vasotec; not sure where to verify Omni-Vent. nm
Subject: drug may be Vasotec; not sure where to verify Omni-Vent. nm

nm
Sorry..nope...it is so clear and states twice "Buta vent". ??
Subject: Sorry..nope...it is so clear and states twice "Buta vent". ??


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?


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!


med s/l pentinil patch 25 mcg q. 72 hours. sm
Subject: med s/l pentinil patch 25 mcg q. 72 hours. sm

DX: Osteoarthritis, left knee septic arthritis, morbid obesity, hypertension, type 2 diabetes mellitus – uncontrolled, mild hyponatremia, hypokalemia, anemia of chronic disease, gastritis, hypomagnesemia, constipation, migraine headache, hypothyroidism, chronic obstructive pulmonary disease/asthma – oxygen dependent, coronary artery disease, status post coronary artery bypass graft October, 2007, prior GI bleed, appendectomy, cholecystectomy, hysterectomy, and new diagnosis of dementia with delirium and generalized anxiety disorder.
I don't use either anymore - "every 6 hours..."
Subject: I don't use either anymore - "every 6 hours..."


Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.
Subject: Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.


drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)
Subject: drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)


time to type 1.5 hours of dictation..
Subject: time to type 1.5 hours of dictation..

It usually takes me twice the time to transcribe the work.  If the doc is easy and you can go right from one template/document to the next, it should only take you like 4 hours at the most.  10-12 hours is an awful long time.  What kind of interruptions are you getting.
What is the correct way to type "q 4 hours?" I have never typed
Subject: What is the correct way to type "q 4 hours?" I have never typed

 on a verbatim account before and have always typed "every" when I heard "q" unless it was "qhs" and then I typed "at bedtime." Thanks in advance.


I've always written out the word hours
Subject: I've always written out the word hours

if it's dictated.  If it's not dictated as part of the time, I don't add it.  Some dictators will just say *0-8-hundred* and I just transcribe it 0800. 
mph is the correct way to abbreviate miles per hours, however,
Subject: mph is the correct way to abbreviate miles per hours, however,

if that is what he dictates, then I would use mph, or you can also spell it out miles per hour, both are acceptable, sometimes also depends on the client preference.  If you spell it out though, you can get more characters for your line count!
It is q.4 h. - I have to type q.4 hours, client's specific...nm
Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm

nm
Drug s/l biteral 14 mg patch changed every 24 hours. TIA
Subject: Drug s/l biteral 14 mg patch changed every 24 hours. TIA


You're welcome, I am actually shocked that my brain is still working after 11 hours!
Subject: You're welcome, I am actually shocked that my brain is still working after 11 hours!


Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.
Subject: Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.


asthma med
Subject: asthma med

could be Azmacort
? for pre-asthma
Subject: ? for pre-asthma


Not just saying asthma? sm
Subject: Not just saying asthma? sm

That will teach me to ask!!!!