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his Coumadin be held s/l transilay prior to this

Posted By: WS on 2009-03-20
In Reply to:

Subject: his Coumadin be held s/l transilay prior to this

nt


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Oh thanks everyone. I have held onto this waiting for this response.
Subject: Oh thanks everyone. I have held onto this waiting for this response.


via hand-held nebulizer (nm)
Subject: via hand-held nebulizer (nm)


Maybe "hand" treatment for a hand-held nebulizer? nm
Subject: Maybe "hand" treatment for a hand-held nebulizer? nm

s
held suction? or something about "held sucks" which would be succinylcholine.
Subject: held suction? or something about "held sucks" which would be succinylcholine.

x
Objective: Head is held straight with no s/l "lift or lisp"
Subject: Objective: Head is held straight with no s/l "lift or lisp"


s/l supermed The foot was held in neutral ankle dorsiflexion with the toes straight and the FDCFHL
Subject: s/l supermed The foot was held in neutral ankle dorsiflexion with the toes straight and the FDCFHL

were "pinned with supermed."  Thanks again for your help.
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


Protocol type for Coumadin
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. 


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!
H&H is prior.
Subject: H&H is prior.

Prior sentence - Serial Hematocris 42.4 and 40.4.  "Endices" were normal.  Electrolytes 128.
he had an EGD prior to his etc...
Subject: he had an EGD prior to his etc...


What is the sentence prior to this? Might help. nm
Subject: What is the sentence prior to this? Might help. nm


im not sure i just know that it prior to csect
Subject: im not sure i just know that it prior to csect


What was dictated just prior to that?
Subject: What was dictated just prior to that?

.
depending on what doc says prior to this, could the
Subject: depending on what doc says prior to this, could the

first one be ..."similarly" show marked congestion ??
Yep, Keeping the area clean with a peri-bottle (a hand-held squirt bottle) can be soothing and help
Subject: Yep, Keeping the area clean with a peri-bottle (a hand-held squirt bottle) can be soothing and help prevent infection.

short for perineal
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.

:-)
No there was not any telling info prior to that. ..
Subject: No there was not any telling info prior to that. ..

I sent for QA, so I'll let you all know what it is :)  Thank you though!!
had you read below prior to posting, I had reposted..
Subject: had you read below prior to posting, I had reposted..

that I was incorrect.......sheesh......fast fingers....slow take....
I don't think psoricystic exists - got cut off prior post
Subject: I don't think psoricystic exists - got cut off prior post


I was told NEVER to use a comma prior to the word that..sm
Subject: I was told NEVER to use a comma prior to the word that..sm

and if I leave my grammer checker on, which I do, it always lights up *green* if I do. Just my experience.
Prior post about asking test questions
Subject: Prior post about asking test questions


any info prior to P.E. that might give a clue?
Subject: any info prior to P.E. that might give a clue?

Is there a chief complaint or admission dx?
It IS menorrhagia, stent placement prior to TAH sm
Subject: It IS menorrhagia, stent placement prior to TAH sm

I feel pretty, I feel pretty and witty and anything, but wise! It is going to be a very long day.
Late, but maybe prior environmental exposure? nm
Subject: Late, but maybe prior environmental exposure? nm

s
Would make sense, especially if had prior surgery. Could be
Subject: Would make sense, especially if had prior surgery. Could be

s
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph

nm
just guessing - prior nasal steroids? nm
Subject: just guessing - prior nasal steroids? nm


No illnesses or prior surgery. NKDA. nm
Subject: No illnesses or prior surgery. NKDA. nm


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


Can you give the whole sentence so that we can hear the word prior to that one?
Subject: Can you give the whole sentence so that we can hear the word prior to that one?


..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm

s
patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
Subject: patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA


oops - typo inside my prior post...CELEXA...sorry..
Subject: oops - typo inside my prior post...CELEXA...sorry..

*sigh* - sorry for my typo - I meant to type Celexa.....*lol*
That's great info - I did the prior post on no commas - see inside
Subject: That's great info - I did the prior post on no commas - see inside

and had done oncology for almost 10 years for a nationally known cancer center, but they were specific on NO commas, so it may be an account-specific rule (plus maybe cuts down on keystroke counting?)
Thought it had more to do with her sources of information on the patient prior to initial visit. nm
Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm

x
Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,
Subject: Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,

score was 100%. 
no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal