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iron repletion, "once a day" as ordered?

Posted By: nm on 2009-03-25
In Reply to: iron repletion therapy - sa

Subject: iron repletion, "once a day" as ordered?




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iron repletion therapy
Subject: iron repletion therapy

RECOMMENDATIONS:  Iron repletion, has s/l a-DAY-as ordered.
Medications: S/L ?ZOMED and oral iron (patient has iron deficiency anemia)
Subject: Medications: S/L ?ZOMED and oral iron (patient has iron deficiency anemia)

NM
Since they said "once again," can't you pick it out of what was said before
Subject: Since they said "once again," can't you pick it out of what was said before

s
PT/NOT ordered
Subject: PT/NOT ordered

For a patient who had back surgery and then came back with severe leg spasms. She was treated with IV Ancef, IV fluids at 80 and IM Toradol every 6 hours.  She was on a PCA, which was later stopped and changed to oral medication.  She received IV Decadron x 1 for the spasms, IV Pepcid x 1 and PT/NOT was ordered. 


What would the PT/NOT stand for? 


yes if it was ordered stat
Subject: yes if it was ordered stat


The UA was not obatined per s/l CAP, which was ordered.
Subject: The UA was not obatined per s/l CAP, which was ordered.

Have not heard of this one.  Suggestions?
Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

I talked with the patient and I will order the CA-125, CEA and ____ (s/l Alasa)  to rule out any problems.


Pt worried about having cancer and wanted tests ordered. 


TIA


 


Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

PSA???

male/female?
Maybe pending as in ordered, but not yet performed?
Subject: Maybe pending as in ordered, but not yet performed?


is there a lactic acid dyestat? says it was ordered and was 1.54
Subject: is there a lactic acid dyestat? says it was ordered and was 1.54


lupus screen with ANA and s/l antha? DNA was ordered
Subject: lupus screen with ANA and s/l antha? DNA was ordered


s/l night pride and Esmolol were ordered nm
Subject: s/l night pride and Esmolol were ordered nm

nm
Pt with restless leg syndrome. Lab work ordered. sm
Subject: Pt with restless leg syndrome. Lab work ordered. sm

Serum protein electrophoresis normal, ANA negative, _______ ??? vasculity is negative.
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


Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
Subject: Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered

NM
S/L iron d or ion d
Subject: S/L iron d or ion d

List of meds - "iron d" or "ion d" 25 mg one per day.


Please and thanks.


slo-iron?
Subject: slo-iron?

States SLO-iron, not sure if this is correct, 60 mg b.i.d. CC, not sure if she means mL or what, not sure of SLO-iron.
Ion Iron?
Subject: Ion Iron?

I have a dr. that has an accent.  I think he is sayin ion iron.  Has anyone had an ESL dr. say who says ion iron instead of just saying iron?  Just wondering if maybe I'm hearing it wrong.......


On admission his ion iron, PTT were both elevated above 90


 


iron studies

Iron studies were normal except that his B and C were negative.


This is under abnormal liver function test, most likely fatty liver disease.


When I google I get hepatitis B and C info. Help clear my confusion!


parenteral iron
Subject: parenteral iron

That must be it; thanks!
s/l praternal iron
Subject: s/l praternal iron

Doctor refers to patient who is on longterm iron replacement, saying she may need "praternal iron".
I'd do it just the way you typed it, 1+ iron. nm
Subject: I'd do it just the way you typed it, 1+ iron. nm

nm
seroblastic iron
Subject: seroblastic iron

Is there anything like seroblastic iron in thrombocythemia?
seroblastic iron
Subject: seroblastic iron

It was sideroblastic, thanks
s/l Iron Forte???? tia
Subject: s/l Iron Forte???? tia


iron levels
Subject: iron levels

Recent blood work showed an iron that was 38% s/l staf of 13%. 


Cannot make out word.


Tam, any possible chance this could be "serum iron?" nm
Subject: Tam, any possible chance this could be "serum iron?" nm

x
not just saying iron 325 mg a day? usual dose.
Subject: not just saying iron 325 mg a day? usual dose.


Anyone heard of Wewill iron or
Subject: Anyone heard of Wewill iron or

weevil iron. 


 


It s/l we will iron.  The patient has anemia.


sideroblastic iron and thrombocythemia?
Subject: sideroblastic iron and thrombocythemia?


Venofer (iron sucrose)
Subject: Venofer (iron sucrose)


med list - s/l iron p.r.n. for nausea? (sm)
Subject: med list - s/l iron p.r.n. for nausea? (sm)

Would they prescribe iron to help control nausea symptoms?  Dr. is clearly saying it, but I have never heard of this use for iron before (???). 
question on iron studies
Subject: question on iron studies

1) Hemoglobin and hematocrit are low at 11 and 33, and iron stores s/l  "in percent saturation" is also low.


2) I requested complete CBC with pathology s/l "steri B slide".


 


TIA


feosol iron or contipation sm
Subject: feosol iron or contipation sm

Pt. could be anemic or have constipation from drug. Old drug but still used.
transfusional iron overload
Subject: transfusional iron overload

The doctor is talking about his practice, He says, " I have a fair amount of sickle cell disease, transfusion on a ------------sickle cell...."


Sounds kindof like blood-button---- any ideas girls?? Thanks!


 


 


Vitafol ? (iron with vitamins)
Subject: Vitafol ? (iron with vitamins)


Iron sats? (saturations) nm
Subject: Iron sats? (saturations) nm


27 mg. Fergon, iron supplement nm
Subject: 27 mg. Fergon, iron supplement nm

x
Med for anemia, iron, s/l Feocet. SM
Subject: Med for anemia, iron, s/l Feocet. SM

I can't find this.  This seems to be new drug doctors on account are giving, but, look as I might, I cannot find it.  Thank you for any help.
Uni Daily, it is a prescription multivitamin containing iron.
Subject: Uni Daily, it is a prescription multivitamin containing iron.


It is a word...meaning iron overload in the
Subject: It is a word...meaning iron overload in the

go to

http://www.cardiologyrounds.org/crus/cardious_060703.pdf

go to 'edit' and 'find', then look up the word and you'll find it there.
Hemochromatosis is the iron overload condition. nm
Subject: Hemochromatosis is the iron overload condition. nm

x
There is Slow Fe Iron tablets that comes in milligrams
Subject: There is Slow Fe Iron tablets that comes in milligrams


iron stores transferrin saturation
Subject: iron stores transferrin saturation


Is patient anemic? Are we looking for an iron supplement? nm
Subject: Is patient anemic? Are we looking for an iron supplement? nm

s
s/l Benifur to replace iron storers
Subject: s/l Benifur to replace iron storers

nm
it's iron stores, not storers....and the only drug
Subject: it's iron stores, not storers....and the only drug

I'm not sure on the drug......check to see if Benefiber helps restore iron......iron stores....
There's *Fertinic* which is a Canadian iron supplement. (nm)
Subject: There's *Fertinic* which is a Canadian iron supplement. (nm)

xx
TIBC - total iron binding capacity....nm
Subject: TIBC - total iron binding capacity....nm

x
Hemocyte? For preventing or treating low levels of iron
Subject: Hemocyte? For preventing or treating low levels of iron

x
sodium ferric gluconate, iron supplement
Subject: sodium ferric gluconate, iron supplement