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possibly octreotide?

Posted By: VA-MT on 2008-05-23
In Reply to: neonatal ICU med - Help please

Subject: possibly octreotide?




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Octreotide is a GI med.
Subject: Octreotide is a GI med.

x
octreotide scan
Subject: octreotide scan


The patient subsequently underwent a Sandostatin tumor octreotide scan  


There is no previous mention that pt had been treated with Sandostatin already.


Somatostatin or octreotide
Subject: Somatostatin or octreotide


octreotide (it's generic) is not an antibiotic. nm
Subject: octreotide (it's generic) is not an antibiotic. nm

x
Octreotide usage in neonate
Subject: Octreotide usage in neonate

It is indeed a GI med, however....Chylothorax is the most common cause of pleural effusion causing respiratory distress in the neonate. Cases unresponsive to conservative management usually require surgery. We report a case of spontaneous neonatal chylothorax where surgery was avoided with the compassionate trail of octreotide. The chylothorax resolved promptly with no observed side effects. After reviewing the literature reporting the use of octreotide in the neonatal period, we found that neonates with isolated spontaneous chylothorax might be viewed as a group different from those with major cardiac malformations. They are at a lower risk for adverse effect of octreotide and lower threshold for commencement of octreotide may benefit them most
possibly,...
b-natriuretic peptides? I have been steered wrong on numerous occasions by others -- keep trying to verify everything!!
Could this possibly be. . . . .
Subject: Could this possibly be. . . . .

an ESL or a mumbler and it might be morphine?


As an aside, for a laugh, I used to work for a neurologist who apparently had a patient pull a Rx paper off the top of his Rx pad when he wasn't looking.  The doc got a call a few hours later from a pharmacy trying to verify the Rx for "mo feen".


Possibly....
Subject: Possibly....

He's a mumbler, so who knows!!  I might have to leave a blank, as now I can't tell if it is Y or "wide".


Thanks!!


possibly
Subject: possibly

aztreonam, an antibiotic
Possibly
Subject: Possibly

Could be Absorbine (an antifungal, topical application). Does that fit in?
possibly
Subject: possibly

That might be it. There are Banda socks.


Thanks. 


Quite possibly ...
Subject: Quite possibly ...

I looked up Tisseal and it is a hemostatic so I put it in there along with a blank so QA can check it. I had not heard of it before. THX
Possibly
Subject: Possibly

Dilaudid HP which contains hydromorphone...  
possibly . . .
Subject: possibly . . .


Could that possibly be MSB
Subject: Could that possibly be MSB

It is hard to differentiate sometimes between certain letters. It is obviously a test of some sort, so maybe CBC, mid-small bowel stool for C-diff, gram stain, culture and sensitivity, ova and parasite? just a thought. trying to help out.
possibly CNS?
Subject: possibly CNS?


Possibly
Subject: Possibly

Pisces Z Quad Lead.... Oh wait looks like there is a Specify Lead


3998 Specify Lead
Contains two, four-electrode vertical arrays spaced 2 mm apart. Electrodes are 2 mm x 3 mm and are spaced vertically, 6 mm apart.    


could that possibly be--sm
Subject: could that possibly be--sm

round towel drape...as in a sterile field? just a thought.
possibly
Subject: possibly

TM?
Could it possibly be
Subject: Could it possibly be

"a liquid MVI q.d."???

or aliquots of something???

Or does it sound more like a test they are going to do?
Could it possibly be
Subject: Could it possibly be

acetaminophen.... Just curious b/c you said it was an ESL doc and sometimes they squish stuff together.  Just a thought.  Good luck! 


POSSIBLY
Subject: POSSIBLY

END-DIASTOLIC AND END-SYSTOLIC DIMENSION.
possibly STS
Subject: possibly STS


Could he possibly be saying....
Subject: Could he possibly be saying....

pancrelipase?
There are a two that it may possibly be
Subject: There are a two that it may possibly be

Indocin or Endocet.
Possibly?
Subject: Possibly?

Staphylococcus haemolyticus?


possibly
Subject: possibly

The doctor does not say tablet or mg, just once a day. He doesn't say I gave him a prescription, so maybe you are right. Thanks!
could it possibly be "O" saying o instead of zero, G2, P2-0-2?
Subject: could it possibly be "O" saying o instead of zero, G2, P2-0-2?

I think meaning 2 premature, 0 term, and 2 living.  Just a WAG


could it possibly
Subject: could it possibly

be Taxus stent?

Does the ptn have any kind of arterial disease or high cholesterol?
Could it possibly be....
Subject: Could it possibly be....

topotecan....or Hycamtin..these are drugs used for cervical cancer...
possibly, as it is in the leg - thanks
Subject: possibly, as it is in the leg - thanks


Possibly
Subject: Possibly

re-neurotization
1. regeneration of a nerve after its division.
2. the implantation of a nerve into a paralyzed muscle.

possibly
Subject: possibly

hypercal liver level
Possibly LDL (nm)
Subject: Possibly LDL (nm)

x
could this possibly be
Subject: could this possibly be

him trying to say aortography? Would they do that on a cadaver kidney before transplant?
possibly?
Subject: possibly?

Levophed??
Possibly
Subject: Possibly

Could it be CBC and then you are correct, BMP (basic metabolic profile)?
It could possibly be
Subject: It could possibly be

Aggrenox.
Possibly
Subject: Possibly

excudative changes. 
Possibly
Subject: Possibly

euthyroid state.
Possibly
Subject: Possibly

Could he be saying "with Aetrex orthotic"


Possibly (sm)
Subject: Possibly (sm)

Maybe the original site of peripheral IV access is no longer working, and he/she dictated:

There is a small-bore basilic catheter (or PICC)?

Tunneled Jugular Small-Bore Central Catheters as an Alternative to ... Therefore, the standard veins used for PICCs—the brachial, basilic, ... On the basis of the vascular access guidelines, we use small-bore jugular venous ...
radiology.rsnajnls.org/cgi/content/full/213/1/303 - Similar pages
by
Possibly
Subject: Possibly

promidronate?
Possibly this, TY. nm
Subject: Possibly this, TY. nm

x
It could possibly be
Subject: It could possibly be

medial meniscus.
possibly
Subject: possibly

Plasma-Lyte?
Possibly
Subject: Possibly

ascites?  Does it have to do with gastrointestinal?  If so, it is probably ascites.
Possibly, thanks so much! nm
Subject: Possibly, thanks so much! nm

..
Don't know, but could it possibly be a
Subject: Don't know, but could it possibly be a

local company that fits prostheses????
possibly
Subject: possibly

it could be 4 mL, the only other option would be 4%
Might he possibly be saying
Subject: Might he possibly be saying

"...due to a blood vessel seen on scan. I cannot exclude a small lung nodule."? Just a thought.