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1-g-b.i.d. dose?

Posted By: Doesn't look right to me. on 2009-03-13
In Reply to:

Subject: 1-g-b.i.d. dose?

Is this correct or should I take the hypens out?  I assume this is correct, but it looks funny to me.


. . . all of which can cause stomach upset, expecially the metformin in a 1-g-b.i.d. dose. 


Thanks.




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Subject: There are three sliding-scale insulin regimens - mild dose, moderate dose, and high dose.

So mild is correct.
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guessing "two more dose" protocol, or even "tumor dose" protocol. sm
Subject: guessing "two more dose" protocol, or even "tumor dose" protocol. sm

If either one ties in with the patient's history, etc.


No dose
Subject: No dose

No dose and he does list aspirin as well. 


Thanks for helping out  


That is the max dose as per the sm
Subject: That is the max dose as per the sm

Monthly Prescribing Reference.


dose of?
Subject: dose of?


It comes in 17 gm. Could be dose? nm
Subject: It comes in 17 gm. Could be dose? nm

nm
what is the dose? nm
Subject: what is the dose? nm


1/2 cap ful per day? 1 cap is dose also. nm
Subject: 1/2 cap ful per day? 1 cap is dose also. nm


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Subject: dose is 250 per 5 mL most likely. nm


Oh no dose?
Subject: Oh no dose?

The doc dictates "oh no dose p.r.n." Is that 0.no dose p.r.n.? Your thoughts please and thanks.
not metered dose
Subject: not metered dose

nope--he is definitely saying med neb, as in "I ordered another one-hour med neb treatment."  He says it several times throughout the dictation.  I have heard this before, but it has been a long time, and I cannot remember how to transcribe it.  Thanks though!
s/l Doe dose see mssg
Subject: s/l Doe dose see mssg

ASSESSMENT/PLAN 


1.      Thyroid carcinoma – a TSH and free T4 have been requested.  Review of laboratory studies requested by Dr. X in June of 2005 demonstrated an elevated TSH level at 8.  Apparently s/l DOE DOSE adjustment was made.  We will need to discuss thyroid suppression and goal of TSH with Dr. x.    She is due for thyroid scan.


 


It is definately not low dose.  It sounds like doe dose.  Am i missing something ???


that's much too high of a dose
Subject: that's much too high of a dose

nm
Sorry. I keep thinking that with that 400 mg dose sm
Subject: Sorry. I keep thinking that with that 400 mg dose sm

it might be an antibiotic for UTI etc?  Here is a list of some antibiotics in that dosage. Good luck. All I can offer for this one!!


 


http://www.uphs.upenn.edu/bugdrug/antibiotic_manual/antibiotic%20costs.htm


dose of med. Dr. says digoxin 215 mcg a day??
Subject: dose of med. Dr. says digoxin 215 mcg a day??


Could it be ~dose~ intensity? sm
Subject: Could it be ~dose~ intensity? sm

See link to reference


maybe...low-dose aspirin
Subject: maybe...low-dose aspirin


Is there a dose for prednisone given as cc? sm
Subject: Is there a dose for prednisone given as cc? sm

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I thought he must mean 2 mg, but at end of report he says he will decrease prednisone to 1.5 cc every other day.

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Subject: do you have a dose or any idea what it is taken for? nm


do you have a dose or any more info? nm
Subject: do you have a dose or any more info? nm


Maybe just "...and takes a...." since that same med comes in that dose. nm
Subject: Maybe just "...and takes a...." since that same med comes in that dose. nm

nm
Sorry. I am stumped. What is the dose. nm
Subject: Sorry. I am stumped. What is the dose. nm


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Subject: Renagel dose

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Subject: Are you sure it's not atacand (dose 16, not 60)? NM


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Subject: Are you sure it's not Atacand (dose 16, not 60)? NM


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Subject: Probably Pravastatin but dose...sm

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Subject: Dose looks like Tamiflu. May be amantadine? nm





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Subject: Could it be Ansaid? Dose fits nm

x
I would flag it, 5 mg b.i.d. is not a normal dose
Subject: I would flag it, 5 mg b.i.d. is not a normal dose

Here's some info copied and pasted from my QuickLook drug reference.  It looks like 4 mg a day total is about the highest dose.




Usual Dosage

Oral: Note: Treatment >4 months should be re-evaluated to determine the patient's continued need for the drug
Adults:
Anxiety: Immediate release: Effective doses are 0.5-4 mg/day in divided doses; the manufacturer recommends starting at 0.25-0.5 mg 3 times/day; titrate dose upward; maximum: 4 mg/day
Anxiety associated with depression: Immediate release: Average dose required: 2.5-3 mg/day in divided doses
Panic disorder:
Immediate release: Initial: 0.5 mg 3 times/day; dose may be increased every 3-4 days in increments ≤1 mg/day; many patients obtain relief at 2 mg/day, as much as 10 mg/day may be required
Extended release: 0.5-1 mg once daily; may increase dose every 3-4 days in increments ≤1 mg/day (range: 3-6 mg/day)
Switching from immediate release to extended release: Patients may be switched to extended release tablets by taking the total daily dose of the immediate release tablets and giving it once daily using the extended release preparation.
Preoperative sedation: 0.5 mg in evening at bedtime and 0.5 mg 1 hour before procedure
Dose reduction: Abrupt discontinuation should be avoided. Daily dose may be decreased by 0.5 mg every 3 days, however, some patients may require a slower reduction. If withdrawal symptoms occur, resume previous dose and discontinue on a less rapid schedule.



Dosage Forms


Solution, oral (Alprazolam Intensol®): 1 mg/mL (30 mL)
Tablet (Xanax®): 0.25 mg, 0.5 mg, 1 mg, 2 mg
Tablet, extended release (Xanax XR®): 0.5 mg, 1 mg, 2 mg, 3 mg
Tablet, orally-disintegrating (Niravam™): 0.25 mg, 0.5 mg, 1 mg, 2 mg [orange flavor]

Is Xanax 5 mg b.i.d. a customary dose of this?
Subject: Is Xanax 5 mg b.i.d. a customary dose of this?

Just wondering, I am used to transcribing 0.5 mg or 1 mg, 2 mg at the most but I have a resident saying 5 mg b.i.d.  I'm not a doctor so I don't want to pretend I know better, but would you flag this to be sure it was 5 and not 0.5 if you were me?   Maybe they do prescribe as high as 5 mg and just because I have never typed that high of a dose doesn't mean anything, but I always worry, same as when they dictate mg for something that I'm used to typing mcg.  Any opinions?
MDI is metered-dose inhaler nm
Subject: MDI is metered-dose inhaler nm

nm
Quick Look does show it as an IV dose (sm)
Subject: Quick Look does show it as an IV dose (sm)

Benadryl® Injection  I.M., I.V.: 10-50 mg in a single dose every 2-4 hours, not to exceed 400 mg/day.


However, fentanyl would be more common in an OP note (at least that has been my experience) and could kinda sort sound like Benadryl).  Did they give any dosage?

fentanyl - Preoperative sedation, adjunct to regional anesthesia, postoperative pain: I.M., I.V.: 50-100 mcg/dose


Could this Lasix dose be correct?
Does Lasix 380 mg twice daily sound excessive?  The doctor originally dictated 20 mg daily and then went back and had me change it.  I saw something about a dose can be titrated up carefully to 600 mg daily with patients with severe edematous conditions........just not sure.  Any help would be greatly appreciated!!!
Could be Amaryl at that dose.They titrate it up by 2 mg and could be just what sm
Subject: Could be Amaryl at that dose.They titrate it up by 2 mg and could be just what sm

the patient had to make up 5 mg, Max dose is 8 mg as per MPR.
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Subject: Nitroglycerin dose question

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Subject: low-dose s/l-ERAV injection at 10 mg??

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That dose looks like Wellbutrin XL ( bupropion) sm
Subject: That dose looks like Wellbutrin XL ( bupropion) sm

Sometimes they use the generic with the XL. If that is not what you hear, here are a few sites for psych meds:


 


=====


 


http://www.mentalhealth.com/p30.html


 


=====


 


http://formulary.prescribingreference.com/


 


 


 


 


 


 


Is it in a sentence? Got a dose or a diagnosis? Thx. nm
Subject: Is it in a sentence? Got a dose or a diagnosis? Thx. nm

s
There is Alavert but not in that large of a dose. nm
Subject: There is Alavert but not in that large of a dose. nm

!
Low-dose aspirin was my first thought too. nm
Subject: Low-dose aspirin was my first thought too. nm


target dose is correct. SM
Subject: target dose is correct. SM

New JACC analysis details cardiovascular protective benefits of ...



*The Carvedilol Or Metoprolol European Trial (COMET) compared carvedilol (target dose: 25 mg bid) to metoprolol tartrate (target dose: 50 mg bid). ...
www.gsk.com/ControllerServlet?appId=4&pageId=402&newsid=992 - 38k - Cached - Similar pages
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it sounds like amantadine but does it come in 2.5 mg dose q8h
Subject: it sounds like amantadine but does it come in 2.5 mg dose q8h


giving a prescription dose
Subject: giving a prescription dose

Rx Percocet 5 mg s/l SIG IS???? 1 q.6h p.r.n. foot pain. 
Prescription dose word sig is or zig is
Subject: Prescription dose word sig is or zig is

I think I got it.  I actually typed in sig 1 q.6h on google and it came up with a website for can you read these prescriptions? onthepharm.net.  There are 3 samples given and the 3rd sample has the word sig there.  When the samples are unscrambled, the sig is DISPENSE.  I still left it blank and will check with QA.