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Bottom line, what is the difference between O2 and FiO2? I am trying to figure out...nm

Posted By: vtmt on 2007-09-18
In Reply to:

if I rated a critical error for transcribing O2 instead of FiO2 (new difficult dictator and I didn't hear the Fi).




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tracheostomy with s/l air-assault FIO2
Subject: tracheostomy with s/l air-assault FIO2

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FiO2 is only a fractional measurement and not a total one. There's
Subject: FiO2 is only a fractional measurement and not a total one. There's

s
Used to flag it and then at the bottom SM
Subject: Used to flag it and then at the bottom SM

of report said something like this:


*doc said "Ureteka" maybe meant Uritex....


 


rocker-bottom?
Subject: rocker-bottom?


I'd bet my bottom dollar this is it
Subject: I'd bet my bottom dollar this is it


Developed from a proven design, Biomet’s Bio-Moore® II Hip enhances the modularity and flexibility needed for successful hip arthroplasty.The Bio-Moore® II System allows the surgeon to use the stem as an endoprosthesis, Bi-Polar or total hip. Constructed from titanium alloy, its I-beam design and roughened finish provide for excellent fixation


 


Look at the bottom of your Word screen....sm
Subject: Look at the bottom of your Word screen....sm

There are 4 things across the bottom.....

REC TRK EXT OVR.

See if you clicked on one of the first 3. OVR is your insert cut/paste option.
find pneumodart at bottom of message
Subject: find pneumodart at bottom of message


I copied this from a site on google.


Pneumothorax


• Clinical – dyspnea, pleuritic CP


• Physical findings – tracheal deviation,


absence of breath sounds


• Risk – recent central line, ventilator,


trauma, spontaneous/cough/etc


• Dx: CXR


• Rx: if small, stable can observe; repeat


CXR; pneumodart/chest tube


Maybe he's saying "joint line or knee joint line and skin intact" in there somewhere? I
Subject: Maybe he's saying "joint line or knee joint line and skin intact" in there somewhere? I'm reaching.


Could use Thorax or Extremities. Axillary line is the horizontal line
Subject: Could use Thorax or Extremities. Axillary line is the horizontal line

s
I was incorrect with my axillary line. It's the vertical line viewed
Subject: I was incorrect with my axillary line. It's the vertical line viewed

s
CABG s/l femoral *art* line. Short for arterial line?
Subject: CABG s/l femoral *art* line. Short for arterial line?

many thanks.
s/l-EOA-) demonstrated he had 2+ to the front, trace to the back, 1 to the bottom.
Subject: s/l-EOA-) demonstrated he had 2+ to the front, trace to the back, 1 to the bottom.

nm
Is an arterial line and central line the same thing? NM
Subject: Is an arterial line and central line the same thing? NM

xxxx
an arterial line usually goes in the arm and a central line in the chest or elsewhere. No they are
Subject: an arterial line usually goes in the arm and a central line in the chest or elsewhere. No they are not the same. nm

.
Maybe Procrit? Check the HIV drug and medication links at the bottom of your message. nm
Subject: Maybe Procrit? Check the HIV drug and medication links at the bottom of your message. nm

b
right line or white line of Toldt
Which is correct?
PIC line versus PICC line....
Subject: PIC line versus PICC line....

Just wondering what the difference is and which one to use when doc says PIC line.

PIC - Peripheral Intravenous Catheter

PICC - Peripherally Inserted Central Catheter

TIA.
What is the difference....
Subject: What is the difference....

....between CAM walker and Cam walker?


I have seen it both ways, but am not sure which way is correct.


I think there is a difference --
Subject: I think there is a difference --

in someone telling you the answer or you looking it up for yourself. Sounds like this person wanted us to find the answer and him/her not taking the time to look it up for themselves. Anyway, good luck to the new person!
Don't think it makes much of a difference.
Subject: Don't think it makes much of a difference.

:)
Anyone else? Sounds like a difference of
Subject: Anyone else? Sounds like a difference of


difference between abbreviation and
Subject: difference between abbreviation and

When in doubt, I refer to Stedman's Abbreviation book.  For example, I have always hated typing "afib" for atrial fibrillation, so I looked it up.  In this book, the proper way to abbreviate it is AFib.  As far as cc versus mL, that is a Joint Commission requirement, not a BOS issue.  Another example is sed rate.  There is no approved abbreviation that sounds like sed rate, but the book shows sed rt, which is something I wouldn't use.  Sed is truncated, not abbreviated, so I expand to sedimentation rate.


I work for 2 companies with slightly different approaches to a couple of BOS issues, both being very reputable MTSOs, so I have to keep them straight in my head.  One wants me to use platelets if that is what is said in the CBC dictation; the other wants me to use platelet count.


You will have to decide what path you need to take.


difference is....is that CAM Walker...sm
Subject: difference is....is that CAM Walker...sm

CAM Walker®


http://www.sammonspreston.com/Supply/Product.asp?Leaf_Id=55988501


I can but it makes no difference-see more
Subject: I can but it makes no difference-see more

I played it without the foot pedal and it does the same thing.  I had cleaned the heads and am afraid I did something to it. 
It does not make a difference UNLESS
Subject: It does not make a difference UNLESS

your MTSO/client says to go by BOS. If so, then it is an error.
what is the difference between shotty and shoddy?
Subject: what is the difference between shotty and shoddy?

what's the difference btwn SHOTTY & SHODDY? where can you use one from the other?
For some reason I can't find this..what is the difference between
Subject: For some reason I can't find this..what is the difference between

cheloid and keloid??  I know it's scarring but does the spelling matter?  THanks.
P.S. If it makes any difference, pt is female
Subject: P.S. If it makes any difference, pt is female

nm
m = milli but u = micro ... there is a difference
Subject: m = milli but u = micro ... there is a difference

nm
how do you tell difference between opposition and apposition NM
Subject: how do you tell difference between opposition and apposition NM

xxx
4.2 thousand is example. Your adding a 0 makes it 42,000. Big difference.
Subject: 4.2 thousand is example. Your adding a 0 makes it 42,000. Big difference.


Before spellcheck and expanders, we LEARNED the difference!
Subject: Before spellcheck and expanders, we LEARNED the difference!

x
What is the difference between glidewire and guide wire? TIA
Subject: What is the difference between glidewire and guide wire? TIA

xxxxxx
Difference between Morse and Morris taper.
Subject: Difference between Morse and Morris taper.

A Morse-taper is used to achieve fixation between the two components (Wright Medical).

The Morris taper prosthetic neck, as the name implies, this extractor was developed to remove femoral stems, which
have differing sizes of femoral neck tapers (Wheeless Ortho online).
We're applying this to what body part? Can make a difference. :) nm
.
Oops - spelling check: I meant DIFFERENCE (blush) :) n/m
Subject: Oops - spelling check: I meant DIFFERENCE (blush) :) n/m

x
PIC line/PICC line
which is correct please
PIC line or PICC line
Subject: PIC line or PICC line


art line -- arterial line
Subject: art line -- arterial line


heart line, art line???
Subject: heart line, art line???

Figured out CVP catheter, not CDP.

Now I have him saying something like art line or maybe heart line in the left wrist?
"The loop memory of each lens is expressed as the difference between the initial overall diameter
Subject: "The loop memory of each lens is expressed as the difference between the initial overall diameter measurement (pretest) and the measurement at each time point; the lower the value, the higher the memory. " Per the Cataract Institute


PICC line placement or PIC line placement??
Subject: PICC line placement or PIC line placement??

dd


trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm

s
If you figure out what this is....
Subject: If you figure out what this is....

Please let me know.  I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.   Anyway, I would like to know what it is in case I run across it.


Thanks!   


Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.

I had to copy the entire document into a new document and save it as a new document.


I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm

not sure if it fits with context. Can someone help? Here's more:

S: Low back pain. No radiation to lower extremities. No foot drop.

O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.

A: Musculoskeletal low back pain with spasm.

P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm

I've spent too much time on it as it is.  I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues.  The NP said I'd have relief today.  What an a**hole.  I'm in so much pain.  He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots.  I've had a hyster so I know it's not coming from there.  I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad.  Curses! 
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm

A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.

While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.

Needed more urgent evaluation and was sent to the ER.

DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying

"notable" for something??
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days

but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!

She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.


This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.


Thanks!