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Chronic oxygen requirement "P few 2 years of 57" with normal pH of 7.33.

Posted By: tracy on 2009-05-25
In Reply to:

Subject: Chronic oxygen requirement "P few 2 years of 57" with normal pH of 7.33.




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Yes, I know fraction of inspired oxygen. It was 100%, same as 100% oxygen, right? nm
Subject: Yes, I know fraction of inspired oxygen. It was 100%, same as 100% oxygen, right? nm

.
chronic chronic chronic! Good grief.
Subject: chronic chronic chronic! Good grief.


I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)

Now some are saying it's q. 4h.??  UGH, YUCK!!  I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for).  At least we got more characters. 


First rule:  It is all what the "client/account" wants, not always what the BOS says it is.  I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable.  What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.


Oh, and I still prefer the old no spaces:  q.4h., q.4-6h., q.12h., and so on.....


med for chronic myalgia/chronic arthritis
Subject: med for chronic myalgia/chronic arthritis

s/l  tow-ga-lax CR.  It is prescribed for chronic myalgia and chronic arthritis
Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience

and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.

Use to be younger...
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


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
oxygen
Subject: oxygen

patient's O2 saturation was 100% on 2 liters of sl-permittative oxygen per nasal cannula
O2 is oxygen.
Subject: O2 is oxygen.


O for oxygen.
Subject: O for oxygen.

nm
per minute of oxygen??? nm
Subject: per minute of oxygen??? nm


only know oxygen saturation and that does NOT fit
Subject: only know oxygen saturation and that does NOT fit


unless he said while ON oxygen saturation....lol...
Subject: unless he said while ON oxygen saturation....lol...


Low flow oxygen
Subject: Low flow oxygen


s/l gen mask for oxygen
Subject: s/l gen mask for oxygen


oxygen saturation
Subject: oxygen saturation


nevermind he's saying oxygen nm
Subject: nevermind he's saying oxygen nm


oxygen related term
Subject: oxygen related term

she is oxygen dependent on 3 liters with a convention.  I have tried lots of words, condension, contention, etc. and nothing seems to relate. 


Thanks for the help!


google blow-by oxygen
Subject: google blow-by oxygen


One thing--O2 is an O, not a zero. O stands for oxygen. sm
Subject: One thing--O2 is an O, not a zero. O stands for oxygen. sm

So, for #3, it would be either 4 liters of O2, or 4 L O2 (depending on your account specifics--check to see if you should subscript the 2). Make sure that is an O, not a 0. As far as typing F for temperature, check your account specifics. If they do want you to insert Fahrenheit, leave a space before it. If it is not dictated, it may be okay to leave it out. Again, account specifics prevail.
Transcribed as home O2 or oxygen or other?
Subject: Transcribed as home O2 or oxygen or other?


Would type as home oxygen. nm
Subject: Would type as home oxygen. nm

x
humidified blow-by oxygen (nm)
Subject: humidified blow-by oxygen (nm)

.
high-flow oxygen? nm
Subject: high-flow oxygen? nm


all I could find would be Lif-O-Gen oxygen equipment
Subject: all I could find would be Lif-O-Gen oxygen equipment

x
5. 15 liters of oxygen per minute?
Subject: 5. 15 liters of oxygen per minute?

I have replayed this multiple times and could swear the RN is saying the patient received 5.15 liters per minute of oxygen but that does not seem reasonable to me. The patient is in ICU for pulmonary hemorrhage and was desatting below 80.  Feedback anyone? 
Weak guess - "the necessary oxygen"? (nm)
Subject: Weak guess - "the necessary oxygen"? (nm)

(nm)
oxygen 2 Liters per nasal cannula
Subject: oxygen 2 Liters per nasal cannula

would this be oxygen 2L per nasal cannula  ????


MVOS=Mixed Venous Oxygen Saturation? nm
Subject: MVOS=Mixed Venous Oxygen Saturation? nm


2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


Rough evening. Patient used ____ oxygen. (s/l) de-nel-e-sary
Subject: Rough evening. Patient used ____ oxygen. (s/l) de-nel-e-sary

Thanks in advance.  I'm clueless.
in physical exam: where will I put "no cyanosis on oxygen"? Still in extremities or somewhere
Subject: in physical exam: where will I put "no cyanosis on oxygen"? Still in extremities or somewhere else?

a
Ever hear of oxygen saturation on room air being dictated as s/l satting? TIA
Subject: Ever hear of oxygen saturation on room air being dictated as s/l satting? TIA


Per Vera Pyle--transcutaneous oxygen level is TcPO2 (the 2 is subscripted). nm
Subject: Per Vera Pyle--transcutaneous oxygen level is TcPO2 (the 2 is subscripted). nm

x
found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)
Subject: found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)

x
depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.

x
limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Subject: limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m


I still think it was chronic, but thanks ... sm
Subject: I still think it was chronic, but thanks ... sm

I put a deficiency and sent it in.



chronic for him? nm
Subject: chronic for him? nm


on chronic, en chronic??
Subject: on chronic, en chronic??

Acute s/l on chronic bronchitis... I can never remember how to use this term!!  Help!  Is it acute and chronic?  It really sounds like he is saying on chronic.
Yes, chronic is probably it nm
Subject: Yes, chronic is probably it nm

nm
Chronic changes NM
Subject: Chronic changes NM


Could be right, could also be acute on chronic. NM
Subject: Could be right, could also be acute on chronic. NM

x
chronic migraines
Subject: chronic migraines

The word you are looking for is Decadron.
how about *and chronic* regurgitation. nm
Subject: how about *and chronic* regurgitation. nm

nm
Chronic s/l thenopedus.
Subject: Chronic s/l thenopedus.

Patient in for dicolored/painful nailbeds with thickening toe nails.


1. Onychomycosis...


2. Onychocryptosis...


3. Chronic *thenopedus*