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Doses of Megace are given that high to cancer patients and others with cachexia. nm

Posted By: wandering still on 2006-04-27
In Reply to: Medication - sm

Subject: Doses of Megace are given that high to cancer patients and others with cachexia. nm

s


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  • Medication - sm
    • Doses of Megace are given that high to cancer patients and others with cachexia. nm - wandering still

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Megace? (megesterol acetate), for cancer pt cachexia.; don't know about the "pet" part. -n
Subject: Megace? (megesterol acetate), for cancer pt cachexia.; don't know about the "pet" part. -nm


Lovaza is used for treating patients who have very high triglyceride levels.
Subject: Lovaza is used for treating patients who have very high triglyceride levels.


for cancer patients??? don't do oncology sorry
Subject: for cancer patients??? don't do oncology sorry


Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone
Subject: Agrylin is used for treating patients with high blood platelet levels (thrombocythemia) due to bone marrow problems???


Toradol is a pain medication for cancer patients.
Subject: Toradol is a pain medication for cancer patients.

Not sure if this is what you're looking for. Does it have a dosage?
S/l High verge CT scan. This is for lung cancer.
Subject: S/l High verge CT scan. This is for lung cancer.


prostate cancer pathology results - high-grade s/l PINC found?
Subject: prostate cancer pathology results - high-grade s/l PINC found?


Megace maybe?
Subject: Megace maybe?


Megace....nm
Subject: Megace....nm

x


Megace. (NM)
Subject: Megace. (NM)

x
cachexia? nm
Subject: cachexia? nm


cachexia.
Subject: cachexia.


cachexia
Subject: cachexia


cachexia?
Subject: cachexia?


Not saying Megace solution? comes in 40 mg/Ml. Used to boost appetite etc. nm
Subject: Not saying Megace solution? comes in 40 mg/Ml. Used to boost appetite etc. nm


Here's a summation of drugs for cachexia; maybe a complete fit for pet-megate can be found. -sm
Subject: Here's a summation of drugs for cachexia; maybe a complete fit for pet-megate can be found. -sm

Choices of drug management of cachexia: (shortened; see URL below for complete info.)

Corticosteroids: Dexamethasone, methylprednisolone, prednisolone, and hydrocortisone.

Progestational drugs: Medroxyprogesterone and megestrol acetate; there is some evidence for using a combination of megestrol acetate and ibuprofen for cancer cachexia.

Prokinetic drugs: Metoclopramide is most widely used, ....as a continuous subcutaneous infusion. Domperidone or cisapride are appropriate alternatives.

Resource: http://bmj.bmjjournals.com/cgi/content/full/315/7117/1219
Is it 4-5 doses or 4 to 5 doses?
Subject: Is it 4-5 doses or 4 to 5 doses?

Quick question; I'm just getting back into the swing of things and I'm realizing my last employer really wasn't a stickler for anything.  Now I'm worried I'm gonna mess up at my new transcription job with something small.


The physician is saying "the patient is on 4 to 5 doses of" whatever drug.  Is it transcribed as 4-5, 4 to 5, four to five...?


Help plz!!


re: 4 to 5 doses
Subject: re: 4 to 5 doses

I would go with "4 to 5" as it is easier to read and cannot be confused with 4-5 as 45 doses.
The two doses that I can find are 50 mg and 160 mg
Subject: The two doses that I can find are 50 mg and 160 mg


Can be given in 5 day doses once a month. Might mean that. nm
Subject: Can be given in 5 day doses once a month. Might mean that. nm


The doses don't match up though. but thanks for trying. nm.
Subject: The doses don't match up though. but thanks for trying. nm.

x
Prilosec can be given in large doses like that
Subject: Prilosec can be given in large doses like that

s
WAG, "over initial doses"
Subject: WAG, "over initial doses"


I listened for those for thing but that't not it. Doses do not match either.
Subject: I listened for those for thing but that't not it. Doses do not match either.


There Qvar which is given in doses of 80 mg. I could not find any asthma medications that are given
Subject: There Qvar which is given in doses of 80 mg. I could not find any asthma medications that are given in 880 2 puff dosages. Anyone else have a suggestion?


For one and for all, is it high power field or high powered field?? Also the hypen thing...
Subject: For one and for all, is it high power field or high powered field?? Also the hypen thing...

I spent a load of money getting trained for MT and I STILL  am not sure about this.  What do the experienced MTs think??
From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (
Subject: From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (Nexavar), ..."


List of meds w/ no doses: s/l themberol/selmbural/felmdural nm
Subject: List of meds w/ no doses: s/l themberol/selmbural/felmdural nm

nm
See inside for colon cancer staging per the American Cancer Society.
Subject: See inside for colon cancer staging per the American Cancer Society.

http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_colon_and_rectum_cancer_staged.asp
http://www.cancer.gov/ is a great reference (National Cancer Institute)
Subject: http://www.cancer.gov/ is a great reference (National Cancer Institute)


Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.
Subject: Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.


She has pancreatic cancer and a history of breast cancer.
Subject: She has pancreatic cancer and a history of breast cancer.


MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
Subject: MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.

But never heard of Andy Anderson, so no help there.
per high power field OR per high powered field.
Subject: per high power field OR per high powered field.


Maybe CoQ10? Sometimes taken by heart patients. nm
Subject: Maybe CoQ10? Sometimes taken by heart patients. nm

s
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm

not sure but I found one paragraph thru google about dacron wool........being used on a patient:


Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90  and packed with dacron
wool.  Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.


I don't really think this is going to help you though but I tried!! 


 


CD4 count for HIV patients and AIDS...
Subject: CD4 count for HIV patients and AIDS...

x
Experimental drug for MS patients sm
Subject: Experimental drug for MS patients sm

Has anyone heard of an experimental drug called "Revamune" (or s/l it) for MS patient's?  It may be through Project Restore through Hopkins???
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm

Try googling H1c, lots of hits  from (apparently) patients.  Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.


Docs often read off patients' handwritten sm
Subject: Docs often read off patients' handwritten sm

drug lists, saw this spelling and probably assumed it was something new. My vote is for Mirapex, but you can flag it to cover yourself.

long shot here but patients are Medi-Vac'd.....???
Subject: long shot here but patients are Medi-Vac'd.....???


Pain scale in leukemia patients
Subject: Pain scale in leukemia patients

Hi,

Is there a pain scale that is commonly referred to for leukemia patients? I'm doing a clinic note on a patient, and in the PE section, I hear something that sounds like ecot 0 (zero). The first thing that pops into my head is Ficat, but I don't think that's what it would be. I often hear doctors mention the pain scale rating right along with the vital signs, and that's where this is dictated. I'm googling and researching this, but I'm not even sure where to look. Any suggestions?


It's definitely rigid and it is a very unpleasant procedure for most patients, despite...
Subject: It's definitely rigid and it is a very unpleasant procedure for most patients, despite...

a local anesthetic.


FAST scan in trauma patients
Subject: FAST scan in trauma patients

Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.


it would be brownie taste, most oftenly used with chemo patients. nm
Subject: it would be brownie taste, most oftenly used with chemo patients. nm


Kind of 'panel' tests for COPD patients...sm
Subject: Kind of 'panel' tests for COPD patients...sm

Strange Doc is FLYIN thru her tests for COPD patient....' CBC, fasting renal panel, lipid panel, ___ panel (maybe titer but not sure if that applies?)  I get the impression its a common 'panel' test.  If I didn't know any better I'd say she was saying Italian panel:)  Any ideas?  Its late and I can't come up with it.
Patients with non-bulky follicular non-Hodgkin's lymphoma.
Subject: Patients with non-bulky follicular non-Hodgkin's lymphoma.


Also, any mention of his "dentition", many times a cause in elderly patients?? NM
Subject: Also, any mention of his "dentition", many times a cause in elderly patients?? NM

nm
Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm
Subject: Would use telemetry. Cardiac patients often go there before hitting the regular floors. nm

s
That could be. I know that some docs make patients sign care contracts. sm
Subject: That could be. I know that some docs make patients sign care contracts. sm

Compliance promise could very well be. Perhaps the patient had been noncompliant with his CPAP and the doc threatened him with something like being hospitalize, dying, etc.

A lot of PCPs make their drug-seeking patients sign what is called a Care Plan. It takes care of the "frequent flyers" to different docs and ED's. They are tailored to each patient. Perhaps Jane Doe can only get 4 pain shots a month. If she uses them all up in a week, then too bad, so sad. She will just have to tough it out. They are on file with all the hospitls here in case the frequent flying drug-seekers trh to hit different emergency departments, etc.
Topiramate is used with other medications to treat certain types of seizures in patients with epilep
Subject: Topiramate is used with other medications to treat certain types of seizures in patients with epilep

patients with epilepsy.