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Dr. Mumbler - infant with respiratory distress SM

Posted By: MDmt on 2006-05-05
In Reply to:

Subject: Dr. Mumbler - infant with respiratory distress SM

was placed on albuterol nebulizers and a second nebulizer of s/l protalbium was added every 6 hours.  Can't find a s/l on drugs.com or rxlist.com.  Any takers/new ears? TIA

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child with respiratory distress
Subject: child with respiratory distress

He says, "The pulse oximetry is showing 95% on room air. 


The s/l <T4 or P4?> was around 150 to 200 over s/l <260 or 20 60?>  at this time." 

Are you sure this is a GI medication. There is Surfaxin, but this is for respiratory distress.
Subject: Are you sure this is a GI medication. There is Surfaxin, but this is for respiratory distress.

baby has some respiratory distress, and humidified s/l glow buy? air was started
Subject: baby has some respiratory distress, and humidified s/l glow buy? air was started

sentences are "He was also tachycardic, but in no respiratory distress. He is not s/l T tipnic.
Subject: sentences are "He was also tachycardic, but in no respiratory distress. He is not s/l T tipnic. NM

nm
Nope. Looked up operose and it means labored. She is in respiratory distress so it seems to make
Subject: Nope. Looked up operose and it means labored. She is in respiratory distress so it seems to make

sense. I think he is trying to impress me with his crazy vocabulary skills! Never heard it used before though. Hmmm.
how about alert and in no acute distress or some variation of this?
Subject: how about alert and in no acute distress or some variation of this?

hang in there - you'll get the new doctor's "habits" down.
Might be. The doc is a mumbler. Thank you!!! nm
Subject: Might be. The doc is a mumbler. Thank you!!! nm

.
I got a mumbler here
Subject: I got a mumbler here

This patient is seen in the ICU after being struck by a car, many various injuries.


After stabilization, he went to the operating room for fixation of his femur fracture. His s/l level of ventil-o-elector-y-spore" was rapidly weaned.


I tried to space this as it is enunciated, but I can't tell if it is 2 words, 3 words, or what. Any help appreciated.

I believe that's it! Thank you. He's a mumbler. nm
Subject: I believe that's it! Thank you. He's a mumbler. nm

doc must have been a mumbler
Subject: doc must have been a mumbler

sodium is nearly always followed by potassium when dictating electrolytes. They have a certain order.

it could be - he's a mumbler- thank you!!!
Subject: it could be - he's a mumbler- thank you!!!

This is it- she's such a mumbler. TY both. nm
Subject: This is it- she's such a mumbler. TY both. nm

x
pe - mumbler help please
Subject: pe - mumbler help please

Pharynx is benign. Dentition is good. s/l arcitis. Neck supple.

Female patient with depression. He's talking so fast I can't catch this word. Any ideas greatly appreciated !
S/L-Atyptic pleasant female in no apparent distress.
Subject: S/L-Atyptic pleasant female in no apparent distress.

ortho help for mumbler please
Subject: ortho help for mumbler please

Patient seen for low back and lower extremity pain. Under plan: We would recommend an indirect decompression through an XLIF (collateral or lateral) approach at L4-5. 


It sure sounds like he is sounding out XLIF, and I cannot tell if he is saying collateral or lateral, but normally I would hear anterior or posterior lateral approch here and he is saying something way off from this. Sorry my sound like is not much help - it sounds like he is saying ex-something.


Thanks for any help!

I'm sorry. I just got it. It's valium. She's a mumbler :(
Subject: I'm sorry. I just got it. It's valium. She's a mumbler :(

Thanks, this doctor is a mumbler and stumbler
Subject: Thanks, this doctor is a mumbler and stumbler

x
Thx, people on my team skip this doc, as he is a mumbler. Thx for your help.
Subject: Thx, people on my team skip this doc, as he is a mumbler. Thx for your help.

Thanks for trying. Its a mumbler lady neurosurgeon, so it gets flagged. Too long of a day!
Subject: Thanks for trying. Its a mumbler lady neurosurgeon, so it gets flagged. Too long of a day!

PE respiratory on 7 m/o
Subject: PE respiratory on 7 m/o

It sounds like the doc is saying respiratoyr showed slight whimpering???


 

Respiratory help...sm
Subject: Respiratory help...sm


tidal volume 700, assist/control 12, 50% FiO2 and s/l he is saying *no* PEEP.  Would that be right?
It is not respiratory.
Subject: It is not respiratory.

Respiratory
Subject: Respiratory

She has oropharyngeal dysphagia and failure to wean her off of the s/l wind delivery console, was placed for PEG tube.
Is this for an infant?
Subject: Is this for an infant?

Could be anterior fontanel soft and flat...gotta love those docs who abbreviate everything imaginable...

even for an infant? more
Subject: even for an infant? more

The Yale score I read about appeared to be a psychological test and this was just a baby, just a few months old.
Is this for an infant? If so, I would say
Subject: Is this for an infant? If so, I would say

startle reaction.
Respiratory ??? virus
Subject: Respiratory ??? virus

The child was hospitalized for respiratory s/l "sinsishual" virus.  Please, any help?
respiratory phasicity?
Subject: respiratory phasicity?

respiratory phasicity?

I have no direct experience, but from some Google-ing, respirations seem to have a big impact on venous ultrasounds. The above is the only phrase I could find that seemed close to your s/l.

Good luck!
Thanks a lot! it's respiratory variability.
Subject: Thanks a lot! it's respiratory variability.

respiratory rate nm
Subject: respiratory rate nm

nm
Not respiratory rate
Subject: Not respiratory rate

RR is also given.  This seems to be something else which is why I'm confused.
is it in the respiratory section?
Subject: is it in the respiratory section?

s.o. "trolley" - respiratory ?
Subject: s.o. "trolley" - respiratory ?

Etiology of patient's acute respiratory decompensation may be "trolley," but less like given the "trolley" labs. TIA
yep - infant exam so this must be it - boy
Subject: yep - infant exam so this must be it - boy

you are good - thank you so much!

I've been doing this a long time and never heard AFOF before!
Infant exam
Subject: Infant exam

Doc has a very British accent - dictating s/l Aplins, or Uplins, or Eplins. I've never heard anything like this, but I've never typed infant reports (but not sure if this is exclusive to that or not).

Head and neck: No craniofacial asymmetry, no torticollis, full eye movements.

Spine: No visible or palpable abnormally.

??: She moves these actively with all joints. Passively there is full movement. There are no deformities.
infant delivery
Subject: infant delivery

The cord was double clamped and cut and the infant was taken to stabelette?? for evaluation.  I'm pretty sure what he is saying is not stabelette (s/l stable-let) but that is what it sounds like. 

common respiratory flora?.......nm
Subject: common respiratory flora?.......nm

can respiratory percusses resonant?
Subject: can respiratory percusses resonant?

Thank you


Deborah

Thanks but I found it. Patient has respiratory
Subject: Thanks but I found it. Patient has respiratory

problems and uses a coughalator at home. Probably should have given the sentence. Thanks again.
Patient has respiratory failure and possible
Subject: Patient has respiratory failure and possible

Boroffs syndrome
URI? - upper respiratory infection
Subject: URI? - upper respiratory infection

respiratory rate temperature??
Subject: respiratory rate temperature??

first thought is respiratory functions. nm
Subject: first thought is respiratory functions. nm

S/L "Azo"-therapy as in respiratory
Subject: S/L "Azo"-therapy as in respiratory

The patient has pulmonary fibrosis and she was to begin pulmonary rehab, in addition to converting her over to only prednisone and discontinuing her s/l "azo-therapy"
try accessory respiratory muscles (nm)
Subject: try accessory respiratory muscles (nm)

type of infant formula?
Subject: type of infant formula?

Feeding regimen is ** Persobe** 24 kilocalories/ounce


I guess it has been longer than I thought. LOL Is it possible to be per Sobe? When I look up Sobe, I just get the drink you buy at the store. Thanks!

back exam for infant
Subject: back exam for infant

S/l - the back showed no toss (does not s/l loss) of hair. 
It is Kreiselman (infant warmer)
Subject: It is Kreiselman (infant warmer)

xx
Isolette infant warmer (nm)
Subject: Isolette infant warmer (nm)

Infant? If not here is a link of some supplements.
Subject: Infant? If not here is a link of some supplements.

http://www.healthtouch.com/bin/EContent_HT/drugShowLfts.asp?fname=usp0681.htm&title=MCT+Oil+%2C+Enteral+Nutrition+Formula%2C+Modular&cid=HT


 



  • Accupep HPF 9
  • Advera 2
  • Alitraq 9
  • Amin-Aid 2
  • Attain 10
  • Carnation Instant Breakfast 7
  • Carnation Instant Breakfast No Sugar Added 7
  • Casec 8
  • CitriSource 10
  • Citrotein 10
  • Compleat Modified 1
  • Compleat Regular 1
  • Comply 10
  • Criticare HN 9
  • Crucial 2
  • Deliver 2.0 10
  • DiabetiSource 2
  • Elementra 8
  • Ensure 10
  • Ensure with Fiber 6
  • Ensure High Protein 10
  • Ensure HN 10
  • Ensure Plus 10
  • Ensure Plus HN 10
  • Entrition Half-Strength 10
  • Entrition HN 10
  • Fiberlan 6
  • Fibersource 6
  • Fibersource HN 6
  • Glucerna 2
  • Glytrol 3
  • Great Shake 7
  • Great Shake Jr 7
  • Hepatic-Aid II 2
  • Immun-Aid 2
  • Impact 2
  • Impact with Fiber 3
  • Introlan 10
  • Introlite 10
  • Isocal 10
  • Isocal HN 10
  • Isolan 10
  • Isosource 10
  • Isosource HN 10
  • IsoSource VHN 6
  • Isotein HN 10
  • Jevity 6
  • Kindercal 6
  • Lipisorb 2
  • Magnacal 5
  • MCT Oil 8
  • Menu Magic Instant Breakfast 7
  • Menu Magic Milk Shake 7
  • Meritene 7
  • Microlipid 8
  • Moducal 8
  • Nepro 2
  • NuBasics 10
  • NuBasics with Fiber 6
  • NuBasics Plus 10
  • NuBasics VHP 10
  • Nutren 1.0 10
  • Nutren 1.5 10
  • Nutren 2.0 5
  • Nutren 1.0 with Fiber 8
  • NutriHep 2
  • Nutrilan 10
  • NutriVent 2
  • Osmolite 10
  • Osmolite HN 10
  • Pediasure 10
  • Pediasure with Fiber 6
  • Peptamen 4
  • Peptamen Junior 4
  • Peptamen VHP 4
  • Perative 2
  • Polycose 8
  • Pre-Attain 10
  • ProBalance 6
  • Profiber 6
  • ProMod 8
  • Promote 10
  • Promote with Fiber 6
  • Propac Plus 8
  • Protain XL 2
  • Pulmocare 2
  • Reabilan 9
  • Reabilan HN 9
  • Replete 10
  • Replete with Fiber 6
  • Resource 10
  • Resource Plus 10
  • Respalor 2
  • SandoSource Peptide 9
  • 206 Shake 7
  • Sumacal 8
  • Suplena 2
  • Sustacal 10
  • Sustacal Basic 10
  • Sustacal with Fiber 6
  • Sustacal Plus 10
  • Sustagen 7
  • Tasty Shake 7
  • Tolerex 9
  • TraumaCal 2
  • Traum-Aid HBC 2
  • Travasorb HN 9
  • Travasorb Renal Diet 2
  • Travasorb STD 9
  • TwoCal HN 10
  • Ultracal 6
  • Ultralan 10
  • Vital High Nitrogen 9
  • Vitaneed 1
  • Vivonex Pediatric 9
  • Vivonex Plus 9
  • Vivonex T.E.N. 9
Sechrist infant ventilator nm
Subject: Sechrist infant ventilator nm

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