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Patient with seizure in ER - "Loaded with s/l phosphenytoin (doctor hiccoughed) 1 gram IV"

Posted By: WI MT on 2005-10-12
In Reply to:

Subject: Patient with seizure in ER - "Loaded with s/l phosphenytoin (doctor hiccoughed) 1 gram IV"

HELP!


 




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The patient was given ++promitrine 1 gram after cultures were taken
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The patient received a gram of Ancef in her [upperly].
Subject: The patient received a gram of Ancef in her [upperly].

I know this is wrong, but this is what it sounds like.....any guesses?
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!


No, don't cap gram-negative. The test Gram stain is capitalized - per Stedmans Inf Dis Book. -s
Subject: No, don't cap gram-negative. The test Gram stain is capitalized - per Stedmans Inf Dis Book. -sm

Also, I worked in a lab for many years, and gram-negative and gram-positive are not capitalized. Gram is the name of the doctor or scientist who came up with the staining test, Gram stain, so that is capped.
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Subject: gram-position pleomorphic bacilli? (gram-positive should be small "g")


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Subject: Sted's Path and Lab Words - gram-negative bacilli but Gram

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Hmm, the doctor just says the patient was using Magic mouthwash & Biotene,,,
Subject: Hmm, the doctor just says the patient was using Magic mouthwash & Biotene,,,

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It should be Gram's stain, the formal name, or the result was gram negative.... then not.....nm
Subject: It should be Gram's stain, the formal name, or the result was gram negative.... then not.....nm

nm
doctor is admitting patient to "med-telly" what does that stand for? nm
Subject: doctor is admitting patient to "med-telly" what does that stand for? nm


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Subject: Patient with AIDS, doctor spells two meds, Travata and Cysteva. sm

I can't document either.  Any help appreciated!  TIA
Incorrect, it is gram-negative and cap only for Gram stain.
Subject: Incorrect, it is gram-negative and cap only for Gram stain.

x
Which is correct..Gram or gram negative?nm
Subject: Which is correct..Gram or gram negative?nm

nm
Gram stain, and gram-negative. (nm)
Subject: Gram stain, and gram-negative. (nm)

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Culture was sent for Gram's stain or gram stain. Which is correct? TIA!!
Subject: Culture was sent for Gram's stain or gram stain. Which is correct? TIA!!


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Subject: Absence seizure.

There is a type of seizure known as "Absence."
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nm
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Subject: Pt with seizure disorder sm

CBC reveals elevated MCV at 11.5, s/l "iron" B12 level 387. TIA
s/l absonce seizure
Subject: s/l absonce seizure

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Subject: Absence seizure (nm)

x
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Subject: Type of seizure?

The patient has a s/l Hartman seizure? with colostomy closure.  Not sure if the seizure part is right either actually.  I'm helping out a coworker who is on vacation and this is an ESL I'm not used to.  TIA.


Seizure Disorder Help
Subject: Seizure Disorder Help

Got a doc here that sounds like he's saying gee-eff-satia disorder.  He's a very heavy ESL and I can't understand him for the life of me.


 


Any suggestions?


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Subject: seizure medication: s/l ephisesmyatin


absence seizure is pronounced ab-sonz? sm
Subject: absence seizure is pronounced ab-sonz? sm

absence seizure



a seizure characterized by impaired awareness of interaction with, or memory of, ongoing events external or internal to the person; may comprise the following elements: mental confusion, diminished awareness of environment, inability to respond to internal or external stimuli, and amnesia. (The term absence was first used by Louis-Florentin Calmeil (1798–1895) to introduce the concept of epileptic absence for the brief loss of consciousness or confusion seen in epileptic patients.)


 


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1. (s/l solviness), rule out seizure versus concussion.


The guy went in for alcohol poisoning.


Thanks!!


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Subject: infant with excessive s/l jutrenous possibly seizure manifestation


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Subject: Gram or gram

It's gram negative, as in gram-negative rods. There is also a Gram stain, which IS capped.
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I have an email in to my supe to clarify this, but how do you transcribe "gram-negative" in a report?


Capitalized or not?


I have done it both ways and have been counted off each time for it, so I am looking for a little clarity here!


TIA!


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Subject: pt has pneumonia & given s/l pla-fa-rin 1 gram I.M. nm

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Subject: Gram-negative?

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Subject: Gram stain? nm


gm may be for gram..dunno about MT
Subject: gm may be for gram..dunno about MT

/
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Subject: gram stain or Gram stain

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1 gram of Ancef was given s/l IB?
Subject: 1 gram of Ancef was given s/l IB?

xx
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Subject: Gram or gram--to capitalize or not to capitalize??

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Could he be saying Gram stain? He clearly pronounces it as annagram!


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Subject: gram stain


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Subject: Given 2 gram IV piggy back


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Subject: How would you type *10 to the 5th* gram-neg rods?

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Subject: yes, there is occult Gram stain

/
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Subject: s/l conic five gram vesimatous,

 

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Subject: Stedman's says Gram negative

I knew Gram stain was in caps, and thought it was gram-negative until I saw Stedman's saying it was capped??? Is it wrong?
could it be AFB? and that is Gram (capital G) stain. nm
Subject: could it be AFB? and that is Gram (capital G) stain. nm

n