Pt that needs dialysis access with s/l AlphaSplit catheter insertion.
Posted By: Spice on 2007-07-31  
In Reply to: 
  
Subject: Pt that needs dialysis access with s/l AlphaSplit catheter insertion. 
  I know HemoSplit, Hickman, Niagara, but this one I can't find anywhere...help!!!!  
 
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I bet he's saying access catheter then! 
Subject: I bet he's saying access catheter then!  
  
	 
	
Ever hear of PDY catheter for dialysis? 
Subject: Ever hear of PDY catheter for dialysis? 
  
	 
	
PDy=peritoneal dialysis catheter...nm 
Subject: PDy=peritoneal dialysis catheter...nm 
  nm
	 
	
Kinny catheter for dialysis? 
Subject: Kinny catheter for dialysis? 
  S/l kinny, kenny, possibly kidney;  ________ catheter was placed after the patient had a failed AV graft.  Thanks for any help! 
	 
	
Canon? catheter for dialysis w/ ESRD 
Subject: Canon? catheter for dialysis w/ ESRD 
   x
	 
	
I googled Mahurkar dialysis catheter nm 
Subject: I googled Mahurkar dialysis catheter nm 
  X
	 
	
Laparoscopic s/l tinkoff catheter placement (for peritoneal dialysis) 
Subject: Laparoscopic s/l tinkoff catheter placement (for peritoneal dialysis) 
   x
	 
	
pes insertion.... 
Subject: pes insertion.... 
  'He is nontender along both the quad and patellar tendons as well as Gerdy’s tubercle and the pes insertion.' 
 
This is Ortho consult.  Just wondering if pes should be capitalized PES? TIA.  
	 
	
it is actually the insertion of her Achilles nm 
Subject: it is actually the insertion of her Achilles nm 
  
	 
	
Inserting a PICC or other central catheter? Maybe 'Groshong' catheter? nm 
Subject: Inserting a PICC or other central catheter? Maybe 'Groshong' catheter? nm 
  s
	 
	
insertion of intrathecal pump 
Subject: insertion of intrathecal pump 
  
	 
	
Could you be hearing glenoid insertion? 
Subject: Could you be hearing glenoid insertion? 
   nm
	 
	
suprapubic tube insertion 
Subject: suprapubic tube insertion 
 
 I'm typing up the description of the operation of a suprapubic tube insertion and it sounds like they are saying:  
A scalpel was placed in this area, and a Bard 12-French suprapubic catheter was passed into the bladder  
My question is.......does it make sense to say a scalpel was placed?  The dictation isn't really clear and it could be a different word.    
Also...it was hard to find information on Bard catheters.  Has anyone ever transcribed this term before...maybe they are not really saying Bard.......  
  
	 
	
Cor d insertion site - omphalocele or gas__skesis 
Subject: Cor d insertion site - omphalocele or gas__skesis 
 
 Hmm.  What could this be????  Anyone??
   
Thank you in advance :) 
	 
	
oncu pain ball insertion? 
Subject: oncu pain ball insertion? 
  The patient has just undergone a radical nephrectomy and "oncu pain ball insertion".   Any ideas?  HELP!! 
	 
	
proximal to its insertion in the navicular sounds right to me - nm 
Subject: proximal to its insertion in the navicular sounds right to me - nm 
  
	 
	
CVT access 
Subject: CVT access 
  Has anyone heard of CVT access?  Chief complaint is "Need for CVT (?) access"
	 
	
IV access? 
Subject: IV access? 
  nm
	 
	
Medicine for Bilateral myringotomy with tube insertion. 
Subject: Medicine for Bilateral myringotomy with tube insertion. 
  soundslike course borne otic suspension drops 
	 
	
?austregonim? at the posterior tibial tendon insertion. 
Subject: ?austregonim? at the posterior tibial tendon insertion. 
 
 The ????? at the posterior tibial insertion certainly alters the pull of the posterior tibial tendon causing the functional pes planus deformity in his foot.  He is unable to adequately lift his medial longitudinal arch throughout midstance, leading to this pain at the posterior tibial insertion, weakness at the posterior tibial insertion, as well as plantar fasciitis.    
   
It is noted on X-ray.  
	 
	
Also found Rhein forceps for lens insertion 
Subject: Also found Rhein forceps for lens insertion 
  
	 
	
left heminephrectomy and a s/l power line insertion? sm 
Subject: left heminephrectomy and a s/l power line insertion? sm 
  Child has a brain tumor.  Heminephrectomy and s/l power line insertion performed at the same time, but I can't tell from the chart if they're related.  
	 
	
it is actually the insertion of her Achilles as well as her calcaneal tuberosity spur?? nm 
Subject: it is actually the insertion of her Achilles as well as her calcaneal tuberosity spur?? nm 
  
	 
	
BTTI as in bilateral tympanostomy tube insertion?...nm 
Subject: BTTI as in bilateral tympanostomy tube insertion?...nm 
  x
	 
	
Yes, the KVO allows easy access 
Subject: Yes, the KVO allows easy access 
  warranted.  In my experience, the KVO rate was used during a transesophageal echocardiogram wherein if the patient needed a bolus of a med, then the line was there to give it.  Saline was given at a KVO rate, but I think it also (slow drip) allowed hydration for the patient while undergoing the procedure.  I believe these drips given at KVO rate can be started a lot of times in the ER to allow venous access.  
	 
	
Cannot access the site? - sm 
Subject: Cannot access the site? - sm 
  Tried googling http://ssrsurgical.com/index.html but no can find. 
	 
	
Is the MT able to access old records 
Subject: Is the MT able to access old records 
  and saw this was the proper medication?  That may be where the MT got it. 
	 
	
Word help ?austregonim? at the posterior tibial tendon insertion 
Subject: Word help ?austregonim? at the posterior tibial tendon insertion 
  Os trigonum
	 
	
s/l meniscus test during Veress needle insertion for laparoscopy? 
Subject: s/l meniscus test during Veress needle insertion for laparoscopy? 
 
 Help..... Sounds like meniscus. Very clear.  
   
The HUMI was then placed without complication. We changed our gloves and went up above. An incision was made in the infraumbilical portion with the scalpel. A Veress needle was placed and no complications with that. The *meniscus test was positive. Carbon dioxide gas was used to establish a pneumoperitoneum with approximately 50 mmHg with 2.1 L of gas.  OB/GYN 
	 
	
? Vascular access resistance 
Subject: ? Vascular access resistance 
  s/l it, though VAR could stand for venoarteriolar reflex, venoarteriolar response, etc.
	 
	
Can you access old reports to see if it's something used routinely? nm 
Subject: Can you access old reports to see if it's something used routinely? nm 
  s
	 
	
Can you access any of the old reports to see if he "normally" says something here? nm 
Subject: Can you access any of the old reports to see if he "normally" says something here? nm 
  s
	 
	
s/l mitrophenov access to the bladder? 
Subject: s/l mitrophenov access to the bladder? 
  
	 
	
apical access guidewire? 
Subject: apical access guidewire? 
  This is a bunionectomy. s/l apical access guidewire
	 
	
Skin Axis / Access 
Subject: Skin Axis / Access 
 
 In a mammogram, doc dictates: "At ultrasound, this does correspond to a smooth, oval, hypoechoic, well-defined nodule, which is parallel to the skin axis/access, measuring 14 x 4 x 9 mm. "   
Is it "axis" or "access?"  Thanks in advance :-) 
	 
	
s/l CCAP/CAPA Access Med Plus 
Subject: s/l CCAP/CAPA Access Med Plus 
 
 We have given patient Access MedPlus number to CCAP/CAPA to see if she would qualify for any free services as she has no insurance.  It may also be "CAP/CAPA"  
Thanks,  
   
Abby 
	 
	
IV access.  S/l might be multi-lumen 
Subject: IV access.  S/l might be multi-lumen 
  
	 
	
Here is a great educational site about IV access 
Subject: Here is a great educational site about IV access 
  nm
	 
	
May be Mediport infusion access device? nm 
Subject: May be Mediport infusion access device? nm 
  
	 
	
Can you access file samples? They usually say procedures over 
Subject: Can you access file samples? They usually say procedures over 
  s
	 
	
Could he have meant central venous access?  I don't know 
Subject: Could he have meant central venous access?  I don't know 
  what the CVP would be, though, unless central venous pressure line?   
 
I would have to see what the patient's other problems were I guess.  I have never heard this in an extremity exam before though.
	 
	
Any chance you can access the radiology report and 
Subject: Any chance you can access the radiology report and  
  s
	 
	
diabetic taking insulin and access? 
Subject: diabetic taking insulin and access? 
  Sounds clear enough, "patient is diabetic, taking insulin and access"  ???  
	 
	
That was my first thought, but IV access makes sense.  sm 
Subject: That was my first thought, but IV access makes sense.  sm 
  For more context, I should have mentioned pt has suspected meningitis - has the severe headache, fever, chills, nausea, and has a positive Brudzinski.
	 
	
Udall catheter or Uldall catheter? 
Subject: Udall catheter or Uldall catheter? 
  .
	 
	
Knee film.  Dr. says: "Small s/l infuse-o-fight quadriceps tendon insertion site.   
Subject: Knee film.  Dr. says: "Small s/l infuse-o-fight quadriceps tendon insertion site.   
  
	 
	
Udall........for dialysis .....nm 
Subject: Udall........for dialysis .....nm 
  xx
	 
	
maybe dialysis shunt 
Subject: maybe dialysis shunt 
  
	 
	
Anyone ever heard of Q-dialysis?  sm 
Subject: Anyone ever heard of Q-dialysis?  sm 
 
 If you have, could  you please tell me what it is and where I can reference it?  I tried Google and came up with nothing concrete.  
Thanks for any help. 
	 
	
acute dialysis maybe 
Subject: acute dialysis maybe 
  
	 
	
Q--Dialysis Services 
Subject: Q--Dialysis Services 
 
  
  
You probably saw this in google already, but there is a Q--Dialysis Service in Alabama for veterans, if that fits?  Otherwise, I would still think it is "acute".   
	 
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