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Pt with nausea and vomiting and s/l pre vert resulting in IV fluids. TIA

Posted By: Jan on 2008-01-21
In Reply to:

Subject: Pt with nausea and vomiting and s/l pre vert resulting in IV fluids. TIA




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nausea and vomiting
Subject: nausea and vomiting

I have listened to this many times......help.....nausea and vomiting "it's really unclear".  This is what I interpet.  Not sure if it makes sense......thanks for any kind of help, apprecieate it.....
what about nausea and vomiting? sm
Subject: what about nausea and vomiting? sm

that is a common phrase in medical terminology. What is the whole sentence you are referring to?

appreciate not apprecieate.
Nausea and vomiting
Subject: Nausea and vomiting

If you are saying the words nausea and vomiting are really unclear to you, as in you can't tell if that is what the doc is saying? 


Nausea and vomiting would make sense in a cancer patient with the other problems listed in his complaints. 


Sorry but the way you wrote your question if you are unclear, then it would be easier for us to help you if you said "sounds like.....but it is really not clear, by putting it in quotes we can't really tell what you are trying to say, if that makes any sense.  LOL


Could it be Tigan (treats nausea and vomiting)? nm
Subject: Could it be Tigan (treats nausea and vomiting)? nm

x
There was no mention of nausea or vomiting, but the s/l is close. Thank you I will look into it.
Subject: There was no mention of nausea or vomiting, but the s/l is close. Thank you I will look into it.

a
Ondansetron is used to prevent nausea and vomiting
Subject: Ondansetron is used to prevent nausea and vomiting

nm
performance status, nausea, vomiting.
Subject: performance status, nausea, vomiting.

x
could it be ondansetron? (generic for Zofran for nausea/vomiting)? nm
Subject: could it be ondansetron? (generic for Zofran for nausea/vomiting)? nm

///
No nausea, vomiting or s/l Brownie taste in the back of his throat. NM
Subject: No nausea, vomiting or s/l Brownie taste in the back of his throat. NM


GASTROINTESTINAL: No nausea, vomiting or diarrhea. No hematemesis, nor any mennacasia ??? What'
Subject: GASTROINTESTINAL: No nausea, vomiting or diarrhea. No hematemesis, nor any mennacasia ??? What's


How about Emend which is used for preventing nausea and vomiting associated with repeat courses of c
Subject: How about Emend which is used for preventing nausea and vomiting associated with repeat courses of certain cancer drug therapy


there's Zofran for nausea and vomiting follow surgery or chemo drugs. nm
Subject: there's Zofran for nausea and vomiting follow surgery or chemo drugs. nm

x
ROS positive for nausea, vomiting, diarrhea, Indian doctor dictating HELP
Subject: ROS positive for nausea, vomiting, diarrhea, Indian doctor dictating HELP

XX
He denies any nausea, vomiting, fever, chills and no recent s/l interim.
Subject: He denies any nausea, vomiting, fever, chills and no recent s/l interim.

n/t
If he has central nausea and vomiting he may S/L amese?? gastric contexts through a feeding tube.
Subject: If he has central nausea and vomiting he may S/L amese?? gastric contexts through a feeding tube.

NM
Need help w/type of ulcer resulting from a
Subject: Need help w/type of ulcer resulting from a

. . . proximal tibial fracture she suffered on the right, was treated with open reduction internal fixation with plates and screws.  The patient developed a ____ ulcer.  Any ideas?  Thanks.
drop in pressure "over fixed stenosis" resulting in further symptoms. sm
Subject: drop in pressure "over fixed stenosis" resulting in further symptoms. sm

Our concern is that sedation may drop her pressure "over fixed stenosis" resulting in further symptoms
Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm
Subject: Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm

nm
IV fluids..?
Subject: IV fluids..?

z
IV fluids -- sm
Subject: IV fluids -- sm

How would you write the following:


1.  "placed on D5 and a 1/2-normal saline at maintenance and a quarter."


2.  and then later she says:  "IV fluids, D5 and a 1/2 with 20 of KCl per liter"


These fractions confuse me.  I assume the 1/2 goes with the normal saline in the first instance and maybe the "normal saline" is implied in the second instance, but how do I express these fractions?  Did I do the "quarter" right in the first instance?


Fluids
Subject: Fluids

How about intravenous fluids were or was administered as in normal saline?
He has tried s/l wrenching and vomiting.
Subject: He has tried s/l wrenching and vomiting.


wrenching and vomiting
Subject: wrenching and vomiting

Could it be retching and vomiting?
and therefore starting IV fluids? nm
Subject: and therefore starting IV fluids? nm

x
There is "pooling" of fluids in various
Subject: There is "pooling" of fluids in various

parts of the body.
Fluids were administered.
Subject: Fluids were administered.


Is this the working DX? cyclic vomiting? sm
Subject: Is this the working DX? cyclic vomiting? sm

bile-tinged vomitus? All I can think of, sorry.
cyclic vomiting syndrome
Subject: cyclic vomiting syndrome

I agree with cyclic vomiting, but maybe it has syndrome on the end.  Nortriptyline is used for this.
Haldol IV for treatment of vomiting?
Subject: Haldol IV for treatment of vomiting?

Is anyone familiar with Haldol being used in IV form for treatment of vomiting in a patient (hospital setting). 
pt with GI problems (vomiting, diarrhea, etc) -
Subject: pt with GI problems (vomiting, diarrhea, etc) -

under plan, says ...s/l "IBF," bland diet... (not saying "IBS" - but this is some kind of treatment/diet)


Sometimes fluids are given at a bolus rate
Subject: Sometimes fluids are given at a bolus rate

of so many mL per hour. 
extravasation - leakage of fluids
Subject: extravasation - leakage of fluids


FLUIDS: 500 mL Crystalloid; s/l Hexten 500 mL. TIA
Subject: FLUIDS: 500 mL Crystalloid; s/l Hexten 500 mL. TIA

x
IV fluids with D5 1/4 normal saline with s/l
Subject: IV fluids with D5 1/4 normal saline with s/l

10 KCL per liter at 50 an hour?   and please what is the correct way to write D5 1/4 ?


Thanks


FLUIDS, ELECTROLYTES AND NUTRITION:
Subject: FLUIDS, ELECTROLYTES AND NUTRITION:

x
Fluids, electrolytes, nutrition
Subject: Fluids, electrolytes, nutrition


exudates is correct just like you have fluids. nm
Subject: exudates is correct just like you have fluids. nm


i just realized it's probably "IVF" - IV fluids ??
Subject: i just realized it's probably "IVF" - IV fluids ??


Might be turbinates are red and swollen. Yes they would want you to push fluids.
Subject: Might be turbinates are red and swollen. Yes they would want you to push fluids.


means excess of any of the body fluids
Subject: means excess of any of the body fluids


Word help, sounds like "cautious" IV fluids
Subject: Word help, sounds like "cautious" IV fluids

Can someone help me with a word, sounds like cautious or precautious IV fluids were initiated.
patient was dehydrated and s/l "resulsated" with IV fluids. nm
Subject: patient was dehydrated and s/l "resulsated" with IV fluids. nm


ALSO no nausea
Subject: ALSO no nausea


nausea
Subject: nausea

This is what I have so far....don't know if this will help thanks so much


DISCHARGE DIAGNOSES:
1.  Metastatic rectal cancer with liver and lung metastases.
2.  Nausea and vomiting, "its really unclear."
3.  Diarrhea and dehydration.
4.  Poor pain control.


Pt needs fluids - Dr. says "Urine S/L ?spotsorium?" would be useful to determine status of flu
Subject: Pt needs fluids - Dr. says "Urine S/L ?spotsorium?" would be useful to determine status of fluids.

NM
Thank you! That makes sense, She says earlier that the patient got IV fluids.
Subject: Thank you! That makes sense, She says earlier that the patient got IV fluids.


Emend - is for nausea s/m
Subject: Emend - is for nausea s/m

commonly given to cancer patients to help with effects of chemotherapy.


nausea medication
Subject: nausea medication

For nausea the patient is s/l donnacentron 4 mg orally daily. 
Nausea medication
Subject: Nausea medication

I am trying to figure out a medication for treatment of nausea in a pregnant woman that sounds like eudanceron or ondanceron or something like that.  Any guesses? 
Anapsin for nausea?
Subject: Anapsin for nausea?

This is for a patient post surgery (appendectomy) and is given for nausea.  It sounds like anapsin.  Any ideas? 
? eructating nausea. ........ Cardiovascular:
Subject: ? eructating nausea. ........ Cardiovascular: