a tough one--drugs that use "grains" and fractions thereof
Posted By: starstruck on 2009-02-14
In Reply to:
Subject: a tough one--drugs that use "grains" and fractions thereof
That's right, go ahead and run off when you see my boring hard question!!
Okay, I've have to say that I never really got the "grain" concept in terms of drug usage and was too lazy to ask my instructors back in the day, and now my lack of knowledge has come back to haunt me. The doc says this patient is taking "three-fourths of a grain of phenobarbital." How do I transcribe this? Anyone?
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
fractions
I would type 0.25 if pertaining to medication or lab values. I was told never type in fraction form. So, if I had a doubt, I would spell it out one-fourth.
fractions
Thanks. I appreciate it. I had a corrected report and the correction was wrong because it did not have a hyphen. It lowered my score but then that picky QA needs some listen in typing out fractions.
fractions
Subject: fractions
there are fractions, like 6b, etc. Check that out and see if that is what it is.
fractions
Subject: fractions
I always type out fractions, i.e., one-quarter, one-half, as it can be confused with 1-2 or 1-4 even if written 1/4, 1/2.
No fractions
Subject: No fractions
You should not be using fractions with a metric unit. If they say "four-and-a-half cc," that gets transcribed as 4.5 cc (or mL). You can use fractions with non-metric units like inches or days or whatever.
fractions in reports
What is acceptable, 1/4 or one-fourth? Thanks.
Question about fractions
Subject: Question about fractions
If dictator says a medication was decreased by 'one-quarter'or increased by 'one-half'. How am I to type this? Do I type 1/4 and 1/2 or do I type 0.25 and 0.5?
You do not use fractions with metric system.
Subject: You do not use fractions with metric system.
x
I thought you used decimals for metric and fractions for standard...
Subject: I thought you used decimals for metric and fractions for standard...
and I think you need another decimal place
0.0038-inch-diameter
or
1/38,000-inch-diameter (but this = 0.0000263)
and now I really have a headache!
for drugs phonetic guessing, etc. I do Drugs.com
Subject: for drugs phonetic guessing, etc. I do Drugs.com
worth a dry, can also search part of drug ie *threx
That is a tough one. I wonder if
Subject: That is a tough one. I wonder if
there could be something about axial loading in there???
Good luck :)
tough one but
Subject: tough one but
This is a quote from the Jounal of Nuclear Medicine Technology...
In the event that there is a significant splanchnic or bowel overlap with the inferior wall, various maneuvers, such as drinking water or milk or eating fatty food, can be tried to alleviate the problem before repeating delayed imaging.
So, sound like * overlap * would be correct.
I got this by googling the words - myocardial perfusion scan splanchnic
this is a tough one! sm
Subject: this is a tough one! sm
Just going to give you wild guesses and maybe it will help - could the word be
self-_____?
cell _____?
____ folate?
I'm not 100% sure but I think it is typed FOLFOX (??)
Man, that's a tough one!
Subject: Man, that's a tough one!
All I can think of is saying GCS fast with something, but then the 96 doesn't make any sense with that, but the 96 could represent glucose, but even then that's not low enough to cause coma, is it? Sorry--just thinking out loud. Let us know if you figure it out!
Good luck with that! 
A tough one
Subject: A tough one
  Osteopathy report says did deep tissue, manipulation as well as ?? s/l kindricks ?? crunch. Googled for a long time without luck.
Suggestions appreciated!
That's a tough one since s/m
Subject: That's a tough one since s/m
he probably didn't type it out. My guess is something with the patella?
Good luck.
Nah, that was a tough one. I don't think
Subject: Nah, that was a tough one. I don't think
I have ever heard that abbreviated before.
hmm I can't think of anything, that is a tough one NM
Subject: hmm I can't think of anything, that is a tough one NM
wow that is a tough one :( nm
Subject: wow that is a tough one :( nm
tough one (sm)
Subject: tough one (sm)
The only thing I can think of that comes close is that instead of spelling out those letters, he might actually be saying "coronary arteries."
If he's speaking distinctly enough, though, that you're sure he's dictating specific letters, then I'm stumped.
are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Subject: are you sure the doc isn't saying "hypertension" - sometimes tough to tell nm
Hmm, tough one. The only thing I can think of ..
Subject: Hmm, tough one. The only thing I can think of ..
assuming it's part of the patient's surgical history is toe surgery?? Wild guess.
that's a tough one, got any more of a sentence??..nm
Subject: that's a tough one, got any more of a sentence??..nm
x
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but
Could he be saying the coude catheter was connected to irrigant. And then say something about using K-Y?
Tough to say without hearing it, but
Subject: Tough to say without hearing it, but
Could he be saying: The coude catheter was connected to irrigant. And then say something about using K-Y?
a tough one having to do with radioisotope...plse sm.
Subject: a tough one having to do with radioisotope...plse sm.
The patient is a candidate for a sentinel node biopsy based on the intermediate thickness melanoma. Despite the negative lymphscintogram, it is certainly reasonable on the day of surgery for her melanoma excision to inject ? radioisotope at the primary site and with the handheld gamma counter, we may still be fortunate enough to identify a sentinel node that we can biopsy.
He kind of mumbles the type of radioisotope to be injected and if anyone has any ideas, I can see if they match up to what he is "trying" to say! Thanks so much.
tough one, but angioma or ecchymosis?
Subject: tough one, but angioma or ecchymosis?
just a thought.
You're welcome, Christa. Gyn is tough when you start out. nm
Subject: You're welcome, Christa. Gyn is tough when you start out. nm
x
True, but there are some terms that are tough to find. sm
Subject: True, but there are some terms that are tough to find. sm
This one is a good example of a term difficult to Google. However, it can very easily and quickly be found in Stedman's. I recommend books first, Google as a last resort.
You may want to help out at the MT Chat board where only hints are given.
Don't forget what it was like when you started out. You probably weren't at home working alone, were more than likely paid hourly and were able to research ad nauseum.
"Do unto others..."
glad I could help - those weird pronunciations are tough sometimes! NM
Subject: glad I could help - those weird pronunciations are tough sometimes! NM
Thanks-a-lot! It was hard to figure out from his tough accent!!
Subject: Thanks-a-lot! It was hard to figure out from his tough accent!!
Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
Subject: Possibly they're post BAK interbody fusion system or procedure? This one's tough! nm
s
drugs and lab
Subject: drugs and lab
mumbling doctor here. pt has diabetes with sugars running high--has not been seeing a sl-dopatologist.
drugs--sl-lorclazepam 30 mg at night.
lab--white count sl-550,400.
thanks
drugs
Subject: drugs
D: Sentinel 75 mcg IV and Versed. Sentinel??
need help on 3 drugs
Subject: need help on 3 drugs
Patient has past medical history of CVA, angina, type 2 diabetes. Current meds are Coumadin, Glucophage, aspirin, "_______ glycerin", ibuprofen, Endura, S/L "Lasix PCO", Synthroid, "S/L carbonephrine", Cordarone, Norvasc, Vasotec.
3 drugs
Subject: 3 drugs
I forgot to tell you he is a mumbler. It was nitroglycerin. Imdur, not Endura. Lasix (mumble). I had to flag the "corbinephrine"
drugs
Subject: drugs
agreed. thanks :)
Drugs. . .
Subject: Drugs. . .
s/l Clathoriane?
drugs
Subject: drugs
s/l centinel?
for GI bleeding
drugs...
Subject: drugs...
s/l: Elavyl? (given dosage: 15 mg h.s.)
Tryntol? (given dosage: 400 mg b.i.d.)
drugs dot com.............
Subject: drugs dot com.............
drugs?
Subject: drugs?
sl: tubegous
The digit was then dressed Neosporin and tubegoes
could it be drugs
Subject: could it be drugs
drugs
Subject: drugs
Overdose patient being intubated. Sentence: Patient was given 100 of suc and 1 of bek. I know suc is succinylcholine but what is bek short for? 
help drugs.....
Subject: help drugs.....
s/l enacin used for gout??????
try www.drugs.com
Subject: try www.drugs.com
slowly type in the first couple of letters and you will see that a list of matching meds will open in a drop down box.
yes - taken from drugs.com
Subject: yes - taken from drugs.com
For treating prostate cancer:
- Adults—1.25 to 2.5 mg three times a day.
have you tried drugs.com?
Subject: have you tried drugs.com?
you can put in %lite and it will pull up a list of all drugs with "lite" in it. Also may want to try %lyte as a search.
According to drugs.com both with a "z"
Subject: According to drugs.com both with a "z"
Yep (sm) per drugs.com
Subject: Yep (sm) per drugs.com
Glyburide Micronized
Generic Name: Glyburide Tablets (Micronized) (GLYE-bure-ide)
Brand Name: Examples include Glycron and Glynase
Drugs per BOS
Subject: Drugs per BOS
q.4 h. – transcribe with a space between the 4 and the h – for clarity purposes
similarly for any other number of hours used - i.e. q.6 h.
Lilly
|
