patient was dehydrated and s/l "resulsated" with IV fluids. nm
Posted By: ke on 2009-05-12
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Subject: patient was dehydrated and s/l "resulsated" with IV fluids. nm
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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.
wild stab but "lytes" since probably dehydrated from
Subject: wild stab but "lytes" since probably dehydrated from
diarrhea?
Pt is dehydrated and has a s/l fosagenic drop in blood pressure
Subject: Pt is dehydrated and has a s/l fosagenic drop in blood pressure
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?
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.
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.
Pt with nausea and vomiting and s/l pre vert resulting in IV fluids. TIA
Subject: Pt with nausea and vomiting and s/l pre vert resulting in IV fluids. TIA
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
Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
Subject: Pt advised to increase her oral intake of fluids based on S/L ?leuk est? was trace. ?UNC&S? ordered
NM
IV FLUIDS: 4000 mL of Crystalloid and 500 mL of Hespian. I can't confirm Hespian? Help? TIA!
Subject: IV FLUIDS: 4000 mL of Crystalloid and 500 mL of Hespian. I can't confirm Hespian? Help? TIA!
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls
Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it
same doc. same patient
Subject: same doc. same patient
the lesion was vascular in natureand most likely _____ malformation.
S/L avio-lymphatic
HIV patient. Please sm.
Subject: HIV patient. Please sm.
Doc is dictating a test in relationship to patient's HIV. He states s/l "firal row"is negative and T-cell count has actually risen since last visit.
Thanks for any/all help!
do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and
if not, what is the chief complaint?
new patient
Subject: new patient
 On a new patient is this how it should be put? the doctor says it with chief complaint~~~~CHIEF COMPLAINT: New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm
x
cc: the patient
Subject: cc: the patient
then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.
What is the patient's dx? nm
Subject: What is the patient's dx? nm
Are you sure the patient isn't
Subject: Are you sure the patient isn't
very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?
The patient has a ... (sm)
Subject: The patient has a ... (sm)
. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm. I thought it might be *splint*, but it really does not sound like that. Any idea?
Thanks, Melissa
Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????
POing??? or just change to eating? It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient
in the hospital for? Main symptoms? Specialist seeing the patient?
Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm
I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or
Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...
correct!!! THANK YOU!!!!!! 
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)
nm
Patient with AML,
Subject: Patient with AML,
Sentence reads: We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets". Any ideas? TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm
only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.
Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.
It is definitely some sort of ventilator.
patient
Subject: patient
It is difficult to say whether his shortness of breath is secondary to coronary artery disease. Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight.
What is patient seen for?
Subject: What is patient seen for?
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