pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine
Posted By: mm on 2007-10-29
In Reply to: Sentence please, or patient problem? - MT50
Subject: pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine
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palliative care nurse
Subject: palliative care nurse
I figured it out
Thanks
I wondered, as in palliative care but thought it was a med name. tx
Subject: I wondered, as in palliative care but thought it was a med name. tx
just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?
Subject: just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?
palliative cells
Subject: palliative cells
Wasn't sure which board to put this on. I have 20-some years exp in onc, can usually Google to find new terms/meds etc, rarely have to leave blanks. One particular dictator (not a doc, a PA-C who is not only a mushmouth but also mispronounces everything) today stated that the pathology showed something-cells suspicious for carcinoma. It really sounded like he was saying "palliative" cells, but of course that doesn't make sense. I tried to make it into "palisading" cells but no, it definitely ended with "ive" not "ing" so I sent it to QA. I went back in the report later in the day and sure enough, QA had filled it in with "palliative" cells suspicious for carcinoma. What would you do? Please correct me if I'm wrong, but this doesn't make sense at all to me. Even though it did sound like "palliative" cells, I really think he meant something else but was mispronouncing it. Any input?
palliative chemo?
Subject: palliative chemo?
xx
disposition of care versus deposition of care
Subject: disposition of care versus deposition of care
Talking about a patient's discharge planning. I have always typed this disposition of care but my new co-workers type deposition. which is correct? thanks for help in advance.
Think it's Sween cream. We used to use it on our Hospice pts. nm
Subject: Think it's Sween cream. We used to use it on our Hospice pts. nm
x
Is the word hospice capped or not
Subject: Is the word hospice capped or not
in a sentence. I can't seem to get a correct answer regarding this. TIA
Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very
Subject: Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very
s
IV morphine dosage
Subject: IV morphine dosage
The RN dicatates the dosage as 20/k at 84 cc/hour. Is this how I properly transcribe it and does that mean 20 mg per kg?
iv morphine dosage
Subject: iv morphine dosage
maybe she is saying 20 migs (for mg) per hour at 84/cc/hour. Is this a pedi patient?
iv morphine dosage
Subject: iv morphine dosage
maybe she is saying 20 migs (for mg) per hour at 84/cc/hour. Is this a pedi patient?
one of those days - says given morphine 4 mg with
Subject: one of those days - says given morphine 4 mg with
s/l "repeatis" or "a pitus" bolus - not sure if he's stumbling and means "repeated" bolus (not sure that makes sense, either) - any ideas?
would they give morphine for pain plus s/l PPD??
Subject: would they give morphine for pain plus s/l PPD??
Para morphine sulfate?
Subject: Para morphine sulfate?
Has anyone heard of this? TIA
Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm
Subject: Hives is the reaction; morphine the drug. .. No, I don't think he wants both. /nm
S/l "six-mono-asteo" morphine?
Subject: S/l "six-mono-asteo" morphine?
The patient was found unconscious and brought to the hospital:
"She was positive for opiates on her screen and negative for (s/l six-mono-asteo) morphine. She had an elevated QTC and an elevated amitriptyline level"
Thanks in advance for any help
found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)
Subject: found MONA protocol (morphine, oxygen, nitroglycerin, aspirin). NM =)
x
Dr says "OXYMORPH??? (not oxymorphine) which is equivalent to sustained release morphine sulfate
Subject: Dr says "OXYMORPH??? (not oxymorphine) which is equivalent to sustained release morphine sulfate
NM
Pt in for chronic headache and history of high-risk s/l "rab mya fene" with morphine. nm
Subject: Pt in for chronic headache and history of high-risk s/l "rab mya fene" with morphine. nm
Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
Subject: Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
fentanyl...nm
Subject: fentanyl...nm
s
fentanyl
Subject: fentanyl
You are right, there seems to be a discrepancy in administration route, if that is exactly how it was dictated. With a touchy person, I might try:
Please review possible discrepancy in route of fentanyl administration.
Something like that. Polite, yet not frankly pointing out a mistake, just saying a mistake might be a possibility, up for him to decide with a review. Hope that helps.
Fentanyl nm
Subject: Fentanyl nm
nm
Fentanyl?
Subject: Fentanyl?
Fentanyl is used in some surgeries like GI procedures and some outpatient surgeries.
fentanyl ?
Subject: fentanyl ?
fentanyl -nm
Subject: fentanyl -nm
x
fentanyl ?
Subject: fentanyl ?
xx
Fentanyl?
Subject: Fentanyl?
Fentanyl.............
Subject: Fentanyl.............
x
fentanyl and O2 ?
Subject: fentanyl and O2 ?
fentanyl?
Subject: fentanyl?
fentanyl comes in mcg not mg. nm
Subject: fentanyl comes in mcg not mg. nm
.
fentanyl 100 mcg or 100 mg
Subject: fentanyl 100 mcg or 100 mg
Thank you.
Probably Fentanyl nm.
Subject: Probably Fentanyl nm.
nm
fentanyl?
Subject: fentanyl?
nm
maybe it's fentanyl nm
Subject: maybe it's fentanyl nm
fentanyl patch
Subject: fentanyl patch
nm
Fentanyl patch - NM
Subject: Fentanyl patch - NM
NM
fentanyl patch 25 mcg q.72 h.
Subject: fentanyl patch 25 mcg q.72 h.
fentanyl patch
Subject: fentanyl patch
Ativan and fentanyl?
Subject: Ativan and fentanyl?
Not sure if Doc is dictating Ativan or something else....they are weaning the pt. off propofol and switch to *Ativan and fentanyl*.
Isn't Ativan used for anxiety? and isn't fentanyl a really potent narcotic? would they be using them together?
Thanks in advance for your help!
No initial cap for fentanyl. nm
Subject: No initial cap for fentanyl. nm
nm
what is the dosage? fentanyl patch is 12.5, 25, 50 mcg and up
Subject: what is the dosage? fentanyl patch is 12.5, 25, 50 mcg and up
Both Duragesic and Fentora (fentanyl) are in micrograms as per MPR. sm
Subject: Both Duragesic and Fentora (fentanyl) are in micrograms as per MPR. sm
http://formulary.prescribingreference.com/
http://formulary.prescribingreference.com/formulary/search?keywords=fentanyl
they should care
Subject: they should care
well, who should care? The MT him or herself. This can be a crutch IMO. And, no, my opinion doesn't amount to a pile o' beans in the grand scheme of things. Maybe my post should have been more helpful, than critical, and should have asked posters if they know how to search. I've gotten really good at it and can find just about anything really. For instance, someone just recently posted ligament of Treitz question. All I did was google, ligament of *. Bingo!
Anyway, to the person who said I should just use the back button, pfft.
s/l tur-she-air care
Subject: s/l tur-she-air care
Has anyone heard of s/l tur-she-air care?
He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.
nm
so what is ALP? Do you care to share.....nm
Subject: so what is ALP? Do you care to share.....nm
have come out of her care being basically ------? sm
Subject: have come out of her care being basically ------? sm
saying there are three good things, meaning her physicians listed? Just a guess.
Wound care med help, pls
Subject: Wound care med help, pls
Sounds like ***Alavesta***** 2-in-1 antifungal cream to all periwound tissue.
TIA
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