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Serving Over 20,000 US Medical Transcriptionists

taking insulin "in excess" maybe

Posted By: vn on 2009-04-18
In Reply to: diabetic taking insulin and access? - Old part-timer

Subject: taking insulin "in excess" maybe




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just a guess, but how about "in excess"?
Subject: just a guess, but how about "in excess"?


diabetic taking insulin and access?
Subject: diabetic taking insulin and access?

Sounds clear enough, "patient is diabetic, taking insulin and access" ???
insulin requiring and NPH insulin
Subject: insulin requiring and NPH insulin


Got it! base excess is 1 NM
Subject: Got it! base excess is 1 NM

x
Base excess--sm
Subject: Base excess--sm

per Stedmans Abbreviations book and online. Check it out.
excess fluid maybe? n/m
Subject: excess fluid maybe? n/m


or sialorrhea (excess saliva)?
Subject: or sialorrhea (excess saliva)?

x
hirsutism--excess hairiness (nm)
Subject: hirsutism--excess hairiness (nm)

x
can you have excess bilirubin in the urine?
Subject: can you have excess bilirubin in the urine?

I really don't know. Listen carefully, though, and make sure the doc is not saying "emia" instead of "uria" at the end of it.


Gas-X? For excess gassiness. Like simethicone. nm
Subject: Gas-X? For excess gassiness. Like simethicone. nm

nm
SBE for standard base excess measure? All I can think of. sm
Subject: SBE for standard base excess measure? All I can think of. sm


Acid-Base Tutorial - Terminology





Standard Base Excess is the best overall measurement we have of the level of the metabolic acidosis. An adjunct method sometimes used to help identify the ...
www.acid-base.com/terminology.php - 49k - Cached - Similar pages


Acid-Base Tutorial - Metabolic Correction





The best measure of the level of metabolic acidosis is the Standard Base Excess (SBE) because it is independent of PCO2. If it is decided to administer ...
www.acid-base.com/metab.php - 35k - Cached - Similar pages
[ More results from www.acid-base.com ]

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


Plastic Surg. Pt has excess skin on right lid due to lateral s/l "heading". TIA. nm
Subject: Plastic Surg. Pt has excess skin on right lid due to lateral s/l "heading". TIA. nm

nm
"In-Fast"
Subject: "In-Fast"

is a trade name . he may  be saying "dash" to use as a hyphen


 


maybe "in airway"??
Subject: maybe "in airway"??

x
will check an "in-helm" INR. ??
Subject: will check an "in-helm" INR. ??

Not sure this is what I'm hearing.  The patient has an enterocutaneous fistula.  Says "need for daily wound care discussed.  Will check an "in-helm" INR. 


Clues??


Not "romare"..."in room air".
Subject: Not "romare"..."in room air".

You'll hear it this time!


maybe "in florid relapse" NM
Subject: maybe "in florid relapse" NM


"In regards to" is not correct grammar. SM
Subject: "In regards to" is not correct grammar. SM

If we are going to be grammar experts, we must know that it should be in regard or as regards. 
the second one is probably "in formalin" for pathology nm
Subject: the second one is probably "in formalin" for pathology nm

xx
Second one, could it be "in origin" instead of epichondral?
Subject: Second one, could it be "in origin" instead of epichondral?


"in short order"
Subject: "in short order"


confused...when to use "in" and "at"
I have had no problems using these before but my new Editor has started to confuse me, when do i use "at" and when do I use "in"...for example...the patient was seen "in/at" the clinic....appointment with the oncology department "in/at" soandso hospital...thanks
Thanks. I definitely hear the "In-testum"
Subject: Thanks. I definitely hear the "In-testum"

though so I'll flag it. It almost sounds like the word cuts off in the dictation.
I think it's "in-stent" - as in restenosis
Subject: I think it's "in-stent" - as in restenosis


meaning "in sinus rhythm." nm
Subject: meaning "in sinus rhythm." nm


Never mind - he was saying "in brackets" GRRRR!
Subject: Never mind - he was saying "in brackets" GRRRR!


Could the phrase be, "in formalin" instead of "informally" nm
Subject: Could the phrase be, "in formalin" instead of "informally" nm

nm
maybe "in portion"...poor English use, but a WAG. sm
Subject: maybe "in portion"...poor English use, but a WAG. sm

The "in" portion of the study as opposed to the "out" portion. Maybe he was talking slowly because he was...thinking..while...talking.... I've done that myself.
"breaking in to"--"in" and "to" just happen to be beside one another
Subject: "breaking in to"--"in" and "to" just happen to be beside one another

Into or In to?
"Into is a preposition that has many definitions, but they all generally relate to direction.
On the other hand, in by itself can be an adverb, preposition, or adjective (and to by itself is a preposition or an adverb). Sometimes in and to just end up next to each other.

Maybe examples will help!
He walked into the room.
(Which direction was he going? Into the room.)

We broke in to the room.
('Broke in' is a phrasal verb. What did you break in to? The room.)

(Fogarty, Grammar Girl's Quick and Dirty Tips 34-35).
Or, could it be "in and out" suture technique. Just don't know/can't find
Subject: Or, could it be "in and out" suture technique. Just don't know/can't find


stone "in gradu" formation...
Subject: stone "in gradu" formation...

That is the complete sentence if that helps any?
"in knee-chest" position, maybe??
Subject: "in knee-chest" position, maybe??


probably being redundant and saying "in the dorsal supine position." nm
m
?"In vitro or in vivo" allergy testing
Subject: ?"In vitro or in vivo" allergy testing

s/l "in vitro or in vivo" allergy testing should be considered. Foreign doctor.
No clue from the tx to the hand? Would think "in basement" (of house)?? nm
Subject: No clue from the tx to the hand? Would think "in basement" (of house)?? nm

s
basal cell "in vivo" carcinoma ???
Subject: basal cell "in vivo" carcinoma ???

nm
duh - never mind. He's saying "in the right lower extremity" Argh!
Subject: duh - never mind. He's saying "in the right lower extremity" Argh!


seen "in" the clnic and dept "at" the hospital.
Subject: seen "in" the clnic and dept "at" the hospital.

x
Kidney transplant pt now with documented s/l "In stem eee" just had MI
Subject: Kidney transplant pt now with documented s/l "In stem eee" just had MI

x
Rest of sentence may help, but thinking "in lace-up shoes" n
Subject: Rest of sentence may help, but thinking "in lace-up shoes" n


"In the hospital, patient had _______ privileges that she used to continue smoking."
Subject: "In the hospital, patient had _______ privileges that she used to continue smoking."

S/l "papule" privileges???  Which is obviously not right, but those are the sounds, anyway...
I agree, I think if you add "in" in front of opposition, the sentence reads just fine.
Subject: I agree, I think if you add "in" in front of opposition, the sentence reads just fine.


I found it exactly as you have written it "neti pot"in Stedman's Plastic Surgery Words
Subject: I found it exactly as you have written it "neti pot"in Stedman's Plastic Surgery Words

nm
insulin help
Subject: insulin help

insulin 70 30 2 injections a day


The doctor dictates this under medication list. I understand that it is  70 units and 30 units..not sure how to transcribe it. Any ideas?


RE: Insulin Help
Subject: RE: Insulin Help

70/30 insulin 2 injections q. daily.
help with insulin
Subject: help with insulin

I don't know if she is stumbling or if this is correct:


Medications:  Insulin human, Humulin NPH, Humulin N.


My question is "insulin human"? 


Insulin help.............sm
Subject: Insulin help.............sm

s/l insulin NPH and R 70/30 9 units in the morning. 


Does this sound correct?  This is a foreign doc.  I have not had much experience with insulin dosages.


 


TIA


 


An insulin that s/l Lah-vee-nia
Subject: An insulin that s/l Lah-vee-nia

55 units in the morning and 50 units at night.
Insulin (sm)
Subject: Insulin (sm)

Insulin is usually the same concentration here in the US with U-100 insulin being 100 units/mL, so I don't think that it would mean 150 units/3 mL or anything like that. I'm not sure what the dictator is trying to say though. Usually a sliding scale is based on actual blood sugar minus target blood sugar divided by the correction factor. For example, my son's correction factor is 1 unit of insulin per 200 mg/dL over the target blood sugar of 120. If his blood sugar was 400, you would subtract 120 to get 280 and then divide that by 200 to get the total units of insulin, in this case 1.4 units. I know that probably doesn't help much with your report, but maybe it will be useful information for you someday.
Insulin help
Subject: Insulin help

Does anyone know of a site where I could get information regarding dosage for insulin? I have a doctor that dictates the units so quickly that I'm not sure what she wants, i.e., 6 units s/l 60 and 16, 4 sounds like 40, etc. I'm not familiar with insulin dosages and would like to learn. Thanks.

Here's the sentence currently in question if anyone can advise:

We did her A1c a couple of weeds ago and it was 8.1. I had asked her to increase her NovoLog to s/l 4 (or 40) units with breakfast, s/l 4 (or 40) units with lunch, and s/l 6 (or 16) units with supper.