that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
Posted By: typinlikemad on 2009-03-09
In Reply to: INR but context seems wrong - Terese B McCartney
Subject: that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm
of himself about doing an INR level to make sure the Coumadin is therapeutic, not too much and not to little. The INR level should be between 2-3 for most labs. Sounds like he meant to say Coumadin, and may later on in the dictation talk about getting an INR level. Hope this helps!
Complete Discussion Below:  marks the location of current message within thread
- INR but context seems wrong - Terese B McCartney
- that's a Coumadin dosage, not INR, wonder if the doc is getting ahead...sm - typinlikemad
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
Loestrin dosage, doc is saying 1.5/30 mcg but can't find dosage in mcg.
Subject: Loestrin dosage, doc is saying 1.5/30 mcg but can't find dosage in mcg.
It might have been but I went ahead and put it through.
Subject: It might have been but I went ahead and put it through.
I've asked for feed back and hope I get it. thanks for your help.
TY - I got a little ahead of
Subject: TY - I got a little ahead of
it was not tpyed that way in the real doc. = )
I went ahead and flagged it even though
Subject: I went ahead and flagged it even though
he never again mentions the left tonsil. Even at the end of the dictation when he says the plan is to rule out a right peritonsillar abscess. Same thing he said in chief complaint, except there he said "left". Oh well....I flagged it and I'll let QA make the change.
Thanks for the advice.
That may be it, went ahead and flagged it though thank you
Subject: That may be it, went ahead and flagged it though thank you
x
Coumadin
She is somewhat concerned that her Coumadin is having a difficulty to managing it.
sentence doesn't make sense. Please Hellpppp!
Coumadin maybe
Subject: Coumadin maybe
Coumadin? nm
Subject: Coumadin? nm
coumadin
Subject: coumadin
Discharge medications...sounds like coumadin 30.5 mg p.o. q.h.s. I cannot find coumadin available in that dosage, is it possible to get coumadin in that amount? thanks!
Coumadin?
Subject: Coumadin?
I would go ahead and put Elder Abuse...
Subject: I would go ahead and put Elder Abuse...
a lot of states have this to report elderly people who are being abused by family, etc.
That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
I went ahead and sent it with a blank. It was STAT. Thanks-
Subject: I went ahead and sent it with a blank. It was STAT. Thanks-
nm
and it isn't epidermidis....thanks anyway ahead of time :)
Subject: and it isn't epidermidis....thanks anyway ahead of time :)
and it isn't epidermidis....thanks anyway ahead of time :)
Subject: and it isn't epidermidis....thanks anyway ahead of time :)
Just go ahead and leave a blank. With
Subject: Just go ahead and leave a blank. With
foreign accents sometimes it is only a guess and not worth guessing wrong.
Could she be referring to coumadin?
Subject: Could she be referring to coumadin?
I noticed the patient was on 5 mg of coumadin on the last progress note. Do you think she may be referring to coumadin?
Could be Coumadin, could be warfarin. Would
Subject: Could be Coumadin, could be warfarin. Would
x
sorry, that's for coumadin, can you hear PTT-LA?...nm
Subject: sorry, that's for coumadin, can you hear PTT-LA?...nm
x
Coumadin therapy w/DDT?
Subject: Coumadin therapy w/DDT?
Patient is a follow-up on Coumadin therapy with (DDT?) Is this correct? Sounds like it but can't find anything on that really except pesticide. help!
We would like to use an imidazole on this, however she is on Coumadin and that would probably ~sm~
Subject: We would like to use an imidazole on this, however she is on Coumadin and that would probably ~sm~
cause her INR to skyrocket.
yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to
Subject: yeah - I was thinking that myself, but I could never confirm it. I just went ahead and sent it to
QA, but thank you for your help.
Hehehe, I guess I was a step ahead of that
Subject: Hehehe, I guess I was a step ahead of that
I'm sorry, Since I already have suprascript and subscript up on my tool bar, my instructions were what to do for O(subscript)2 so all you have to do is type O2 (normal script) and it changes automatically. I don't like having to highlight the 2 and go up there and click the subscript button every time. I would rather type O2 and let Word change it for me. I try to get Word to do as much for me as possible. I do this for cm squared, cm cubed, H2(subscript)0, etc.
oops - fingers got ahead of me -- s/b "diseases"
Subject: oops - fingers got ahead of me -- s/b "diseases"
Does it sound like he is saying "constitutional" instead of correction ahead?
Subject: Does it sound like he is saying "constitutional" instead of correction ahead?
Looks like Tina may have hit it, but if not, possibility of Coumadin? nm
Subject: Looks like Tina may have hit it, but if not, possibility of Coumadin? nm
,,
Could be "enoxaparin (Lovenox)" and Coumadin
Subject: Could be "enoxaparin (Lovenox)" and Coumadin
Protocol type for Coumadin
Subject: Protocol type for Coumadin
I have a dictator that is saying what sounds like Coumadin per "joint X" protocol... I cannot find this anywhere, but I may be hearing it incorrectly. If anyone has any ideas, I'd appreciate it.
any help? Doc will decide to *desee* her Coumadin if there is improvement. thanks! nm
Subject: any help? Doc will decide to *desee* her Coumadin if there is improvement. thanks! nm
No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
Subject: No def says Coumadin!! I have listened too many times LOL WHY ON FRIDAY!!!!
I THINK I SHOULD FLAG!
his Coumadin be held s/l transilay prior to this
Subject: his Coumadin be held s/l transilay prior to this
nt
No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel bette
Subject: No I'm actually not rude...but go ahead and keep telling yourself that if it makes you feel better.
Why don't you go read through your posts, they don't sound very friendly to me.
Neuroforaminal versus neural foraminal (warning: rant ahead)
Subject: Neuroforaminal versus neural foraminal (warning: rant ahead)
I know this has been discussed before, but I have never typed anything except "neural foraminal," and when I first started with this particular account, all the templates had "neural foraminal stenosis" as one of the headings on the spine CTs and MRIs.
Now the "billing and coding specialist" who is in charge of the account (and who is obviously not a trained transcriptionist - she typed "flebolith" on one report I saw), has changed all the templates to "neuroforaminal," and when I just changed them back, she sent me a nasty little note saying "Don't change the templates."
Well, you should have seen the sorry state the templates were in when I started here. I have spent hours of my OWN time (I am paid by the line) not only cleaning up the templates but also standardizing the naming of the templates so that they can be found easily using the wild card notation.
I am tempted to send an email back saying, "Okay, I'll leave them that way, but 'neuroforaminal' is incorrect" but I am leaving this account as soon as they have my replacement trained.
In fact, I just sent it. I'm leaving, got nothing to lose, and actually have more work than I can comfortably handle right now. I really wish she would tell me she didn't need me any more. 
Oh, I just got her reply: "Actually, no it is not [incorrect]. That is how it was always spelled before we hired ____________ [MTSO] and that is how all of the rads wanted it spelled."
So be it.
Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time
Subject: Patient is also on Coumadin therapy because he had a s/l "port a cable" thrombosis at one time.
:-)
does not give. Listed with other meds Coumadin, metoprolol, Lasix, Synthroid, calcon, potassium. nm
Subject: does not give. Listed with other meds Coumadin, metoprolol, Lasix, Synthroid, calcon, potassium. nm
nm
is a dosage given?
Subject: is a dosage given?
Tradol comes to mind . . .  you can check the doses to see if they match up.
What is the dosage?.....nm
Subject: What is the dosage?.....nm
No dosage
Subject: No dosage
Just named it rapidly without dosage or administration route. Thanks!
No dosage. nm
Subject: No dosage. nm
.
No dosage sm
Subject: No dosage sm
In her review of systems he does not state she has depression but she does have anxiety. I am still thinking Celexa. Any other suggestions?
dosage help
Subject: dosage help
Dictated medication dosage is q. 2 a.m.
Is this correct?
Thanks
Is there a dosage? nm
Subject: Is there a dosage? nm
nm
no dosage
Subject: no dosage
No, there is no dosage.
dosage
Subject: dosage
usual dosage for Coumadin
Oral:
Infants and Children: 0.05-0.34 mg/kg/day; infants <12 months of age may require doses at or near the high end of this range; consistent anticoagulation may be difficult to maintain in children <5 years of age
Adults: 5-15 mg/day for 2-5 days, then adjust dose according to results of prothrombin time; usual maintenance dose ranges from 2-10 mg/day
I.V. (administer as a slow bolus injection): 2-5 mg/day
Dosage Forms
Injection, powder for reconstitution, as sodium: 5 mg
Tablet, as sodium: 1 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, 10 mg
Dosage, what is it for???
Subject: Dosage, what is it for???
x
do you know the dosage?
Subject: do you know the dosage?
do you have a dosage? NM
Subject: do you have a dosage? NM
x
dosage help
Subject: dosage help
Is this correct?
The doc says Cytomel 2.5 mg once a day.
Since it is a thyroid product shouldn't it be in micrograms? Please help!
What it is for or dosage or anything?
Subject: What it is for or dosage or anything?
x
Do you know what it is for or the dosage??
Subject: Do you know what it is for or the dosage??
A little info would help. There is Zaroxolyn for hypertension, diuretic.
clonidine comes in that dosage...nm
Subject: clonidine comes in that dosage...nm
s
|
