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a (line over a) before
abd abdomen
ABG arterial blood gas
ac (line over a) before meals
ADL activities of daily living
ad lib as desired
AEB as evidenced by
am morning
AMA against medical advice
amb ambulatory
amt amount
A&O alert & oriented
as tol as tolerated
BE barium enema
bid twice per day
BM bowel movement
BP blood pressure
BR bed rest
BRP bathroom privileges
BSC bedside commode
c (line over c) with
C Celsius
C&S culture & sensitivity
Ca cancer
CBC complete blood count
CBR complete bed rest
CC chief complaint
cc cubic centimeter
CCU coronary care unit
cl clear
C/O complains of
CHF congestive heart failure
COPD chronic obstructive pulmonary disease
CSF cerebral spinal fluid
CVA cerebral vascular accident
CXR chest X-ray
DAT diet as tolerated
D/C discharge
dc discontinue
DM diabetes mellitus
DNR do not resuscitate
DOA dead on arrival
DOB date of birth
DOE dyspnea on exertion
D5W 5% Dextrose in Water
dx diagnosis
ECF extracellular fluid
ECG(EKG) electrocardiogram
F Fahrenheit
FBS fasting blood sugar
f/c/s fever/chills/sweats
FF force fluids
FOB foot of bed
FUO fever of unknown origin
fx fracture or family
fx hx family history
g (gm) gram
GI gastrointestinal
GT gastrostomy tube
gtt drops
GU genitourinary
h hour
HA headache
Hb hemoglobin
Hct hematocrit
H&H hemoglobin & hematocrit
HO house officer
HOB Head of bed
HPI history of presenting illness
hs hour of sleep; at bed time
ht height
HTN hypertension
hx history (of)
I&O intake & output
ICP intracranial pressure
ICS intercostal space
ICU intensive care unit
IDDM insulin dependent diabetes mellitus
IM intramuscular
IV intravenous
IVPB intravenous piggy back
K+ potassium
KCL potassium chloride
kg kilogram
L left; liter
LE lower extremity
LLL left lower lobe
LLQ left lower quadrant
LOC level of consciousness; loss of consciousness
LSB left sternal border
LUL left upper lobe
LUQ left upper quadrant
lytes electrolytes
mEq milliequivalent
mg milligram
ml milliliter
mm millimeter
Na sodium
NG nasogastric
NIDDM noninsulin depedndent diabetes mellitus
NKDA no known drug allergies
noc night
NPO nothing by mouth
NS normal saline
N&V nausea & vomiting
OD oculus dexter (right eye)
OOB out of bed
ORIF open reduction internal fixation
OS oculus sinister (left eye)
os mouth (opening)
OT occupational therapy
OTC over the counter
OU both eyes
p (line over p) after
P pulse
pc (line over p) after meals
PCA patient controlled analgesia
PE physical exam
per by
PERRLA pupils equally round reactive to light and accommodation
PM afternoon
PMH past medical history
po by mouth
pr per rectum
prn as needed
pt patient
PT physical therapy
PTA prior to admission
PVR post void residual
q (line over q) every
qd (line over q) every day
qh (line over q) every hour
qhs (line over q) every evening
q2h, q3h, etc (line over q) every 2 hours, every 3 hours, etc
qid (line over q) 4 times a day
qns quantity not sufficient
R right; respirations
RBC red blood cells
R/O rule out
RLL Right lower lobe
RLQ right lower quadrant
RML right middle lobe
ROM range of motion
ROS review of systems
RR respiratory rate
R/T related to
RUL right upper lobe
RUQ right upper quadrant
Rx treatment
s (line over s) without
SB sternal border
SC subcutaneous
SOB short of breath
S/P status post
SQ subcutaneous
sx symptoms
T temperature
TCDB turn, cough, deep breath
tid three times a day
TO telephone order
TPR temperature, pulse, respiration
UA urinalysis
UTI urinary tract infection
VO verbal order
VS vital signs
VSS vital signs stable
WBC white blood cells
w/c wheel chair
WNL within normal limits
wt weight
x times
Created by: j0elicious