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Abbreviations G-O

SOAP notes - Jill W's list

QuestionAnswer
G good (muscle strength, balance)
gastrocs gastrocnemius muscles
GBS Guillain Barré Syndrome
GCS Glasgow Coma Scale
GERD gastroesophageal reflux disease
GI gastrointestinal
gluts. gluteals
gm gram
G-tube gastrostomy tube
gt. gait
(H) (circled H) husband
HBP high blood pressure
H & P history and physical
HA, H/A headache
Hb, Hgb, HGB hemoglobin
HCT, hct hematocrit
HEENT head, ears, eyes, nose throat
Hemi hemiplegia
Hep. heparin
HEP home exercise program
HIV human immunodeficiency virus
HMO health maintenance organization
HNP herniated nucleus pulposus
h/o history of
HOB head of bed
HP hot pack
HR heart rate
hr hour
h.s. at bedtime
ht. height
HTN hypertension
HX, Hx, hx history
(I) (circled I), indep. independent
IBS irritable bowel syndrome
ICD-9 International Classification of Diseases
ICU intensive care unit
IDDM insulin dependent diabetes mellitus
IEP individual education program
IM intramuscular
in. inch(es)
inf. inferior
int. internal
IP inpatient, interphalangeal
IV intravenous
JCAHO Joint Commission on Accreditation of Healthcare Organizations
jt. joint
K potassium
Kcal kilocalories
kg kilogram
L liter
(L) (circled L), lt left
L5 5th lumbar vertebra
LAQ long arc quadriceps
lat. lateral
lb pound
LBP low back pain
LE, LEs lower extremity, lower extremities
lg large
lic. license
LLE left lower extremity
LLL left lower lobe
LMN lower motor neuron
LOA leave of absence
LOB loss of balance
LOC loss of or level of consciousness
LP lumbar puncture
LPN licensed practical nurse
LTC long-term care
LTG long-term goals
LUE left upper extremity
M male
m. , mm. , ms. muscle
MAP mean arterial pressure
max. maximum
M.D. medical doctor, doctor of medicine
MD muscular dystrophy
mech mechanical
meds. medications
mg milligram(s)
MH moist heat
MI myocardial infarction
min minute(s)
min. minimum, minimal
mm millimeter(s)
mm Hg millimeters of mercury
MMT manual muscle test
mo month(s)
mod. moderate
MP, MCP metacarpophalangeal
MRI magnetic resonance imaging
MRSA methicillin resistant staph aureus
MS multiple sclerosis
MVA motor vehicle accident
N, nL normal (muscle strength)
N/A not applicable, not able
NBQC narrow-based quad cane
NDT neurodevelopmental treatment
neg. negative
NG nasogastric
NIDDM noninsulin dependent diabetes mellitus
NKA no known allergies
noc. night, at night
NPO nothing by mouth
NWB non-weight bearing
O: objective data
O2 sat oxygen saturation
OA osteoarthritis
OASIS outcome and assessment information sets
OB obstetrics
OCD obsessive compulsive disorder
OD overdose
OOB out of bed
OP outpatient
OR operating room
ORIF open reduction, internal fixation
ortho orthopedics
OT occupational therapist
OTR registered occupational therapist
oz ounce(s)
Created by: ladylore
 

 



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