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Medical Terminology
| Term | Definition |
|---|---|
| HOB | Head of bed |
| Os | Mouth |
| GI | Gastrointestinal |
| GU | Genitourinary |
| Fx | Fracture |
| DM | Diabetes Mellitus |
| MS | Multiple Sclerosis |
| UTI | Urinary tract infection |
| URI | Upper respiratory infection |
| AIDS | Acquired Immune Deficiency Syndrome |
| DNR | Do not recuscitate |
| d/c *Make note that the letters are lower case* | Discontinue |
| D/C *Make note that the letters are upper case* | Discharge |
| et | And |
| Hx | History |
| NPO | Nothing by mouth |
| PO | By mouth |
| Px | Prognosis |
| stat | At once |
| w/c | Wheelchair |
| p.c. | After meals |
| h.s. | bedtime / hour of sleep |
| noc | Night |
| qd | Every day |
| a.c. | Before meals |
| (CVA) cerebrovascular accident | Stroke |
| CHF | Congestive heart failure |
| COPD | Chronic obstructive pulmonary disease |
| (MI) myocardial infarction | Heart attack |
| superior (cranial) | Toward the head |
| inferior (caudal) | Toward the bottom / feet |
| anterior (ventral) | Toward the front |
| posterior (dorsal) | Toward the back |
| medial | Toward the mid-line of the body |
| lateral | Toward the side of the body |
| internal (deep) | Away from the surface of the body |
| external (superficial) | Toward the surface of the body |
| proximal | Toward the main mass of the body |
| distal | Away from the main mass of the body |
| visceral | Related to internal organs |
| parietal | Related to the body walls |
| diaphragm | Separates the thoracic cavity and the abdominal cavity |
| (RUQ) Right upper quadrant | Liver, gallbladder, duodenum, head of pancreas, right adrenal gland, upper lobe of right kidney, hepatic flexure of colon, section of ascending colon and transverse colon. |
| (LUQ) Left upper quadrant | Left lower part of liver, upper lobe of left kidney, splenic flexure of colon, section of transverse and descending colon, stomach, spleen, pancreas, left adrenal gland. |
| (RLQ) Right lower quadrant | Lower lobe of right kidney, section of ascending colon, right fallopian tube (female), right ovary (female), part of uterus (if enlarged), right spermatic cord (male), cecum, appendix, right ureter |
| (LLQ) Left lower quadrant | Lower lobe of left kidney, section of descending colon, left spermatic cord (male), part of utuerus (if enlarged), sigmoid colon, left ureter, left ovary (female), left fallopian tube (female) |
| Transverse plane | Plane separating the top half of the body from the bottom |
| Frontal plane | Plane separating the front (ventral) half of the body from the back (dorsal) half |
| Sagittal plane | Plane down the mid-line of the body separating the left side from the right side |
| AAT | At all times |
| AAROM | Active-Assistive Range of Motion |
| A.D. | Right ear |
| A.S. | Left ear |
| ad. lib. | As desired |
| ADL | Activities of daily living |
| AEB | As evidence by |
| A.E. | Adverse effects |
| AKA | Above-the-knee amputation |
| ALP | Assisted living program |
| AMA | Against medical advice |
| Amb. | Ambulate |
| Amp. | Amputation |
| Amt. | Amount |
| AP | Apical pulse |
| ATC | Around the clock |
| AROM | Active range of motion |
| ā | Before |
| A.U. | Each ear |
| BKA | Below-the-knee amputation |
| bid | Twice each day |
| BLE | Both lower extremities |
| BLS | Basic life support |
| BM | Bowel movement |
| BP | Blood pressure |
| BR | Bathroom |
| BRP | Bathroom priviliges |
| BUE | Both upper extremities |
| "c" with a line over it | With |
| cc | Cubic centimeter |
| °C | Centigrade or Degrees Celsius |
| CA | Cancer |
| Cal. | Calorie |
| Caps | Capsules |
| CAT | Consistency as tolerated |
| cath. | Catheter |
| gtts. | Drops |
| CDI | Clean, dry intact |
| C/O | Complains of |
| C + S | Culture and sensitivity |
| CQI | Continuous quality improvement |
| cm | centimeter |
| CSM | Circulation, sensation, movement |
| CPR | Cardio-pulmonary resuscitation |
| CRF | Chronic renal failure |
| CXR | Chest x-ray |
| D&I | Dry and intact |
| DS | Double strength |
| DVT | Deep vein thrombosis |
| Dx | diagnosis |
| EC | Enteric coated |
| ER | Emergency room |
| °F | Degrees fahrenheit |
| FBS | Fasting blood sugar |
| FIM | Functional Independence measure |
| FNP | Family Nurse Practitioner |
| FROM | Full range of motion |
| FWB | Full weight bearing |
| gluc. | Glucose |
| gm | Gram |
| GNP | General Nurse Practitioner |
| gr | Grain |
| gtt. *Make note of the lowercase letters* | Drop |
| MD | Medical Director |
| HA | Hearing aid |
| HCT | Hematocrit |
| Hgb. | Hemoglobin |
| H2O | Water |
| HOB | Head of bed |
| HOC | Hands on care |
| HOH | Hard of hearing |
| H&P | History and physical |
| hr. | Hour |
| ht. | Height |
| HTN | Hypertension |
| ie | Example |
| IM | Intramuscular |
| Indep | Independent |
| INR | International Normalized Ratio |
| IV | Intravenous |
| I & O | Intake and output |
| Kg. | Kilogram |
| KVO | Keep vein open |
| L | Liter |
| L/min | Liters per minute |
| Lab | Laboratory |
| lb. | Pound |
| LEs | Lower extremities |
| lg | Large |
| Lim. | Limited |
| liq. | Liquid |
| LLE | Left lower extremity |
| LOC | Level of consciousness |
| LOTA | Leave open to air |
| LPN | Licensed Practical Nurse |
| LROM | Limited range of motion |
| LTC | Long term care |
| Lt. | Left |
| LUE | Left upper extremity |
| LUQ | Left upper quadrant |
| LLQ | Left Lower quadrant |
| M | Meter |
| MAR | Medical Administration Record |
| Max | Maximal |
| MDR | Main dining room |
| MDS | Minimum data set |
| Mcg | Microgram |
| Meq | Milliequivalent |
| Min. | Minimal |
| mg | Milligram |
| ml | Millileter |
| mo | Month |
| mod. | Moderate |
| MOM | Milk of Magnesia |
| mm | Millimeter |
| ms *Make note of the lower-case letters* | Mechanical Soft (diet) |
| MS | Multiple Sclerosis |
| MT | Maintenance Therapy |
| NAS | No added salt (diet) |
| NC | Nasal Cannula |
| NCS | No concentrated sweets (diet) |
| NNO | No new order |
| N.O. | New order |
| NP | Nurse Practitioner |
| NS | Normal saline |
| NSG | Nursing |
| NSR | Normal sinus rhythm |
| N/V | Nausea and vomiting |
| OBS | Organic brain syndrome |
| occ. | Occasionally |
| OOB | Out of bed |
| OD | Right eye |
| OS | Left eye |
| OT | Occupational Therapy |
| OTC | Over the counter |
| OU | Both eyes |
| oz. | Ounce |
| O2 | Oxygen |
| p | Pulse |
| "p" with a line over it | after |
| PEARL | Pupil equal, accommodating and reactive to light |
| per | By |
| S.O.B. | Shortness of breath |
| POA | Power of attorney |
| POC | Plan of care |
| PP | Peripheral Pulses |
| PRN | When necessary |
| PROM | Passive range of motion |
| PT | Physical Therapy / Prothrombin |
| PTT | Partial thromboplastin time |
| PWB | Partial weight bearing |
| q | every |
| QA | Quality assessment/assurance |
| qd | Every day |
| QI | Quality improvement |
| qid | Four times a day |
| QM | Quality management |
| qod | Every other day |
| qs | Every shift |
| QS | Quality sufficient |
| Q | Quart |
| R | Respiration |
| RAI | Resident assessment instrument |
| RAP | Resident assessment protocol |
| RBC | Red blood cell |
| RCP | Resident care plan |
| RDA | Recommended daily allowance |
| Res. | Resident |
| RLE | Right lower extremity |
| RLQ | Right lower quadrant |
| R/O | Rule out |
| ROM | Range of motion |
| RN | Registered nurse |
| RRR | Regular rate and rhythm |
| Rt or R | Right |
| R/T | Related to |
| RUE | Right upper extremity |
| RUQ | Right upper quadrant |
| RW | Rolling walker |
| Rx | Prescription |
| "s" with a line over it | Without |
| S/A | Sugar and acetone |
| SFP | Self feeding program |
| SLB | Short leg brace |
| sm. | Small |
| SNF | Skilled nursing facility |
| soln./sol | Solution |
| S/P | Status post |
| Spec. | Specimen |
| SS | Social services |
| SSE | Soap suds enema |
| S.T. | Skilled therapy |
| S/S | Signs and symptoms |
| SQ | Subcutaneous |
| Supp. | Suppository |
| Susp. | Suspension |
| T | Temperature |
| T.O. | Telephone order |
| tab | Tablet |
| TAR | Treatment administration record |
| Tbs. | Tablespoon |
| TF | Tube feeding |
| TIA | Transient ischemic attack |
| tid | Three times a day |
| TLC | Total lung capacity |
| tol. | Tolerate |
| TPR | Temperature, pulse, respiration |
| tsp. | Teaspoon |
| Tx | Treatment |
| U/A | Urinalysis |
| UDA | User defined assessment |
| UDR | Unit dining room |
| UEs | Upper extremities |
| URI | Upper respiratory infection |
| UTI | Urinary tract infection |
| V.O. | Verbal order |
| VS | Vital signs |
| VSS | Vital signs stable |
| WBC | White blood cell |
| WBQC | Wide base quad cane |
| W/C | Wheelchair |
| WNFL | Within normal functional limits |
| WNL | Within normal limits |
| w/o | Without |
| wt. | Weight |
| x | Times |
| ↑ | Increased, elevated |
| ↓ | Decreased, reduced |
| ✓ | Check |
Created by:
azap55
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