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Medical Orders
Symbols and Abbreviations
| Term | Definition |
|---|---|
| nurse aware | indicates that nurse has been informed about order (used to update EHR) |
| Kx | Kardex entry has been made (used to update EHR) |
| cen | entry has been made on dietary census (used to update EHR) |
| MAR | medication administration record (used to update EHR) |
| Rx | prescription has been sent to pharmacy (used to update EHR) |
| req | requisition has been sent (used to update EHR) |
| req x 2 | two requisitions have been sent (used to update EHR) |
| ph | phone call has been made (used to update EHR) |
| CHIT | receipt of notice, by nurse, of order from doctor (used to update EHR) |
| # | number ; fracture |
| ↓ | decrease |
| ↑ | increase |
| @ | at |
| ċ | with |
| ṡ | without |
| > | greater than |
| < | less than |
| NYD | not yet diagnosed |
| NKA | no known allergy |
| NKDA | no known drug allergy |
| PHN | Personal Health Number |
| RHRN | regional health record number |
| ULI | unique lifetime identifier |
| NOK | next of kin |
| Dx | diagnosis |
| DOB | date of birth |
| ht | height |
| wt | weight |
| Dr | doctor |
| AHS | alberta health sevices |
| as tol | as tolerated |
| AAT | activity as tolerated |
| OT | occupational therapy / therapist |
| PT | physical therapy / therapist |
| clt | client |
| DB & C | deep breathing and coughing |
| ADL | aids to daily living |
| ad lib | as desired |
| w/c | wheel chair |
| ROM | range of motion |
| NWB | non-weight bearing |
| BR | bed rest |
| BRP | bathroom privileges |
| CBR | complete bed rest |
| CHO | carbohydrates |
| ac | before meals |
| pc | after meals |
| Na | sodium |
| K | potassium |
| PO / po | by mouth |
| BM | bowel movements |
| BS | bowel sounds |
| TPN | total parenteral nutrician |
| DAT | diet as tolerated |
| BG | blood glucose |
| Ca | calcium |
| Fe | Iron |
| LCS | low concentrated sugar |
| CF | clear fluid |
| FF | full fluids |
| NAS | no added salt |
| CDA | Canadian Diabetic Association |
| ABG | arterial blood gasses |
| Drsg | dressing |
| O2 | oxygen |
| VS | vital signs |
| TPR | temperature, pulse, respiration |
| BP | blood presssure |
| NVS | neurological vital signs |
| SOB | shortness of breath |
| resp | respiratory |
| Temp | temperature |
| B/S | breathing sounds |
| Lt. | left |
| Rt. | right |
| Tx | treatment / therapy |
| w/e | weekend |
| HgAIC | hemoglobin AIC (used to monitor diabetes treatment) |
| ARO | antibiotic resistant organisms |
| FBS | fasting blood sugar |
| EtOH | Ethyl alcohol (ethanol) |
| MRSA | methicillin resistant staphylococcus aureus (super bug) |
| VRE | Vancomycin resistant enterococcus (super bug) |
| c. difficile | clostridium difficile |
| C & S | culture and sensitivity |
| PCV | packed cell volume |
| R & M | routine and microscopic |
| HIV | human immunodeficiency virus |
| AIDS | acquired immunodeficiency syndrome |
| TBD | to be done |
| x-match | cross match (blood) |
| PT | prothrombin time |
| PTT | partial thromboplastin time |
| INR | international normalization ratio |
| FFP | fresh frozen plasma |
| CSF | cerebrospinal fluid |
| SPD | Sterilization/Supplies, Processing and Distribution |
| CBC | complete blood count |
| Hgb | hemoglobin |
| Hct | hematocrit |
| CK | creatine kinase |
| RBC | red blood cell count |
| GTT | glucose tolerance test |
| BUN | blood urea nitrogen |
| PSA | prostate specific antigen |
| CHOL | cholesterol |
| HDL | high density lipoproteins (associated with good cholesterol) |
| TRIG | Triglycerides |
| LDL | low density lipoproteins (associated with bad cholesteral) |
| FSH | Follicle stimulating hormone |
| PTH | parathyroid hormone |
| TSH | thyroid stimulating hormone |
| dig | digoxin |
| AFB | acid fast bacilli |
| CNS | central nervous system |
| CHF | congestive heart failure |
| COPD | chronic obstructive pulmonary disease |
| CAT or CT scan | computed axial tomography or computed tomography |
| BE | barium emema |
| CXR | chest x-ray |
| D & C | dilation and curettage |
| ECG or EKG | electrocardiography |
| ECHO | echocardiography |
| EEG | electroencephalogram |
| EMG | electromyography |
| IVP | intravenous pyelography |
| IVU or IUG | intravenous urography |
| KUB | kidneys, ureters, bladder (x-ray of) |
| LP | lumbar puncture |
| MRI | magnetic resonance imaging |
| MUGA | multigated acquisition cardiac scan |
| PET | positron emission tomography |
| PFT's | pulmonary function tests |
| TEE | transesophageal eshocardiography |
| U/S | ultrasound |
| AP | anterior posterior |
| PA | posterior anterior |
| RUQ | right upper quandrant |
| LUQ | left upper quandrant |
| RLQ | right lower quadrant |
| LLQ | left lower quandrant |
| Hx | history |
| IVPB | intravenous piggyback |
| ADH | antidiuretic hormone |
| b.i.d | twice daily |
| Kg | kilogram |
| MI | millilitre |
| L | litre |
| NSAID | non-steroidal anti-inflammatory drug |
| Prn | when needed ; as required |
| amp. | ampule |
| caps. | capsules |
| gtt. | drop(s) |
| h.s | at bedtime |
| liq. | liquid or solution |
| supp. | suppository |
| sry. | syrup |
| tab. | tablets |
| ung. | ointment |
| NTG | nitroglycerin |
| N & V | nausea and vomitting |
| H & P | history and physical |
| PARR | post assessment recovery room |
Created by:
KariTansowny
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