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MA1020Common Abbrevi

MA1020 Common Charting & Dr's Orders Abbreviations. Week#1

a (before)
aa (of each)
ac before meals (ante cibum)
ad lib as desired
bid twice a day
/c with (cum)this c has a line over it
gt gtt drop drops (dr's usually write gtts)
H hr hour
hs hour of sleep/bedtime
npo nothing by mouth
pc after meals (post cibum)
po by mouth;oral (per oral)
prn when necessary
q every
qd every day (abbr. currently banned;must be written out)
qh every hour
q_h every 2 / 3 / 4 hours
qid four times a day
qod every other day(abbr.currently banned. Must be written out)
/s without (sine) this s has a line over it
stat immediately
tid three times a day
amt amount
cap capsule
dil dilute
D5W 5% dextrose in water (I.V. Solution)
ID intradermal (within+ skin+ pertaining to)
IM intramuscular
IV intravenous (within+ vein)
NS normal saline (in an I.V.)
oint ointment
oz ounce
per by or with
qns quantity not sufficient
/ss ss half
subling sublingual (under+tongue+pertaining to) (sub/lingu/al is a Prefix/CF/Suffix)
sc or subq subcutaneous (abbr.currently banned. Must be written out) (under+skin+pertaining to)
tab tablet
ung ointment
cc cubic centimeter (abbr currently banned. Now written as ml)
gm gram
kg kilogram
L liter
mg millegram
ml milliliter
mm millimeter
HEENT head, eyes, ears, nose & throat
CR cardiorespiratory
CVS cardiovascular
GI gastrointestinal
GU genitourinary
CNS central nervous system
MS musculoskelatal (musculo/skeletal)
NM neuromuscular (neuro/muscular)
CA or Ca cancer
DOA dead on arrival
BR bedrest
BRP bathroom privileges
d/c D/C discontinue or discharge (abbr.currently banned. Must be written out)
pt patient
OD overdose
PM postmortem
GSW gun shot wound
CXR chest x-ray
NKA no know allergies
VO verbal orders
TO telephone orders
DNR do not resuscitate
HIV human immuno-deficiency virus
AIDS acquired immune deficiency syndrome
CC chief complaint. Primary reason pt came in.
c/o complains of
Dx diagnosis
Bx biopsy
R/O rule out
DOB date of birth
H & P history & physical. Where questions are asked of pt.
PI or HPI history of present illness
FH family history
PH past history
UCD usual chilhood diseases
a & w alive & well
PTA prior to admission
PCP primary care physician
ax axillary (axillo+ary) (armpit+pertaining to)
wd well developed
wn well nourished
WNL within normal limits. within normal ranges
VS vital signs
BP blood pressure
TPR temperature,pulse & respirations(vital signs)
P & A percussion & auscultation (percussion is when tapped on, auscultation is movement)
I & O intake & output. Fluids that go in & Fluids that go out
FUO fever of unknown origin
OD right eye (abbr. currently banned. Must be written out. Except in Optical field)
OS left eye (abbr. currently banned. Must be written out. Except in Optical field)
OU both eyes (abbr. currently banned. Must be written out. Except in Optical field)
AD right ear (abbr. currently banned. Must be written out)
AS left ear (abbr. currently banned. Must be written out)
AU both ears (abbr. currently banned. Must be written out)
SOB shortness of breath
MI myocardial infarction (muscle+heart+pertaining to) (myo+cardio+al is a CF+CF+S)
ECG or EKG electrocardiogram (electro+heart+record)
CHF congestive heart failure
CAD coronary artery disease
CABG coronary artery bypass graft
NSR normal sinus rhythm
COPD chronic obstructive pulmonary disease
abd abdomen
GB gallbladder
BM bowel movement
D & C dilatation & curettage(dilate cervix & scrape)
OB obstetrics (dr who takes care of females during pregnancy)
GYN gynecology (dr who takes care of females the rest of their lives outside of pregnancy)
LMP last menstrual period
EDC expected date of confinement or childbirth
PID pelvic inflammatory disease
L & D labor and delivery
PP postpartum
BPH benign prostatic hypertrophy
DTR deep tendon reflex (like when knee is tapped and causes a reflex)
ROM range of motion
Fx fracture
CVA cerebral vascular accident. A stroke
CSF cerebral spinal fluid
LP lumbar puncture
lytes electrolytes
CBC complete blood count
Hg / HGB / Hb hemoglobin
Hct hematocrit
H & H hemoglobin & hematocrit
RBC red blood cells, or, red blood count
WBC white blood cells, or, white blood count
FBS fasting blood sugar
C & S culture & sensitivity
ABG arterial blood gases
ICU intensive care unit
ER / ED emergency room / emergency department
RR / PAR recovery room / postanesthetic
Path pathology
Peds pediatric
PT physical therapy
CCU coronary care unit
OR operating room
Lab laboratory
OPD outpatient department
RT respiratory therapy
Created by: Ritaroo