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Medical orders
med term - medical orders, procedure, patient status, blood work abbreviations
| Term | Definition |
|---|---|
| Medical Orders | Medical orders are instructions to medical staff. |
| NAS | No added salt indicates that a patient should not be given additional salt at meals. |
| NKO | No known allergies describes a patient who has no recorded or known allergies. |
| NPO | Nothing by mouth is a medical order instructing medical staff to not allow the patient to ingest any substances orally. |
| OOB | Out of bed indicates that a patient should get out of bed for a particular activity, or just for the exercise of getting out of bed. |
| BR | Bed rest is an order requiring consistent rest time in bed. |
| CBR | Complete bed rest is an order requiring that a patient remain in bed at all times. |
| BRP | Bathroom privileges indicate that a patient has permission to use bathroom facilities unsupervised and at his or her own discretion. |
| DNR | Do not resuscitate is a signed legal order that states that a patient is not to be administered life-saving procedures if the heart or breathing stops. |
| Emergency Procedures | Emergency procedures are actions performed in a hospital or at the scene of an emergency when someone requires immediate medical care. |
| Medical Procedures | Medical procedures are actions performed on a patient, which can include tests using sophisticated medical technology. |
| CPR | Cardiopulmonary resuscitation is an emergency procedure administered to a patient whose heart has stopped beating. |
| MRI | Magnetic resonance imaging is an imaging technique that uses magnets to obtain structural or functional images of the body. |
| CAT | Computer axial tomography is an imaging technique that uses invisible energy waves to obtain cross-sectional images of the body. |
| PET | Positron emission tomography is an imaging technique that produces a three-dimensional image of a functional process in the body. |
| US | Ultrasound is an imaging technique that uses sound waves to create images of structures inside the body. |
| ECG/ EKG | Electrocardiogram is a measurement of the electrical activity of the heart over a period of time. |
| EEG | Electroencephalogram is a measurement of the brain’s spontaneous electrical activity over a period of time. |
| ACLS | Advanced cardiac life support is a series of life-sustaining procedures administered in response to major heart traumas. |
| ALS | Advanced life support is a series of procedures administered to a patient to sustain vital life processes, such as breathing and heartbeat. |
| AAO | Alert, awake, and oriented patients are awake, know who and where they are, recognize those around them, and know the date and time. |
| Afeb | Afebrile indicates no fever and denotes a patient with a normal body temperature of approximately 98.6°F. |
| WA | While awake indicates that an action must take place while the patient is awake. |
| LOC | Loss of consciousness indicates that the patient at some point lost awareness and could not respond to cues. |
| ROM | Range of motion is a description of the ability of a patient to move his or her joints. |
| Rx | Prescription indicates the drugs a patient is currently taking or has formerly been ordered to take. |
| Px | Prognosis is an indication of the probable course or outcome of a patient’s disease or condition. |
| B/ P | Blood pressure describes the pressure of the blood against the tubes that it travels through. |
| BS | Blood sugar refers to the amount of glucose in a patient’s blood. |
| FBW | Fasting blood work is blood work taken after several hours of fasting, or not eating. |
| HR/ BPM | Heart rate is a measure of how many times the heart beats in a minute. |
| KVO | Keep vein open indicates that a catheter inserted into a blood vein should be kept at a constant drip rate. |
| Tx | Treatment is the current method of treating the patient’s symptoms. |
| Hx | History refers to a patient’s medical history. |
| CC | Chief complaint indicates the reason the patient is seeking medical attention. |
| DAMA | Discharge against medical advice is used on a discharge order to indicate that the patient requested to leave a medical facility although the medical supervisor advised against it. |
| Stat | Stat means immediately, indicating that an order should be executed with no delay. |
| PRN | As needed indicates that a medication should be dispensed as needed by the patient. |
| as tol | As tolerated indicates that an activity can be done as long as it does not cause the patient discomfort. |
| b.i.d | The abbreviation b.i.d. means twice a day, indicating that a prescription should be taken twice a day. |
| t.i.d | The abbreviation t.i.d. means three times a day, indicating that a prescription should be taken three times a day. |
| Ad lib | Ad lib means as desired, indicating that something is not restricted and may be done as the patient wishes. |