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ch2. med term
discussion number one
| Term | Definition | example |
|---|---|---|
| SOAP method | S = Subjective (patient-reported symptoms and concerns) O = Objective (observable and measurable findings) A = Assessment (clinical evaluation or diagnosis) P = Plan (treatment and follow-up actions) | A nurse documents a patient's complaint of headache under Subjective, records blood pressure under Objective, notes possible migraine under Assessment, and recommends medication and follow-up under Plan. |
| ICU | I = Intensive (requiring close observation and treatment) C = Care (medical attention and treatment) U = Unit (a specialized section within a healthcare facility) | A patient experiencing severe respiratory failure may be admitted to the ICU for mechanical ventilation and around-the-clock monitoring. |
| ED | E = Emergency (a serious or unexpected medical situation requiring immediate attention) D = Department (a specialized division within a hospital) | A patient experiencing chest pain may be taken to the ED for rapid evaluation and treatment. |
| NICU | N = Neonatal (relating to newborn infants, especially during the first 28 days of life) I = Intensive (requiring close monitoring and specialized treatment) C = Care (medical attention and support) U = Unit (a designated area ) | A baby born at 30 weeks gestation may be admitted to the NICU for respiratory support, temperature regulation, and continuous monitoring. |
| CCU | C= Coronary (relating to the arteries that supply blood to the heart muscle) C = Care (medical treatment and monitoring) U = Unit | A patient who has suffered a myocardial infarction (heart attack) may be admitted to the CCU for continuous monitoring, medication management, and recovery care. |
| BID | twice daily-Healthcare providers use in prescriptions and medication orders to indicate that a medication should be taken two times each day, usually spaced evenly apart | Bis = twice In Die = in a day Example: Take one tablet BID, meaning one tablet in the morning and one in the evening. |
| TID | three times a day-commonly used on medication orders to instruct patients to take a medication three times throughout the day. | Ter = three times In Die = in a day Example: Take the antibiotic TID, meaning once in the morning, afternoon, and evening. |
| AC | Before meals-Some medications are prescribed AC because they are absorbed better on an empty stomach. | Ante = before Cibum = food or meal Example: Take this medication AC, approximately 30 minutes before eating. |
| PRN | As needed-not taken on a fixed schedule but only when symptoms occur or relief is needed. | Pro = for Re = thing or situation Nata = arisen Example: Take pain medication PRN for headaches or discomfort. |
| QHS | at bedtime-often used for medications that help with sleep or are most effective when taken at night. | Quaque = every Hora = hour Somni = sleep Example: Take one capsule QHS to help manage nighttime symptoms |