soap notes
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| supportive care | treat the symptoms to make the patient feel better
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| palliative care | treating the symptoms, but not getting rid of the cause
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| prophylaxis | preventative treatment
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| proximal | close to the center
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| distal | farther away from the center
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| lateral | out to the side
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| medial | toward the middle
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| ventral antral anterior | stomach , the front
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| dorsal posterior | the back
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| cranial | top
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| caudal | bottom
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| superior | above
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| inferior | below
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| supine | laying on the back
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| contralateral | opposite side
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| ipsilateral | same side
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| unilateral | one side
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| bilateral | both sides
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| dorsum | top of the hand or foot
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| plantar | sole of the foot
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| palmar | palm of the hand
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| sagittal | sliced in half left to right
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| coronal | sliced from front to back
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| transverse | divides top to bottom
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| CCU | coronary care unit
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| ECU | emergency care unit
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| ER | emergency room
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| ED | emergency department
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| ICU | intensive care unit
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| PICU | pediatric intensive care unit
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| NICU | Neonatal intensive care unit
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| SICU | surgical intensive care unit
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| PACU | postanesthesia care unit
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| L&D | labor and delivery
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| OR | operating room
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| post-op | after surgery
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| pre-op | before surgery
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| VS | vital signs
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| T | temperature
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| BP | blood pressure
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| HR | heart rate
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| RR | respiratory rate
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| Ht | height
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| Wt | weight
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| BMI | body mass index
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| I/O | intake/output
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| Dx | diagnosis
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| DDx | differential diagnosis
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| Tx | treatment
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| Rx | prescription
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| H&P | history and physical
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| Hx | history
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| CC | chief complaint
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| HPI | history of present illness
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| SOB | shortness of breath
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| NAD | no acute distress
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| RRR | regular rate and rhythm
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| CTA | clear to ascultation (normal sounding lungs)
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| WDWN | well developed well nourished
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| A&O | alert and oriented
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| WNL | within normal limits
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| NOS | not otherwise specified
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| NEC | not elsewhere classfied
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| PO | By mouth (per os)
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| NPO | nothing by mouth (nil per os)
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| PR | per rectum
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| IM | intramuscular
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| SC | subcutaneous
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| IV | intravenous
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| CVL | central venous line
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| PICC | peripherally inserted central catheter
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| sig | instructions short for SIGNA
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| ad lib | as desired
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| BID | twice daily "two in day" bis in die
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| TID | three times daily "three in a day" ter in die
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| QD | daily "each day" quaque die
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| QID | four times daily" four times in a day" quater in die
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| QHS | at night, at the hour of sleep
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| AC | before meals "ante cibum"
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| PC | after meals "post cibum"
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| prn | as needed, per re nata, as need arises
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To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
heathersutton87
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