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170 Cards in this Set

  • Front
  • Back
F
Fahrenheit
FAP
Familial adenomatous polyposis
FBS
Fasting Blood Sugar
FDLNMP
First Day of Last Normal Menstrual Period
Fem-pop
Femoral popliteal
FEV1
Forced expiratory volume in 1 second
FH or FHx
Family History
5-FU
5-fluorouracil
Fx
Fracture
FSH
Follicle Stimulating Hormone
FUO
Fever of unknown (undetermined) origin
g or gm
gram
Gen
General (part of review of systems—general patient status)
GERD
Gastroesophageal reflux disease
GI
Gastrointestinal
gtt or gtts
Drop or drops
GU
Genitourinary
GVHD
Graft versus host disease
GYN
Gynecology
H & H or H/H
Hemoglobin and Hematocrit
HA
Headache
HAART
Highly Active Antiretroviral Therapy
HC
Hydrocortisone
hCG
Human Chorionic Gonadotropin
Hct
Hematocrit
H + P
History and Physical
HEENT
Head, Eyes, Ears, Nose, Throat
Heme
Hematologic findings (or blood present—ex: heme (+) stools)
HIDA
Scan Hepatobiliary Scan
HIPAA
Health Insurance Portability and Accountability Act
HIV
Human Immunodeficiency Virus
Hgb
Hemoglobin
HOB
Head of bed
HOH
Hard of Hearing
HPI
History of Present Illness
HRT
Hormone replacement therapy
ht.
Height
HTN
Hypertension
Hx
History
I & D
Incision and drainage
I & O
Input and output
IBD
Inflammatory bowel disease
IBS
Irritable bowel syndrome
ICD
Implantable Cardiac Defibrillator
IDDM
Insulin Dependent Diabetes Mellitus
IM
Intramuscularly or Internal Medicine (check context)
INH
Isoniazid
INR
International Normalized Ratio
IRB
Institutional Review Board
IS
Incentive Spirometry
IVF
Intravenous fluids
IVPB
Intravenous Piggyback
IVP
IV Push or Intravenous Pyelogram
JVD
Jugular Venous Distension
KVO
Keep vein open
LAD
Left anterior descending artery
LDH
Lactate dehydrogenase
LE
Lower extremity
LFTs
Liver Function Tests
LH
Leutenizing Hormone
LLE
Left Lower Extremity
LLL
Left Lower Lobe
LLQ
Left Lower Quadrant
LMP
Last Menstrual Period
LOC
Loss of consciousness OR Laxative of choice (check context)
lt. or a circled “L”
Left
LUE
Left upper extremity
LUL
Left upper lobe
LUQ
Left upper quadrant
LV
Left ventricle
LVH
Left ventricular hypertrophy
MAC
Mycobacterium Avium Complex
MAOI
Monoamine Oxidase Inhibitor
MAP
Mean Arterial Pressure
met or mets
Metastasis
MI
Myocardial infarction
MOM
Milk of Magnesia
MMR
Measles Mumps and Rubella vaccine
MMSE
Mini Mental State (Status) exam
MRI
Magnetic Resonance Imaging
*MS
Multiple Sclerosis or Morphine Sulfate Mistaken for magnesium sulfate; use complete name
MSOF
Multisystem Organ Failure
MTX
Methotrexate
MUE
Medication Use Evaluation
MVA
Motor vehicle accident
MVP
Mitral Valve Prolapse
N/C
No complaints
NCAT
Normocephalic Atraumatic (refers to head)
Neuro
Neurology or Neurologic Status
NIDDM
Non-insulin dependent diabetes mellitus
NKDA
No known drug allergies
NMT
Nebulized mist treatment
noct.
Night
N.P. or CRNP
Nurse Practitioner
NT/ND
Non-tender/non-distended (refers to bowel)
OA
Osteoarthritis
OB
Obstetrics
OB/GYN
Obstetrics/Gynecology
OCD
Obsessive Compulsive Disorder
O.D.
Doctor of Optometry
*OJ
Orange juice Mistaken as o.d. or o.s.; use “orange juice”
OT
Occupational Therapy
P
Pulse
PACs
Premature Atrial Contractions
PAT
Paroxysmal Atrial Tachycardia
PCA
Patient Controlled Analgesia
PCN
Penicillin
PCO2
Carbon dioxide pressure
PCWP
Pulmonary capillary wedge pressure
PDR
Physician Desk Reference
PE
Physical Exam OR Pulmonary Embolism (check context)
PEEP
Positive end expiratory pressure
PEG
tube Percutaneous endoscopic gastrostomy tube
PERRLA
Pupils equally (round and) reactive to light and accommodation
PET
Positron Emission TomographyPFTs
PHN
Postherpetic Neuralgia
PID
Pelvic Inflammatory disease
PKU
Phenylketonuria
PMH
Past Medical History
PMR
Polymyalgia Rheumatica
PMS
Premenstrual Syndrome
PND
Paroxysmal Nocturnal Dyspnea
PONV
Post operative nausea and vomiting
Post-op
Postoperative
PPD
Purified Protein Derivative
Pre-op
Preoperative
PR or pr or pro rect
Per rectum (give rectally)
PRBCs
Packed red blood cells
PSA
Prostate Specific Antigen
PSH
Past surgical history
PSVT
Paroxysmal Supraventricular Tachycardia
Psych or Ψ
Psychiatric
PT
Prothrombin Time OR Physical Therapy (check context)
PTA
Prior to Admission (usually in context “medications PTA”)
PTCA
Percutaneous Transluminal Coronary Angioplasty
PTSD
Post-Traumatic Stress Disorder
PVD
Peripheral Vascular Disease
qs
as much as is sufficient or needed
R
Respirations or right (check context)
RA
Rheumatoid Arthritis
Resp.
Respiratory
REM
sleep Rapid Eye Movement sleep (NREM is non-REM sleep)
RLE
Right lower extremity
Right lower extremity
Right lower extremity
RLL
Right lower lobe
RLQ
Right lower quadrant
r/o
Rule out
ROM
Range of motion
ROS
Review of Systems
RR
Respiratory Rate
RRR
Regular rate and rhythm
rt. or circled R
Right
RT
Respiratory Therapy
RUE
Right Upper Extremity
RUL
Right Upper Lobe
RUQ
Right Upper Quadrant
SARS
Severe Acute Respiratory Syndrome
sat
Saturation
Sed rate
Sedimentation rate
SERM
Selective Estrogen Receptor Modulator
SGOT
Serum glutamic oxaloacetic transaminase (also known as AST)
SGPT
Serum glutamic pyruvic transaminase (also known as ALT)
SH or SocHx
Social History
SIADH
Syndrome of Inappropriate Antidiuretic Hormone
SIDS
Sudden Infant Death Syndrome
SJS
Steven’s Johnson Syndrome
SLE
Systemic Lupus Erythematosus
SPF
Sun protection factor
*SSI
Sliding Scale Insulin Mistaken for Strong Solution of Iodine; write out
*SSRI
Selective Serotonin Reuptake Inhibitor Mistaken as sliding scale regular insulin