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121 Cards in this Set

  • Front
  • Back
AMB
Ambulatory
BRP
bathroom privileges
CBR
complete bed rest
OOB
out of bed
up ad lib
up as desired
abd
abdomen
BP
Blood pressure
bx
biopsy
c/o
complains of
CTA
clear to auscultation
dx
diagnosis
FUO
fever of unknown origin
GI
gastrointestinal
GU
genitourinary
H/A
headache
h/o
history of
HPI
history of present illness
Imp
Impression
Lt or L
Left
MAE
moves all extremities
NAD
no apparent distress
NKA
no known allergies
N/V
nausea and vomiting
neg
negative
P
pulse
PE
physical examination
PMH
past medical history
R
respirations
R/O
rule out
ROS
review of systems
rt or R
right
SOB
short of breath
Sx
symptoms
T
temperature
ASCVD
Arteriosclerotic cardiovascular disease
ASHD
Arteriosclerotic heart diseas
CA
cancer
CAD
coronary artery disease
CHF
congestive heart failure
COPD
chronic obstructive pulmonary disease
CVA
cerebrovascular accident
DM
diabetes mellitus
HTN
hypertension
MI
myocardial infarction
PE
pulmonary emboli
PVD
peripheral vascular disease
URI
upper respiratory infection
ABG
arterial blood gas
BE
barium enema
CBC
complete blood count
CO2
carbon dioxide
C&S
culture and sensitivity
CXR
chest x-ray
ECG (EKG)
electrocardiogram
lytes
electrolytes
RBC
red blood cells
UA
urinalysis
UGI
upper GI
WBC
white blood cells
a (with a line over it)
before
ad lib
as desired
AMA
against medical advice
ASAP
as soon as possible
BM
bowel movement
BSD
bedside drainage
c (with a line over it)
with
CABG
coronary artery bypass graft
CPR
cardiopulmonary resuscitation
dc (disc)
discontinue
DNR (no code)
do not resuscitate
Dsg
dressing
dx
diagnosis
FOB
foot of bed
Fx
fracture
GHWT
good hand washing technique
HOB
Head of BEd
hs
hour of sleep
Hx
history
I&O
intake and output
IV
intravenous
KVO
keep vein open
NG
nasogastric
noc
night
NPO
nothing by mouth
NS (NIS) (N/S)
normal saline
O2
oxygen
P (with a line over it)
after
PRN (p.r.n.)
as needed
PT
physical therapy
pt
patient
q
every
ROM
range of motion
RX
treatment
s (with line over it)

or

S
without
SOB
side of bed
S/P
status post
STAT
immediately
TF
tube feeding
TPR
temperature, pulse, respirations
TURP
transurethral resection of prostate
q
every
ROM
range of motion
RX
treatment
s (with line over it)

or

S
without
SOB
side of bed
S/P
status post
STAT
immediately
TF
tube feeding
TPR
temperature, pulse, respirations
TURP
transurethral resection of prostate
TX
treatment
VS
vital signs
WA
while awake
x
times
DO NOT USE
U (for unit)
instead write "unit"
DO NOT USE
IU (for international unit)
instead write "international unit"
DO NOT USE
Q.D.; QD, q.d., QOD, Q.O.D., q.o.d. (for daily, every day)
instead write "daily" or "every day"
DO NOT USE
< (less than)
instead use "less than"
DO NOT USE
> (greater than)
instead use "greater than"
DO NOT USE
@ (for at)
instead use "at"
DO NOT USE
c.c. (for cubic centimeter)
instead use " mL" for milliliters