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136 Cards in this Set

  • Front
  • Back
A
Assessment
_
a
before
a.c.
before meals
AD (write out)
right ear (write out)
ad lib
as needed
amt
amount
a.m.
before noon
aq
water
AS (write out)
left ear
AU (write out)
both eears
A&W
Alive and well
B with circle around it
bilateral
b.i.d.
twice a day
BP
blood pressure
BRP
bathroom priveleges
C
Celsius, centigrade
_
c
with
cap
capsule
CAT
Computerized Axial Tomography
CBC
complete blood count
CC
chief complaint
cc (write out)
cubic centimeter
CCU
coronary cardiac care unit
cm
centeimeter
complains of
c/o
CP
chest pain
CT
computed tomography
cu mm / mm^3
cubic millimeter
d
day
DC d/c (write out)
discharge or discontinue
dr
dram
Dx
diagnosis
ECU
Emergency Care Unit
ER
Emergency Room
ETOH
Ethyl Alcohol
F
Fahrenheit
FH
family history
fl oz
fluid ounce
g/gm
gram
gt
drop
gtt
drops
h
hour
HEENT
head eyes ear nose and throat
H&P
History and Physical
HPI
History of present illness
h.s. (write out)
hour of sleep (bedtime)
Ht
height
Wt
weight
ICU
intensive care unit
IM
intramuscular
ID
intradermal
IMP
impression
IV
intravenous
JCAHO
Joint Commission on Accreditation of Healthcare Organizations
kg
kilogram
L
liter
L circled
left
lb
pound
L&W
living and well
m circled
murmur
mg
milligram
mL/ml
milliliter
MRA
magnetic resonance angiography
MRI
magnetic resonance imaging
NAD
No acute distress
NKA
no known allergies
NKDA
no known drug allergies
noc.
night
NPO
nothing by mouth
O
Objective information
OH
occupational history
OP
outpatient
OR
operating room
OS (write out)
left eye
OU (write out)
both eyes
oz
ounce
P
plan; pulse
_
p
after
PACU
postanesthetical care unit
p.c.
after meals
PE
physical examination
per
by or through
PERRLA
pupils equal, round, reactive to light and accomodation
PH
past history
p.m.
after noon
PMH
past medical history
p.o.
by mouth
post-op
after surgery
PR
through rectum
pre-op
before surgery
p.r.n.
as needed
pt
patient
PV
through vagina
Px
physical
q
every
q.d. (write out)
every day
q.o.d (write out)
every other day
qh
every hour
q2h
every two hours
q.i.d.
four times a day
qt
quart
R
respiration
R circled
right
R/o
rule out
ROS
review of systems
RRR
regular rate and rhythm
RTO
return to office
RTC
return to clinic
Rx
Prescription
S
Subjective information
_
s
without
SC/SQ/sub-q (write out)
subcutaneous
SH
Social History
Sig
label; instruction to patient
SOB
shortness of breath
SR
Systems Review
_
ss (write out)
one-half
STAT
immediately
Suppos
suppository
Sx
Symptom
T
temperature
tab
tablet
t.i.d.
three times a day
Tr
treatment
Tx
treatment; traction
UCHD
usual childhood diseases
US
ultrasound (sonography)
VS
vital signs
wa
while awake
WDWN
well developed and well-nourished
wk
week
WNL
within normal limits
x
times or for
x-ray
radiology
y/o y.o
year old
yr
year