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387 Cards in this Set

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ā
before
abd
abdomen
ABGs
arterial blood gases
ac
before meals
ad lib
as desired
ADH
antidiuretic hormone
ADLs
activities of daily living
AFB
acid-fast bacillus (related to tubercolosis)
AIDS
acquired immunodeficiency syndrome
ALL
acute lymphoblastic leukemia
AMB, amb
ambulatory
AP (and lateral chest)
anterior & posterior
ASA
aspirin
ASHD
arteriosclerotic heart disease
ax
axillary
BE
barium enema
bid
twice a day
BM, bm
bowel movement
BP
blood pressure
BPH
benign prostatic hypertrophy
BR
bedrest
BRP
bathroom privileges
BSI
body substance isolation
BUN
blood urea nitrogen
Bx, bx
behavior, biopsy
c (with a line above it)
with
C & S
culture and sensitivity
CA
cancer
CABG
coronary artery bypass graft
CAD
coronary heart disease
cap
capsule
CBC
complete blood count
CBI
continuous bladder irrigation
CBR
complete bed rest
CC (both capital letters)
chief complaint
CDC
Center for Disease Control and Prevention
CHF
congested heart failure
Cl
chloride
CN
cranial nerve
CNS
central nervous system
c/o
complains of
CO2
carbon dioxide
COPD
chronic obstructive pulmonary disease
CPM
continuous passive motion
CPR
cardiopulmonary resuscitation
CSF
cerebrospinal fluid
CT
computed tomography
CVA
cerebrovascular accident (stroke)
CVP
central venous pressure
D5NS
5% dextrose in 0.9% (normal) saline
D5 ½ NS
5% dextrose in 0.45% saline
D5W
5% dextrose and water
DAT
diet as tolerated
D/C
discontinue
DM
diabetes mellitus
DNR
do not resuscitate
DSD
dry sterile dressing
DTR
deep tendon reflex
DVT
deep venous thrombosis
Dx, dx
diagnosis
EC
enteric coated
ECG, EKG
electrocardiogram
elix
elixir
ER
Emergency room, extended release
ESR
erythrocyte sedimentation rate
ESRD
end-stage renal disease
ET
enterostomal therapist
FUO
fever of unknown origin
fx
fracture
Gm, g
gram
GI
gastrointestinal
gtt
drops
GU
genitourinary
Hb, Hgb
hemoglobin
HBV
hepatitis B virus
HCO3
bicarbonate
Hct
hematocrit
HCV
hepatitis C virus
HEPA
high-efficiency particulate air
HIV
human immunodeficiency virus
Hx, h/o
history of
HOB
head of bed
HR
heart rate
hs
at bedtime
HTN
hypertension
I&O
intake and output
ICP
intracranial pressure
ICU
intensive care unit
IDDM
insulin-dependent diabetes mellitus
IM
intramuscular
IPPB
intermittent positive-pressure breathing
IV
intravenous
JVD
jugular vein distention
K
potassium
KUB
kindey, ureter, bladder
KVO
keep vein open (run IV very slowly)
LLQ
left lower quadrant
LOC
level of consciousness
LR
lactate Ringer's solution
lytes
elecrolytes
MAP
mean arterial pressure
MCHC
mean corpuscular hemoglobin concentration
MCV
mean corpuscular volume
MI
myocardial infarction
MRI
magnetic resonance imaging
N
nitrogen
neg
negative
NG
nasogastric
NPO
nothing by mouth
NS
nasal saline
NSAIDs
nonsteroidal antiinflammatory drugs
O2
oxygen
OD
right eye
odrey
OOB
out of bed
OR
operating room
OS
left eye
osley
OT
occupational therapy
OTC
over the counter (medicine without prescription)
O.U.
both eyes
optical united
P
pulse
PACU
postanesthesia care unit
pc
after meals
PCA
patient-controlled analgesia
PE
pulmonary embolism, physical examination
PID
pelvic inflammatory disease
PMH
past medical history
PMI
point of maximal inpulse
PO
by mouth
postop
after surgery
preop
before surgery
prep
preparation
PRN, prn
as needed, as required
pt
patient
PT
physical therapy, prothrombin time
PTT
partial thromboplastin time
PVD
peripheral vascular disease
q (with a line above it)
every, each
q_h (fill in blank with number of hours), e.g., q3h
every 3 hours
qid
four times a day
qod
every other day
qs
sufficient quantity
R
respirations, refused
RA
rheumatoid arthritis, rehab assistant
RBC
red blood cells (count)
R/O
rule out (eliminate possibility of a condition)
ROM
range of motion
ROS
review of systems
r/t
related to
RUQ
right upper quadrant
Rx
treatment, prescription, take
s (with a line above it)
without
SC (SQ)
subcutaneous
sl (SL)
sublingual
SOB
shortness of breath
sp gr
specific gravity
SR
sustained release
STAT
at once, immediately
STD
sexually transmitted disease
supp
suppository
Sx, sx
symptoms, signs
T
temperature
T&C
type and crossmatch
tab
tablet
TB
tubercolosis
TCDB
turn, cough, deep breathe
tid
three times a day
TPN
total parenteral nutrition
TPR
temperature, pulse, respirations
TURP
transurethral resection of prostate
UA
urinalysis
up ad lib
up as desired
URI
upper respiratory infection
US
ultrasound
UTI
urinary tract infection
VS
vital signs
VTBI
volumed to be infused
WBC
white blood cell
WC
wheelchair
WNL
within normal limits
wt
weight
AA
Alcoholics Anonymous
Abn
abnormal
A (with circle around it)
assistance
@
at
Act
activity
ADA
American Diabetes Association
A.D.N.S
Assistant Director of Nursing Service
agit
agitation
A/H
Auditory Hallucination
aka
also known as
am
in the morning
AMA
against medical advice
amt
amount
ASAP
as soon as possible
AWOL
absent without leave
B & B
bowel and bladder
B & C
Board and Care Home
BAP
Barbara Aaron's Pavilion (VMC)
Cc, cc
cubic centimeter (equal to milliliter)
CCR MC
Contra Costa Regional Medical Center
Chol
cholesterol
chr
chronic
Cl
client
Cons
conservator
Cont
continued
C-sect
Cesarean section
CSA
Client Assessment
C & S
culture and sensitivity
CTR
Certified Therapeutic Recreational Specialist
CWC
Crestwood Center
D/C
discontinue
D/D
Dual Diagnosis
D/O
disorder
D/R
Dual Recovery
Dep
dependent
Derm
dermatology
disch
Discharge
DOB
date of birth
DMH
Department of Mental Health
DNS
Director of Nursing Service
Dr
doctor
DRA
Dual Recovery Anonymous
DRS
Dual Recovery Specialist
DSE
Director of Staff Education
dsg
dressing
DSM IV
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Revised
D.S.S.
Dietary Services Supervisor
ECT/EST
electroconvulsive treatment
EDC
expected date of confinement
EEG
electroencephalogram
EENT
eyes, ears, nose, and throat
enc
encourage
EOB
edge of bed
EPS
Emergency Psychiatric Services (VMC)
EPRs
Extrapyramidal Side Effects/Reactions
ER
Emergency Room, Extended Release
ETOH
alcohol
exp
expiration date
F
Fahrenheit
FBS
fasting blood sugar
FHT
fetal heart tones
FS
finger stick (blood sugar test)
FSA
Functional Skills Assessment
ft
foot
FT
Family Therapist
F/U
follow-up
G & H
Grooming and Hygiene
GAF
Global Assessment of Functioning (rating scale)
GC
gonorrhea
GERD
Gastroesophageal Reflux Disease
GI
gastrointestinal
Gm
gram
gr
Grains
grp
group
GSW
gunshot wound
GYN
gynecology
H/A
headache
H/I
homicidal ideation
hosp
Hospital
Hx, h/o
history of
I
independent
IBW
ideal body weight
IQ
intelligence quotient
inc
incontinent
lab
laboratory
lb
pound
liq
liquid
LMFT
Licensed Marriage, Family Therapist
Lt
left
LUQ
left upper quadrant
LVN
Licensed Vocational Nurse
MAOI
Monoamine oxidase inhibitor (type of med)
Max
maximum
M-Cal
Medi-Cal
M-Care
Medicare
MD
Medical Doctor
MDD
maximum daily dose
mech soft
mechanical soft diet
med
medication
mEq
milliequivalent
mg
milligram
MHRC
Mental Health Rehab Center
Min
minimum
ml
milliliter
mm
millimeter
mo
Medical Officer
Mod
moderate
M.R.
may repeat
Mtg
meeting
Ø
no, none
N/A
not applicable (or available)
Neg or - (with circle around it)
negative
NKA
no known allergies
NOC
nocturnal, at night
Nsg
Nursing
NTE
not to exceed
OB-GYN
Obstetrics and Gynecology
Obj
objective(s)
OBS
Organic Brain Syndrome
occ
occasionally
O/D
overdose
oint, ung
ointment
OOC
out of control
OOP
out on pass
OT
Occupational Therapist
OTC
over the counter
OTR
Occupational Therapist, Registered
OTS
Occupational Therapy Student
oz
ounce
p (with a line above it)
after
PAD
Peptic Acid Disease
pc
after meals
PCP
phencyclidine, Primary Care Physician
PE
physical examination
perm
permanent
PID
Pelvic Inflammatory Disease
po
by mouth (orally)
Pos or + (with circle around it)
positive
poss
possible
preg
pregnant
pvt
private
pm
after noon
qd
everyday (daily)
Q+R
quarterly
q4h
every four hours
qt
Quart
rec
recommended
REC
recreation
reg
regular
rehab
rehabilitation
RLQ
right lower quadrant
RN
Registered Nurse
RN, C
Registered Nurse, Certified
RO
Reality Orientation
RS
Rehab Specialist
Rt
right
RT
Recreation Therapist
RTC
return to clinic
S (with circle around it)
supervised
S/A
substance abuse
SCVMC
Santa Clara Valley Medical Center
SFGH
San Francisco General Hospital
SIADH
Syndrome of Inappropriate Anti-diuretic Hormone
spec
specimen
SPT
Student Psychiatric Technician
S/S
signs and symptoms
SSI
Social Security Income
SSN
Social Security Number
S.S.S.
Social Service Specialist
Staph
Staphylococcus
Strep
Streptococcus
sub q
subcutaneous injection
Sz
seizure
tab
tablet
Tbsp
tablespoon
TC
thought content
TD
Tardive Dyskinesia
TDD
total daily dose
temp
temperature
TO
telephone order
TP
thought process
tsp
teaspoon
U
Units (insulin)
VA
Veteran's Administration Medical Center
PA-Palo Alto
MP-Menlo Park
vag
Vaginal
VD
Venereal Disease
V/H
visual hallucination
vit
vitamin
VMC
Valley Medical Center (Santa Clara)
Wk
week
yr
years
x
times (number of times)
Male
Female
elevated or increased
lowered or decreased
>
greater than
<
less than
#
number, pounds
Ψ
psych
1:1
one to one
change
%
perentage
º
hour(s)
equal to or greater than
equal to or less than
BSE
breast self-examination