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122 Cards in this Set

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N/V

Nausea and vomiting

neg

Negative

P

Pulse

PE

Physical examination

Assessment

PMH

Past medical history

R

Respirations

ROS

Review of systems

Assessment

H/A

Headache

C

Celsius

Measuring temperature

c/o

Complains of

Assessment

dx

Diagnosis

F

Fahrenheit

Measuring temperature

MAE

Moves all extremities

+

Positive

Sx

Symptoms

SOB

Shortness of breath

Assessment

h/o

History of

rt

Right

T

Temperature

Vital sign

HPI

History of present illness

Imp

Impression

abd

Andominal

bx

Biopsy

-

Negative

BP

Blood pressure

GI

Gastrointestinal

Lt

Left

GU

Genitourinary

FUO

Fever of unknown origin

NKA

No known allergies

NAD

No apparent distress

R/O

Rule out

CTA

Clear to auscultation

ECG or EKG

Electrocardiogram or cardiogram

CXR

Chest X-ray

C & S

Culture & sensitivity

CO2

Carbon dioxide

CBC

Complete Blood Count

BE

Barium Enema

ABG

Arterial blood gas

WBC

White blood cells

UGI

Upper gastrointestinal

UA

Urinalysis

RBC

Red blood cell

Lytes

Electrolytes

MI

Myocardial infarction

HTN or ⬆️BP

Hypertension

CA

Cancer

URI

Upper respiratory infection

STI

Sexually transmitted infection

STD

Sexually transmitted disease

PVD

Peripheral vascular disease

CAD

Coronary artery disease

DM

Diabetes mellitus

ASHD

Ateriosclerotic heart disease

ASCVD

Ateriosclerotic cardiovascular disease

BPH

Benign prostatic hypertrophy

CVA

Cerebrovascular accident

COPD

Chronic obstructive pulmonary disease

CHF

Congestive heart failure

PE

Pulmonary emboli

diagnosis

up ad lib

Up as desired

OOB

Out of bed

CBR

Complete bed rest

BRP

Bathroom privileges

AMB

Ambulatory

S/P

Status post

TP

Tube feeding

CABG

Coronary artery biopsy graft

IV

Intravenous

I & O

Intake & output

O2

Oxygen

OT

Occupational therapy

S

Without

BSD

Bedside drainage

c

With

DNR

Do not resuscitate

FOB

Foot of bed

Fx

Fracture

KVO

Keep vein open

GHWT

Good handwashing technique

Dsg

Dressing

dx

Diagnosis

NG

Nasogastric

x

Times

Lowercase

pt

Patient

ROM

Range of Motion

Rx

Treatment

VS

Vital signs

postop

Postoperative

preop

Preoperative

PRN or p.r.n.

As needed

NPO or npo

Nothing by mouth

NS or N/S

Normal saline

BM

Bowel movement

Hx

History

a, with a line over it

Before

p, with a line over it

After

STAT

Immediately

WA

While awake

ASAP

As soon as possible

AMA

Against medical advice

ad lib

As desired

Tx

Treatment

TPR

Temperature Pulse Respirations

T.P.R. vital signs

PT

Physical therapy

CPR

Cardio Pulmonary resuscitation

SOB

Side of bed

Location

HOB

Head of bed

Location

noc

Night

Prep

Preparation

Decreasing

Unequal

Secondary to

↗️

Increasing

Increase

🔼

Change

Except

Decrease

°

Degree

Male

Female