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28 Cards in this Set

  • Front
  • Back
ADA
ADA: American Dietetic Association
The patient was discharged on ADA diet.
ADL
ADL: activities of daily living
The patient presents to physical therapy having problems with ADLs.

Note: AMA also means American Medical Association. The context of the report should make this distinction fairly easy.
ASA
ASA: acetylsalicylic acid (aspirin)
He was to take ASA daily for his CAD.
AVM
AVM: arteriovenous malformation
Head CT showed an AVM.
CLL
CLL: chronic lymphocytic leukemia
The primary diagnosis was CLL.
CPAP
CPAP: continuous positive airway pressure
He was put on CPAP for his sleep apnea.
CPR
CPR: cardiopulmonary resuscitation
CPR attempts failed, and the patient was pronounced dead.
DC
DC: discontinue or discharge
The patient was to DC his medications.
The patient was DC'd after 10 days.
DNR
DNR: DO NOT RESUSCITATE
The patient was counseled and DNR status was confirmed.

Note that the entire phrase is capitalized. Unless client instructs you otherwise, always type it in caps.
DT
DT: delirium tremens
DTs were noted on presentation at the ER.
DOB
DOB: date of birth
They couldn't find her DOB on her patient chart.
ESWL
ESWL: extracorporeal shock-wave lithotripsy
We attempted to destroy the kidney stones with ESWL.
GE
GE: gastroesophageal
GE reflux is also called heartburn.
HCTZ
HCTZ: hydrochlorothiazide
HCTZ was part of his high blood pressure control regimen.
H&P
H&P: history and physical
H&P was recorded in the chart.
HPI
HPI: history of present illness
For review of systems, see HPI.
IOL
IOL: intraocular lens
He had an IOL implant O.D. for cataracts.
ITP
ITP: idiopathic thrombocytopenic purpura
ITP is characterized by small hemorrhages which may be macular or papular.
LLL
LLL: left lower lobe
The patient has LLL pneumonia.
LOC
LOC: loss of consciousness
Despite head trauma, there was no LOC.
MDI
MDI: metered dose inhaler
The patient was given an Albuterol MDI.
NKDA
NKDA: no known drug allergies
Allergies: NKDA.
NPO
NPO: nothing by mouth
(NPO is derived from the Latin nil per os.)
She remained NPO on the second postoperative day.

Can also be written n.p.o. or npo.
Phen-fen
Phen-fen: phentermine and fenfluramine
Phen-fen is largely discredited as a weight loss regimen.

The FDA requested the removal of Phen-fen from the market in 1997. This is also acceptably referred to as fen-phen or Fen-phen. There is acceptable variation to how it is presented.
PND
PND: paroxysmal nocturnal dyspnea
No PND or orthopnea.
subq
subq: subcutaneous (subcutaneously)
She was injected subq.

Pronounced sub-Q. Sometimes written subcu.
SOB
SOB: shortness of breath
She had severe SOB and was referred to the ER.
TPN
TPN: total parenteral nutrition
She was started on TPN while in the hospital.