Abbreviations Used in Docmentation

Question 1

___

a

Answer 1

Of Each

Question 2

Abn

Answer 2

Abnormal

Question 3

a.c.

Answer 3

Before Meals

Question 4

AD

Answer 4

Right Ear

Question 5

ADA

Answer 5

American Diabetes Association, American Dietetic Association

Question 6

ADL

Answer 6

Activities of Daily Living

Question 7

ad lib

Answer 7

as desired

Question 8

AKA

Answer 8

Above-knee amputation

Question 9

A.M.

Answer 9

Before noon (morning)

Question 10

AMA

Answer 10

Against Medical Advice

Question 11

amt.

Answer 11

Amount

Question 12

AS

Answer 12

Left Ear

Question 13

ax

Answer 13

Axillary

Question 14

B; bil

Answer 14

Bilateral

Question 15

bid

Answer 15

Twice a Day

Question 16

BP; B/P

Answer 16

Blood Pressure

Question 17

BR

Answer 17

Bed Rest

Question 18

BRP

Answer 18

Bathroom Privileges

Question 19

bs

Answer 19

Breath Sounds

Question 20

BS

Answer 20

Bedside

Question 21

BSC

Answer 21

Bedside Commode

Question 22

___

c

Answer 22

With

Question 23

cath

Answer 23

Catheter or Catheterization

Question 24

CBB

Answer 24

Complete Bed-Bath

Question 25

CBR

Answer 25

Complete Bed Rest

Question 26

CC

Answer 26

Chief Complaint

Question 27

c/o

Answer 27

Complains of

Question 28

DOA

Answer 28

Dead on Arrival or Date of Admission

Question 29

DOB

Answer 29

Date of Birth

Question 30

DTR

Answer 30

Deep Tendon Reflexes

Question 31

Dx

Answer 31

Diagnosis

Question 32

EBL

Answer 32

Estimated Blood Loss

Question 33

e.g.

Answer 33

For Example

Question 34

ENT

Answer 34

Ear, nose, throat

Question 35

EOM

Answer 35

Extraocular Movement

Question 36

Etiol.

Answer 36

Etiology

Question 37

ETOH

Answer 37

Alcohol

Question 38

fx

Answer 38

Fracture

Question 39

GI

Answer 39

Gastrointestinal

Question 40

GU

Answer 40

Genitourinary

Question 41

gyn

Answer 41

Gynecology

Question 42

H/A

Answer 42

Headache

Question 43

HEENT

Answer 43

Head, Eyes, Ears, Nose, Throat

Question 44

HL

Answer 44

Heparin Lock

Question 45

HOB

Answer 45

Head of Bed

Question 46

hosp.

Answer 46

Hospital

Question 47

hs

Answer 47

Hour of Sleep; Bedtime

Question 48

h; hr

Answer 48

Hour

Question 49

H2O

Answer 49

Water

Question 50

H2O2

Answer 50

Hydrogen Peroxide

Question 51

H&P

Answer 51

History and Physical

Question 52

ht.

Answer 52

Height

Question 53

Hx.

Answer 53

History

Question 54

ICU

Answer 54

Intensive Care Unit

Question 55

I&D

Answer 55

Incise and Drain

Question 56

inc.

Answer 56

Incision

Question 57

I&O

Answer 57

Intake and Output

Question 58

IV

Answer 58

Intravenous

Question 59

IVF

Answer 59

Intravenous Fluids

Question 60

IVPB

Answer 60

Intravenous piggyback

Question 61

JCAHO

Answer 61

Joint Commission on Accreditation of Healthcare Organizations

Question 62

KVO; TKO

Answer 62

Keep vein open; to keep open

Question 63

L

Answer 63

Liter

Question 64

L;lt.

Answer 64

Left

Question 65

lb; #

Answer 65

Pound

Question 66

LLL

Answer 66

Left Lower Lobe

Question 67

LLE

Answer 67

Left Lower Extremity

Question 68

LLQ

Answer 68

Left Lower Quadrant

Question 69

LMP

Answer 69

Last Menstrual Period

Question 70

LOC

Answer 70

Level of Consciousness

Question 71

maew

Answer 71

Moves All Extremities Well

Question 72

MD

Answer 72

Medical Doctor

Question 73

Med.

Answer 73

Medical, Medicine

Question 74

mod.

Answer 74

Moderate

Question 75

NG;N/G

Answer 75

Nasogastric

Question 76

NKA

Answer 76

No Known Allergies

Question 77

noct.

Answer 77

Nighttime

Question 78

NPO

Answer 78

Nothing by Mouth

Question 79

N&V

Answer 79

Nausea and Vomiting

Question 80

NVD

Answer 80

Normal Vaginal Delivery

Question 81

o; os

Answer 81

Orally; by Mouth

Question 82

O2

Answer 82

Oxygen

Question 83

O.D.

Answer 83

Right Eye

Question 84

OOB

Answer 84

Out of Bed (up and about)

Question 85

OP

Answer 85

Outpatient

Question 86

OR

Answer 86

Operating Room

Question 87

OS

Answer 87

Left eye

Question 88

OT

Answer 88

Occupational Therapy

Question 89

OTC

Answer 89

Over the Counter

Question 90

O.U.

Answer 90

Both Eyes

Question 91

___

p

Answer 91

After

Question 92

p.c.

Answer 92

After Meals

Question 93

PEARL

Answer 93

Pupils Equal and Reactive to light

Question 94

per

Answer 94

By

Question 95

PERRLA

Answer 95

Pupils equal, Round, Reactive to light with accommodation

Question 96

P.M.

Answer 96

After noon

Question 97

PMH

Answer 97

Previous Medical History

Question 98

PND

Answer 98

Paroxysmal Nocturnal Dyspnea

Question 99

p.o.

Answer 99

By Mouth

Question 100

POD

Answer 100

Postoperative Day

Question 101

postop.

Answer 101

Postoperative

Question 102

PP

Answer 102

Postpartum

Question 103

prep

Answer 103

Prepare for

Question 104

prn

Answer 104

As Needed

Question 105

pt.

Answer 105

Patient

Question 106

PT

Answer 106

Physical Therapy

Question 107

q

Answer 107

Every

Question 108

qd

Answer 108

Every Day

Question 109

qh

Answer 109

Every Hour

Question 110

qid

Answer 110

Four Times a Day

Question 111

qod

Answer 111

Every other day

Question 112

qs

Answer 112

Sufficient quantity

Question 113

RLE

Answer 113

Right Lower Extremity

Question 114

RLL

Answer 114

Right Lower Lobe

Question 115

RLQ

Answer 115

Right Lower Quadrant

Question 116

ROM

Answer 116

Range of Motion

Question 117

R; rt.

Answer 117

Right

Question 118

R/T

Answer 118

Related to

Question 119

RTO

Answer 119

Return to Office

Question 120

RUQ

Answer 120

Right Upper Quadrant

Question 121

Rx

Answer 121

Prescription, Treatment

Question 122

___

s

Answer 122

Without

Question 123

SOB

Answer 123

Shortness of Breath

Question 124

S/P

Answer 124

Status post

Question 125

SR

Answer 125

Side Rail

Question 126

S/S

Answer 126

Signs and Symptoms

Question 127

surg.

Answer 127

Sugery

Question 128

sym

Answer 128

Symmetrical

Question 129

TBA

Answer 129

To Be Absorbed

Question 130

temp.

Answer 130

Temperature

Question 131

tid

Answer 131

Three Times a Day

Question 132

TLC

Answer 132

Tender Loving Care

Question 133

t.o.

Answer 133

Telephone Order

Question 134

TPR

Answer 134

Temperature, pulse, and respiration

Question 135

tx.

Answer 135

Treatment

Question 136

UO

Answer 136

Urinary Output

Question 137

V.O.; v.o.

Answer 137

Verbal Order

Question 138

vol.

Answer 138

Volume

Question 139

VS

Answer 139

Vital Signs

Question 140

W/C

Answer 140

Wheelchair

Question 141

WD

Answer 141

Warm and dry

Question 142

WD/WN

Answer 142

Well Developed, Well Nourished

Question 143

WNL

Answer 143

Within Normal Limits

Question 144

wt.

Answer 144

Weight, Weigh

Question 145

y/o

Answer 145

Years Old