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Health Assessment > Abbreviations Used in Docmentation > Flashcards

Abbreviations Used in Docmentation Flashcards

1
Q

___

a

A

Of Each

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2
Q

Abn

A

Abnormal

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3
Q

a.c.

A

Before Meals

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4
Q

AD

A

Right Ear

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5
Q

ADA

A

American Diabetes Association, American Dietetic Association

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6
Q

ADL

A

Activities of Daily Living

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7
Q

ad lib

A

as desired

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8
Q

AKA

A

Above-knee amputation

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9
Q

A.M.

A

Before noon (morning)

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10
Q

AMA

A

Against Medical Advice

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11
Q

amt.

A

Amount

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12
Q

AS

A

Left Ear

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13
Q

ax

A

Axillary

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14
Q

B; bil

A

Bilateral

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15
Q

bid

A

Twice a Day

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16
Q

BP; B/P

A

Blood Pressure

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17
Q

BR

A

Bed Rest

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18
Q

BRP

A

Bathroom Privileges

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19
Q

bs

A

Breath Sounds

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20
Q

BS

A

Bedside

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21
Q

BSC

A

Bedside Commode

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22
Q

___

c

A

With

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23
Q

cath

A

Catheter or Catheterization

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24
Q

CBB

A

Complete Bed-Bath

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25
Q

CBR

A

Complete Bed Rest

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26
Q

CC

A

Chief Complaint

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27
Q

c/o

A

Complains of

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28
Q

DOA

A

Dead on Arrival or Date of Admission

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29
Q

DOB

A

Date of Birth

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30
Q

DTR

A

Deep Tendon Reflexes

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31
Q

Dx

A

Diagnosis

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32
Q

EBL

A

Estimated Blood Loss

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33
Q

e.g.

A

For Example

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34
Q

ENT

A

Ear, nose, throat

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35
Q

EOM

A

Extraocular Movement

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36
Q

Etiol.

A

Etiology

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37
Q

ETOH

A

Alcohol

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38
Q

fx

A

Fracture

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39
Q

GI

A

Gastrointestinal

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40
Q

GU

A

Genitourinary

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41
Q

gyn

A

Gynecology

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42
Q

H/A

A

Headache

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43
Q

HEENT

A

Head, Eyes, Ears, Nose, Throat

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44
Q

HL

A

Heparin Lock

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45
Q

HOB

A

Head of Bed

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46
Q

hosp.

A

Hospital

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47
Q

hs

A

Hour of Sleep; Bedtime

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48
Q

h; hr

A

Hour

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49
Q

H2O

A

Water

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50
Q

H2O2

A

Hydrogen Peroxide

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51
Q

H&P

A

History and Physical

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52
Q

ht.

A

Height

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53
Q

Hx.

A

History

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54
Q

ICU

A

Intensive Care Unit

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55
Q

I&D

A

Incise and Drain

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56
Q

inc.

A

Incision

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57
Q

I&O

A

Intake and Output

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58
Q

IV

A

Intravenous

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59
Q

IVF

A

Intravenous Fluids

60
Q

IVPB

A

Intravenous piggyback

61
Q

JCAHO

A

Joint Commission on Accreditation of Healthcare Organizations

62
Q

KVO; TKO

A

Keep vein open; to keep open

63
Q

L

A

Liter

64
Q

L;lt.

A

Left

65
Q

lb; #

A

Pound

66
Q

LLL

A

Left Lower Lobe

67
Q

LLE

A

Left Lower Extremity

68
Q

LLQ

A

Left Lower Quadrant

69
Q

LMP

A

Last Menstrual Period

70
Q

LOC

A

Level of Consciousness

71
Q

maew

A

Moves All Extremities Well

72
Q

MD

A

Medical Doctor

73
Q

Med.

A

Medical, Medicine

74
Q

mod.

A

Moderate

75
Q

NG;N/G

A

Nasogastric

76
Q

NKA

A

No Known Allergies

77
Q

noct.

A

Nighttime

78
Q

NPO

A

Nothing by Mouth

79
Q

N&V

A

Nausea and Vomiting

80
Q

NVD

A

Normal Vaginal Delivery

81
Q

o; os

A

Orally; by Mouth

82
Q

O2

A

Oxygen

83
Q

O.D.

A

Right Eye

84
Q

OOB

A

Out of Bed (up and about)

85
Q

OP

A

Outpatient

86
Q

OR

A

Operating Room

87
Q

OS

A

Left eye

88
Q

OT

A

Occupational Therapy

89
Q

OTC

A

Over the Counter

90
Q

O.U.

A

Both Eyes

91
Q

___

p

A

After

92
Q

p.c.

A

After Meals

93
Q

PEARL

A

Pupils Equal and Reactive to light

94
Q

per

A

By

95
Q

PERRLA

A

Pupils equal, Round, Reactive to light with accommodation

96
Q

P.M.

A

After noon

97
Q

PMH

A

Previous Medical History

98
Q

PND

A

Paroxysmal Nocturnal Dyspnea

99
Q

p.o.

A

By Mouth

100
Q

POD

A

Postoperative Day

101
Q

postop.

A

Postoperative

102
Q

PP

A

Postpartum

103
Q

prep

A

Prepare for

104
Q

prn

A

As Needed

105
Q

pt.

A

Patient

106
Q

PT

A

Physical Therapy

107
Q

q

A

Every

108
Q

qd

A

Every Day

109
Q

qh

A

Every Hour

110
Q

qid

A

Four Times a Day

111
Q

qod

A

Every other day

112
Q

qs

A

Sufficient quantity

113
Q

RLE

A

Right Lower Extremity

114
Q

RLL

A

Right Lower Lobe

115
Q

RLQ

A

Right Lower Quadrant

116
Q

ROM

A

Range of Motion

117
Q

R; rt.

A

Right

118
Q

R/T

A

Related to

119
Q

RTO

A

Return to Office

120
Q

RUQ

A

Right Upper Quadrant

121
Q

Rx

A

Prescription, Treatment

122
Q

___

s

A

Without

123
Q

SOB

A

Shortness of Breath

124
Q

S/P

A

Status post

125
Q

SR

A

Side Rail

126
Q

S/S

A

Signs and Symptoms

127
Q

surg.

A

Sugery

128
Q

sym

A

Symmetrical

129
Q

TBA

A

To Be Absorbed

130
Q

temp.

A

Temperature

131
Q

tid

A

Three Times a Day

132
Q

TLC

A

Tender Loving Care

133
Q

t.o.

A

Telephone Order

134
Q

TPR

A

Temperature, pulse, and respiration

135
Q

tx.

A

Treatment

136
Q

UO

A

Urinary Output

137
Q

V.O.; v.o.

A

Verbal Order

138
Q

vol.

A

Volume

139
Q

VS

A

Vital Signs

140
Q

W/C

A

Wheelchair

141
Q

WD

A

Warm and dry

142
Q

WD/WN

A

Well Developed, Well Nourished

143
Q

WNL

A

Within Normal Limits

144
Q

wt.

A

Weight, Weigh

145
Q

y/o

A

Years Old

Health Assessment (40 decks)

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