Acronym/Abbreviation/Symbol Focus All Chapters Flashcards
SOAP
format when documenting information in a patient’s chart or medical record
- Subjective data
- Objective data
- Assessment of the data
- Plan for future care
A&O
alert and oriented
ā
before
a = before
p = after
c = with
q = every
s = without
ac
before meals
a = before
ac = before meals
p = after
pc = after meals
LTG
Long
Term
Goal
Meds
Medication
Noc
night, at night
TIP: NOCturnal
ad lib.
as desired, at discretion
NPO or npo
nothing by mouth
not permitted orally ?? maybe ?
was on quiz
ADLs
Activities
of
Daily
Living
OOB
Out
Of
Bed
AMA
Against
Medical
Advice
OTC
Over
The
Counter
B/S
BedSide
p̄
after
was on quiz
a = before
p = after
c = with
q = every
s = without
Bid
twice a day
Bi = twice
D = day
bid = twice a day
tid = three times a day
qid = quad, four times a day
pc
after meals
a = before
ac = before meals
p = after
pc = after meals
BRP
BathRoom Privileges
PE
Physical Examination
c̄
with
TIP
c = con = with
a = before
p = after
c = with
q = every
s = without
per
by/through
c/o
complains of
PLOF
Prior
Level
Of
Function
CC or C/C
Chief
Complain
PO
by mouth
permitted orally ????
cont.
continue
post-op
after surgery (post operation)
DNR
Do
Not
Resuscitate
pre-op
before surgery (operation)
DOB
Date
Of
Birth
prn
as needed
pro re nata, “as the thing is needed”
Dx
diagnosis
Pt. or pt.
patient
ELOS
Estimated
Length
Of
Stay
PTA
Prior
To
Admission
EOB
Edge
Of
Bed
q
every
a = before
p = after
c = with
q = every
s = without
eval.
evaluate, evaluation
qid
four times a day
bid = twice a day
tid = three times a day
qid = quad, four times a day
FH
Family
History
qh
every hour
q2h
every two hours
H&P
History and Physical
re:
regarding, concerning
h/o
History Of
R/O or r/o
Rule Out
HOB
Head Of Bed
ROS
Review of Systems
ht.
HeighT
Hx
History
s̄
without
TIP
s = sin = without
a = before
p = after
c = with
q = every
s = without
LOS
Length
Of
Stay
S/P or s/p
Status
Post
sig
directions for use, give as follows, let it be labeled
TO or t.o.
Telephone Order
tol
tolerate, tolerated, tolerance
stat
immediate(ly)
Tx
treatment, traction
STG
Short
Term
Goal
VO or v.o.
Verbal
Order
Sx
symptoms
y/o or y.o.
year old
tid
three times a day
bid = twice a day
tid = three times a day
qid = quad, four times a day
wt.
WeighT
~ or ≈
approximately
×
number of times (×5, 5×) or minutes (×5 min)
Δ
change
1°
primary
↓
down, downward, decreased, diminished
→
to, progressing toward, approaching
♀
female
♂
male
2°
secondary, secondary to
↔
to and from
#
number (#5) or pounds (5# wt.)
↑
up, upward, increased
abd
abduction
add
adduction
ant
anterior
post
posterior
flex
flexion
ext
extension
R
right
L
left
lat
lateral
med
medial
LE
lower extremity; leg
UE
upper extremity; arm
LLQ
lower left quadrant
LUQ
Left Upper Quadrant
RLQ
Right Lower Quadrant
RUQ
Right Upper Quadrant
AP
AnteroPosterior
From front to back
PA
PosteroAnterior
From back to front
BCC
Basal Cell Carcinoma
Bx, bx
biopsy
C&S
Culture and Sensitivity
decub
decubitus ulcer; pressure ulcer; bedsore
derm
dermatology
I&D
Incision and Drainage
ID
IntraDermal (injection)
IP
IcePack
MHP
Moist
Hot
Pack
IV
IntraVenous
MM
Malignant Melanoma
SCC
Squamous Cell Carcinoma
STM
Soft
Tissue
Mobilization
also called massage
SubQ, Sub-Q
subcutaneous
ung
ointment
ADHD
Attention
Deficit
Hyperactivity
Disorder
LOC
Level Of Consciousness, Loss Of Consciousness
ALS
Amyotrophic
Lateral
Sclerosis
(Lou Gehrig’s disease)
LP
Lumbar Puncture
ANS
Autonomic Nervous System
PNS
Peripheral Nervous System
was on quiz
CNS
Central Nervous System
MRI
Magnetic Resonance Imaging
was on quiz
MVA
Motor
Vehicle
Accident
CP
Cerebral Palsy
MS
Multiple Sclerosis
CSF
CerebroSpinal Fluid
OCD
Obsessive-Compulsive Disorder
CT
Computed Tomography
CVA
CerebroVascular Accident
SCI
Spinal Cord Injury
EEG
ElectroEncephaloGraphy
TBI
Traumatic Brain Injury
EMG
ElectroMyoGram
TGA
Transient Global Amnesia
GBS
Guillan-Barré syndrome
TIA
Transient Ischemic Attack
ICP
IntraCranial Pressure
TN
Trigeminal Neuralgia
TTWB
Toe Touch Weight Bearing
WBAT
Weight Bearing As Tolerated
NWB
No Weight Bearing
PWB
Partial Weight Bearing
FWB
Full Weight Bearing