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Charting Terms > Common Abbreviations Used In Documentation > Flashcards

Common Abbreviations Used In Documentation Flashcards

1
Q

of each

A

a

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2
Q

Abnormal

A

abn

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3
Q

before meals

A

ac

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4
Q

at will; freely desired

A

ad lib

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5
Q

Right ear

A

AD

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6
Q

Antidiuretic hormone

A

ADH

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7
Q

Activities of daily living

A

ADL

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8
Q

Admission

A

adm

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9
Q

Above-knee amputation

A

AKA

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10
Q

Ante meridiem

A

AM

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11
Q

Against medical advice

A

AMA

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12
Q

Ambulatory

A

amb

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13
Q

Before noon (morning)

A

AM

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14
Q

Approximately

A

approx

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15
Q

Antitetanic serum

A

ATS

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16
Q

Axillary

A

ax

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17
Q

twice a day

A

bid

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18
Q

Bilateral

A

B;bil

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19
Q

Bowel movement

A

BM

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20
Q

Basal metabolic rate

A

BMR

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21
Q

Bag of water

A

BOW

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22
Q

Blood pressure

A

BP

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23
Q

Bathroom privileges

A

BRP

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24
Q

Breath sounds

A

BS;bs

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25
Q

Bilateral tubal ligation

A

BTL

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26
Q

Blood urea nitrogen

A

BUN

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27
Q

With

A

c

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28
Q

Celsius

A

C

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29
Q

Complains of

A

c/o

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30
Q

Capsule

A

cap

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31
Q

Catheter or Catheterization

A

cath

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32
Q

Complete blood count

A

CBC

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33
Q

Complete bed rest

A

CBR

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34
Q

Congestive heart failure

A

CHF

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35
Q

Creatinine phosphokinase

A

CPK

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36
Q

Cardiopulmonary resuscitation

A

CPR

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37
Q

Cerebrospinal fluid

A

CSF

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38
Q

Cerebrovascular accident

A

CVA

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39
Q

Central venous pressure

A

CVP

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40
Q

Dilation & Curettage

A

D&C

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41
Q

diet as tolerated

A

DAT

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42
Q

Discontinue

A

dc

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43
Q

Dilute

A

dil

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44
Q

Dead on arrival

A

DOA

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45
Q

Difficulty of breathing

A

DOB

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46
Q

Diagnosis

A

Dx

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47
Q

Extracellular fluid

A

ECF

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48
Q

Electrocardiogram

A

ECG/EKG

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49
Q

For example

A

e.g.

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50
Q

Elixir

A

elix

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51
Q

Emergency room

A

ER

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52
Q

Fahrenheit

A

F

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53
Q

fluid

A

fld

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54
Q

fracture

A

fx

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55
Q

Gastrointestinal

A

GI

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56
Q

gram

A

gm

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57
Q

Genral practitioner

A

GP

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58
Q

drop

A

gt

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59
Q

drops

A

gtt

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60
Q

gynecology

A

gyn

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61
Q

hour

A

h; hr

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62
Q

Headache

A

H/A

63
Q

Water

A

H2O

64
Q

hematocrit

A

hct

65
Q

hemoglobin

A

hgb

66
Q

Heparin lock

A

HL

67
Q

hospital

A

hosp.

68
Q

Hour of sleep; bedtime

A

hs

69
Q

History

A

Hx

70
Q

Intensive care unit

A

ICU

71
Q

Intake and output

A

I&O

72
Q

Intradermal

A

ID

73
Q

Intramuscular

A

IM

74
Q

Intravenous

A

IV

75
Q

IV left

A

IVL

76
Q

Intravenous pyelogram

A

IVP

77
Q

Intravenous through tube

A

IVTT

78
Q

kilogram

A

kg

79
Q

Kidney ureter bladder

A

KUB

80
Q

Keep vein open

A

KVO

81
Q

liter

A

L

82
Q

laboratory

A

lab

83
Q

liquid

A

liq

84
Q

Left lower quadrant

A

LLQ

85
Q

Last menstrual period

A

LMP

86
Q

Left upper quadrant

A

LUQ

87
Q

medication

A

meds

88
Q

may go home

A

MGH

89
Q

milliliter

A

ml

90
Q

moderate

A

mod

91
Q

Normal saline

A

n/s

92
Q

Nausea and vomiting

A

n/v

93
Q

Negative

A

neg

94
Q

none

A

nil

95
Q

No new order

A

NNO

96
Q

night

A

noc

97
Q

nothing by mouth

A

NPO

98
Q

Oxygen

A

O2

99
Q

Everyday

A

od

100
Q

Right eye

A

OD

101
Q

Out of bed

A

oob

102
Q

Out patient department

A

OPD

103
Q

left eye

A

OS

104
Q

Both eyes

A

OU

105
Q

urine output

A

ou (uo??)

106
Q

ater meals

A

pc

107
Q

Physical exam

A

PE, Px

108
Q

by, through

A

per

109
Q

by mouth

A

po

110
Q

postoperative

A

postop

111
Q

postpartum

A

PP

112
Q

pre operative

A

pre-op

113
Q

preparation

A

prep

114
Q

if necessary, when needed

A

prn

115
Q

Patient

A

pt

116
Q

Prior to admission

A

PTA

117
Q

every

A

q

118
Q

every day

A

qd

119
Q

Every hour

A

qh

120
Q

Every two hours

A

q2h

121
Q

Four times a day

A

qid

122
Q

Every other day

A

qod

123
Q

referral

A

Re

124
Q

Right lower quadrant

A

RLQ

125
Q

Range of motion

A

ROM

126
Q

Round the clock

A

RTC

127
Q

Related to

A

R/T

128
Q

Right upper quadrant

A

RUQ

129
Q

Without

A

s

130
Q

Stool exam

A

S/E

131
Q

Subcutaneous

A

sc

132
Q

Let it be written; label it

A

sig

133
Q

Sublingual

A

SL

134
Q

Shortness of breath

A

SOB

135
Q

If it is needed

A

sos

136
Q

Specimen

A

spec

137
Q

Same rate

A

SR

138
Q

Signs and symptoms

A

S/S

139
Q

Immediately

A

STAT

140
Q

Suppository

A

supp

141
Q

Suspension

A

susp

142
Q

Syrup

A

syr

143
Q

Tablet

A

tab

144
Q

Temperature

A

temp

145
Q

Three times a day

A

tid

146
Q

Telephone order

A

to

147
Q

Terminate when consumed

A

TWC

148
Q

Urinalysis

A

UA

149
Q

Microdrip

A

ugtt

150
Q

Verbal order

A

vo

151
Q

With the normal limit

A

WNL

152
Q

Weight

A

wt

153
Q

Years old

A

y/o

Charting Terms (3 decks)

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