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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

63
Q

Water

64
Q

hematocrit

65
Q

hemoglobin

66
Q

Heparin lock

67
Q

hospital

68
Q

Hour of sleep; bedtime

69
Q

History

70
Q

Intensive care unit

71
Q

Intake and output

72
Q

Intradermal

73
Q

Intramuscular

74
Q

Intravenous

75
Q

IV left

76
Q

Intravenous pyelogram

77
Q

Intravenous through tube

78
Q

kilogram

79
Q

Kidney ureter bladder

80
Q

Keep vein open

81
Q

liter

82
Q

laboratory

83
Q

liquid

84
Q

Left lower quadrant

85
Q

Last menstrual period

86
Q

Left upper quadrant

87
Q

medication

88
Q

may go home

89
Q

milliliter

90
Q

moderate

91
Q

Normal saline

92
Q

Nausea and vomiting

93
Q

Negative

94
Q

none

95
Q

No new order

96
Q

night

97
Q

nothing by mouth

98
Q

Oxygen

99
Q

Everyday

100
Q

Right eye

101
Q

Out of bed

102
Q

Out patient department

103
Q

left eye

104
Q

Both eyes

105
Q

urine output

106
Q

ater meals

107
Q

Physical exam

108
Q

by, through

109
Q

by mouth

110
Q

postoperative

111
Q

postpartum

112
Q

pre operative

113
Q

preparation

114
Q

if necessary, when needed

115
Q

Patient

116
Q

Prior to admission

117
Q

every

118
Q

every day

119
Q

Every hour

120
Q

Every two hours

121
Q

Four times a day

122
Q

Every other day

123
Q

referral

124
Q

Right lower quadrant

125
Q

Range of motion

126
Q

Round the clock

127
Q

Related to

128
Q

Right upper quadrant

129
Q

Without

130
Q

Stool exam

131
Q

Subcutaneous

132
Q

Let it be written; label it

133
Q

Sublingual

134
Q

Shortness of breath

135
Q

If it is needed

136
Q

Specimen

137
Q

Same rate

138
Q

Signs and symptoms

139
Q

Immediately

140
Q

Suppository

141
Q

Suspension

142
Q

Syrup

143
Q

Tablet

144
Q

Temperature

145
Q

Three times a day

146
Q

Telephone order

147
Q

Terminate when consumed

148
Q

Urinalysis

149
Q

Microdrip

150
Q

Verbal order

151
Q

With the normal limit

152
Q

Weight

153
Q

Years old

Charting Terms (3 decks)

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