CRC - Abbreviations for Documentation Flashcards
abd
Abdomen
ac
Before Meals
ACP
Advanced Care Paramedic
AED
Automated External Defibrillator
AE, A/E
Air Entry
am
Before Noon
ANU
Ambulance Not Used
AOB
Alcohol On Breath
approx
Approximately
ASA
Acetysalicylic Acid, Aspirin
AV
Atrioventricular Node
bG
Blood glucose
bid
Twice a day
BM
Bowel Movement
BP
Blood Pressure
C/C
Chief Complaint
Ca
Cancer
CABG
Coronary Artery Bypass Graft
CAD
Coronary Artery Disease
cath
Catheter
CBC
Complete Blood Count
cc
cubic centimetre
CCU
Cardiac Care Unit
CHF
Congestive Heart Failure
CIS
Critical Incident Stress
COPD
Chronic obstructive pulmonary disease
CP
Chest Pain
CPR
Cardiopulmonary resuscitation
CSF
Cerebrospinal Fluid
CT (CAT)
Computed Tomography
CVA
Cerebrovascular accident
(Stroke)
D5W
Dextrose 5% in water
D10W
Dextrose 10% in water
DNR
Do Not Resuscitate
DOA
Dead On Arrival
DPU
Discharge planning unit
Dx
Diagnosis
ECG, EKG
Electrocardiogram
ECU
Extended Car Unit
EEG
Electroencephalograph
EMR
Emergency Medical Responder
EMT
Emergency Medical Technician
EP
Emergency physician
ER, ED
Emergency Room, Department
ET
Endotrcheal
ETA
Estimated Time of Arrival
ETOH
Ethanol
FR
First Responder
FX, #
Fracture
GI
Gastrointestinal
GOA
Gone on Arrival
gtt
Drops
Hb
Hemoglobin
Hct
Hematocrit
Hg
Chemical Symbol for Mercury
hr
hour
Hs
Evening, @ bedtime
Hx
History
ICN
Intensive Care Nursery
IDDM
Insulin-dependant diabetes mellitus
IM
Intramuscular
IV
Intravenous
kg
Kilogram
L1
First Lumbar Vertebrae
l, L
Litre
lg
Large
LLQ
Left Lower Quadrant
LOC
Level of Consciousness
LOR
Level of Responsiveness
LUQ
Left Upper Quadrant
MCG, mcg
Microgram
MCI
Multiple-Casualty Incident
mEq/L
Milliequivalents per litre
mg
milligram
MI
Myocardial Infarction
ml, mL
Millilitre
mmHg
Millimetres of Mercury
MO
Mental Observation Point
MRI
Magnetic Resonance Imaging
MVC
Motor Vehicle Collision
N/A
Not Applicable / Not Available
NIDDM
Noninsulin-dependant diabetes mellitus
nitro
Nitroglycerin
NKA
No known allergies
N2O
Nitrous Oxide (Entonox)
NPO
Northing by mouth, Oral
NS
Normal Saline
NYD
Not yet diagnosed
O2
Oxygen
OB, OBS
Obstetrics -the branch of medicine and surgery concerned with childbirth and the care of women giving birth.
od
Once per day
OD
Overdose
OR
Operating Room
OTC
Over the Counter
P
Pulse
palp
Palpation
PAU
Psychiatric assessment unit
pc
After meals, after food
PCP
Primary care paramedic
per
through, by
PEARL
Pupils equal and react to light
PERLA
Pupils equal, round, react to light and accomodation
pm
Afternoon
PO
by mouth, Oral
post-op
postoperative
pre-op
Preoperative
prn
AS Needed, As Required
pt
Patient
q am
Every Morning
QID/qid
Four times per day
q1h , q2h
Every hour, every 2 hours
R, resp
Respirations
RBC
Red Blood Cells
RLQ
Right Lower Quadrant
RUQ
Right Lower Quadrant
Rx
Medications
R/O
Rule Out
s, W/O
without
SA
Sinoatrial node
SNC
Special Care Nursery
SIDS
Sudden Infant Death Syndrome
SL, sl
Sublingual
SOB
Shortness of Breath
SpO2
Peripheral oxygen saturation
stat
immediately
SV
Stroke Volume
T2
Second Thoracic Vertebrae
tab
Tablet
TIA
Transient ischemic attack
tid
Three times a day
TKO, TKVO
To keep vein open
TPR
Temperature, pulse, respiration
TPN
Total parenteral nutrition
Tx
Treatment
tx
Transmit
U/K
Unknown
vag
Vaginal
yr
Year