Documentation Flashcards by Jessica Cottrell

Q

ABG

A

Arterial blood gases

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Q

ALS

A

amyotrophic lateral sclerosis

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Q

AMA

A

Against medical advice

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Q

Amb

A

Ambulation

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Q

Ant

A

Anterior

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Q

BOS

A

Base of support

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Q

CA

A

Cancer

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Q

CABG

A

Coronary artery bypass graft

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Q

CG

A

Contact guard

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Q

CN

A

Cranial nerve

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Q

CT

A

Computed tomography

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Q

CVA

A

Cerebrovascular accident

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Q

d/c

A

Discontinue

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Q

DOA

A

Dyspnea on exertion

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Q

EEG

A

Electroencephalogram

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Q

EENT

A

Ears, eyes, Nose, throat

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Q

EMG

A

Electromyography

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Q

EtOH

A

Alcohol

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Q

FWW

A

Front wheeled walker

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Q

GSW

A

gun shot wound

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Q

H & P

A

History and physical

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Q

Hct

A

Hematocrit

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Q

Hgb

A

Hemoglobin

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Q

HOB

A

Head of bed

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Q

I

A

independent

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Q

IABL

A

Instumental activites of daily living

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Q

IDDM

A

Insulin dependent diabetes mellitus

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Q

I&O

A

Intake and output

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Q

JCAHO

A

Joint commision on accreditation of health car organization

Q

LMN

A

Lower motor neuron

Q

LOB

A

Loss of balance

Q

LTG

A

long term goal

Q

MCA

A

Middle cerebral artery

Q

NG

A

Nasogastric tube

Q

NIDDM

A

Non insulin dependent dibetes mellitus

Q

NPO

A

Nothing by mouth

Q

NSR

A

Normal sinus rhythm

Q

Oriented x 3

A

oriented to person place and time

Q

OOB

A

out of bed

Q

ORIF

A

Open reduction internal fixation

Q

PD

A

parkinson’s disease

Q

PO

A

By mouth

Q

POD

A

post operative day

Q

PRN

A

As needed

Q

Px

A

prognosis

Q

q

A

every

Q

qh

A

every hour

Q

QID

A

four times a day

Q

RA

A

Rheumatoid arthritis

Q

R/O

A

Rule out

Q

RR

A

Respiratory rate

Q

RRR

A

Regular rate and rhythm

Q

SBA

A

Stand by assist

Q

SOA

A

Short of air

Q

SOB

A

Shortness of breath

Q

s/p

A

Status post

Q

STG

A

Short term goal

Q

Sx

A

symptoms

Q

TBI

A

Traumatic brain injury

Q

THA

A

Total hip arthroplasty

Q

THR

A

Total hip replacement

Q

TIA

A

Tansient ischemic attack

Q

TKA

A

Total knee arthroplasty

Q

TKR

A

Total knee replacement

Q

UMN

A

upper motor neuron

Q

VS

A

Vital signs

Q

w/c

A

Wheelchair

Q

1 degree

A

primary

Q

2 degree

A

secondary

Q

ALS

A

amyotrophic lateral sclerosis

Q

CABG

A

Coronary artery bypass graft

Q

IADL

A

Instumental activites of daily living