Documentation Flashcards
1
Q
ABG
A
Arterial blood gases
2
Q
ALS
A
amyotrophic lateral sclerosis
3
Q
AMA
A
Against medical advice
4
Q
Amb
A
Ambulation
5
Q
Ant
A
Anterior
6
Q
BOS
A
Base of support
7
Q
CA
A
Cancer
8
Q
CABG
A
Coronary artery bypass graft
9
Q
CG
A
Contact guard
10
Q
CN
A
Cranial nerve
11
Q
CT
A
Computed tomography
12
Q
CVA
A
Cerebrovascular accident
13
Q
d/c
A
Discontinue
14
Q
DOA
A
Dyspnea on exertion
15
Q
EEG
A
Electroencephalogram
16
Q
EENT
A
Ears, eyes, Nose, throat
17
Q
EMG
A
Electromyography
18
Q
EtOH
A
Alcohol
19
Q
FWW
A
Front wheeled walker
20
Q
GSW
A
gun shot wound
21
Q
H & P
A
History and physical
22
Q
Hct
A
Hematocrit
23
Q
Hgb
A
Hemoglobin
24
Q
HOB
A
Head of bed
25
I
independent
26
IABL
Instumental activites of daily living
27
IDDM
Insulin dependent diabetes mellitus
28
I&O
Intake and output
29
JCAHO
Joint commision on accreditation of health car organization
30
LMN
Lower motor neuron
31
LOB
Loss of balance
32
LTG
long term goal
33
MCA
Middle cerebral artery
34
NG
Nasogastric tube
35
NIDDM
Non insulin dependent dibetes mellitus
36
NPO
Nothing by mouth
37
NSR
Normal sinus rhythm
38
Oriented x 3
oriented to person place and time
39
OOB
out of bed
40
ORIF
Open reduction internal fixation
41
PD
parkinson's disease
42
PO
By mouth
43
POD
post operative day
44
PRN
As needed
45
Px
prognosis
46
q
every
47
qh
every hour
48
QID
four times a day
49
RA
Rheumatoid arthritis
50
R/O
Rule out
51
RR
Respiratory rate
52
RRR
Regular rate and rhythm
53
SBA
Stand by assist
54
SOA
Short of air
55
SOB
Shortness of breath
56
s/p
Status post
57
STG
Short term goal
58
Sx
symptoms
59
TBI
Traumatic brain injury
60
THA
Total hip arthroplasty
61
THR
Total hip replacement
62
TIA
Tansient ischemic attack
63
TKA
Total knee arthroplasty
64
TKR
Total knee replacement
65
UMN
upper motor neuron
66
VS
Vital signs
67
w/c
Wheelchair
68
1 degree
primary
69
2 degree
secondary
70
ALS
amyotrophic lateral sclerosis
71
CABG
Coronary artery bypass graft
72
IADL
Instumental activites of daily living
