Hit 109 Flashcards
HEENT
Head, eyes, ears, nose, throat
PERRL
Pupils equal round reactive to light
GI
Gastrointestinal
EOMs
Extra ocular movement
JVD
Jugular venous distention
A&P
Auscultation and percussion
C/O
Complaint of
V.o
Verbal order
p.o.
Per os or by mouth
Or phone order
CBC
Complete blood count
SGOT
Serum glutamic oxaloacetic transaminase
SGPT
Serum glutamic pyruvic transaminase
GB
Gall bladder
Aka
Above knee amputation
BKA
Below knee amputation
BP
Blood pressure
BM
Bowel movement
BS
Blood sugar
Or bowel sounds
Bx
Biopsy
CPR
Cardio pulmonary resuscitation
C& S
Culture and sensitivity
EEG
Electroencephalogram
EMG
Electromyogram
FBS
Fasting blood sugar
I & D
Incision and drainage
PMH
Past medical history
IM
Intramuscular
IV
Intravenous
K
Potassium
Na
Sodium
N & V
Nausea and vomiting
NG
Nasogastric tube
NPO
Nil per se ( nothing by mouth)
ROM
Range of motion
Tx
Treatment
UA
Urinalysis
Or
Unstable angina
AD
Auris dextra / right ear
AS
Auris sinistra / left ear
DC or d/C
Discharge or discontinue
OD
Oculus dextra / right eye
OS
Oculus sinister / left eye
OU
Oculus uterque/ both eyes
AU
Auris uterque/ both ears
R/O
Rule out
a.c.
Ante cibum ( before meals)
Ad lib
As desired
B.i.d.
Twice a day
N.p.o
Nil per os/ nothing by mouth
P.c.
Post cibum / after meals
Prn
Pro re nata/ as needed
q
Quaque “each” ( every)
q.h.
Quaque hora (every hour)
q.i.d.
Four times a day
q.2h
Every 2 hours
q.a.d.
Quaque alternis die
Every other day
T.i.d.
Three times a day
dL
Deciliter
mEq
Milliequivalent
mL or ml
Milliliter
Mcg
Micrograms
UHDDS
Uniform hospital discharge data set
Required by federal govt
Purpose is to standardize how to collect and compare data elements in patient care and turn it into meaningful information
UACDS
Uniform ambulatory care data set
Recommended not required for outpatient services
H.I.E.
Health information exchange
A plan which health info is shared among providers
DRGs
Diagnosis related groups
VO
Verbal orders
TPR
Temperature pulse respiration
LVN
Licensed vocational nurse
CRNA
Certified registered nurse assistant
CRNM
Certified registered nurse midwife
NP
Nurse practitioner
LSW
Licensed social worker
CRT
Certified respiratory therapist
SLP
Speech language pathologist
RD
Registered dietitian
RPh
Registered pharmacist
DEEDS
Data Elements For Emergency Department Systems
COBRA
Consolidated Omnibus Budget Reconciliation Act
Designed to prevent hospitals from dumping patients who can’t pay
CAHIM
Commission of Accreditation for Health Information Management
HIPAA
Health Information Portability and Accountability Act