Medical Records & Abbreviations Flashcards
1
Q
A & O
A
Alert and Oriented
2
Q
AC
A
before meals (Ante Cibum)
3
Q
(B)
A
Bilateral
4
Q
BID
A
twice a day (Bis In Die)
5
Q
BMI
A
Body Mass Index
6
Q
BP
A
Blood Pressure
7
Q
CC
A
Chief Complaint
8
Q
c/o
A
complains of
9
Q
CTA
A
Clear to Auscultation (listening to sounds of heart, lungs, or organs)
10
Q
d/c
A
discontinue
11
Q
DC
A
discharge (leave medical facility
12
Q
DNR
A
Do Not Resuscitate
13
Q
Dx
A
Diagnosis
14
Q
DDx
A
Differential Diagnosis
15
Q
ER
A
Emergency Room
16
Q
f/u
A
Follow Up
17
Q
FH/FHx
A
Family History
18
Q
h/o
A
History Of
19
Q
H & P
A
History & Physical
20
Q
HPI
A
History of Present Illness
21
Q
HR
A
Heart Rate
22
Q
Ht
A
Height
23
Q
i/o
A
Intake and Output (fluids)
24
Q
ICU
A
Intensive Care Unit
25
IM
Intramuscular
26
IV
Intravenous
27
(L)
Left
28
L & D
Labor & Delivery
29
N & V
Nausea & Vomiting
30
NAD
No Acute Distress
31
Wt
Weight
32
WDWN
Well Developed, Well Nourished
33
VS
Vital Signs
34
Tx
Treatment
35
TID
three times a day (Ter In Die)
36
T
Temperature
37
SH/SHx
Social History
38
SC
Subcutaneous
39
Rx
therapy or prescription
40
RRR
Regular Rate and Rhythm (heart)
41
RR
Respiratory Rate
42
ROS
Review of Symptoms
43
(R)
Right
44
QHS
at bedtime (Quaqua Hora Smoni)
45
QD
once a day (Quaque Die)
46
pt
patient
47
PRN
as needed (Per Re Nata)
48
Pre-op
Pre-operative care
49
PR
rectal (Per Rectum)
50
Post-op
post-operative care
51
PO
by mouth (Per Os)
52
PMH/PMHx
Past Medical History
53
PE
Physical Exam
54
PERRLA
Pupils equal, round & reactive to light and accommodation
55
PC
after meals (Post Cibum)
56
PACU
Post-Anesthesia Care Unit
57
OR
Operating Room
58
NPO
nothing by mouth (Nil Per Os)
59
NKDA
No Known Drug Allergies
60
NICU
Neonatal Intensive Care Unit
