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Nursing > Nursing Documentation > Flashcards

Nursing Documentation Flashcards

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1
Q

AAA

A

Abdominal Aortic Aneurysm

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2
Q

Abd

A

Abdomen

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3
Q

Ac

A

Before meals

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4
Q

ACLS

A

Advanced Cardiac Life Support

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5
Q

AD (2 answers)

A

Admitting diagnosis or Advance Directives

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6
Q

A&D

A

Admission and Discharge

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7
Q

Ad lib

A

As desired

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8
Q

ADL

A

Activities of daily living

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9
Q

Adm.

A

Administration

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10
Q

AKA (2 answers)

A

Above-the-knee amputation or Alcoholic Ketoacidosis

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11
Q

ALL

A

Acute Lymphocytic Leukemia

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12
Q

Amb

A

Ambulation

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13
Q

AP

A

Appendectomy

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14
Q

A.P.

A

Anterior/Posterior

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15
Q

AV

A

Atrioventricular

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16
Q

Bid

A

Twice daily

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17
Q

BKA

A

Below-the-knee amputation

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18
Q

BLS

A

Basic Life Support

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19
Q

BM

A

Bowel Movement

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20
Q

BP

A

Blood Pressure

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21
Q

BPH

A

Benign Prostatic Hyperplasia

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22
Q

BUN

A

Blood Urea Nitrogen

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23
Q

BX

A

Biopsy

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24
Q

CABG

A

Coronary Artery Bypass Graft

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25
Q

CAD

A

Coronary Artery Disease

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26
Q

CBC

A

Complete Blood Count

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27
Q

CCU

A

Cardiac Care Unit

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28
Q

CF

A

Cystic Fibrosis

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29
Q

CHF

A

Congestive Heart Failure

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30
Q

CKD

A

Chronic Kidney Disease

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31
Q

C/O

A

Complaining of

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32
Q

COPD

A

Chronic obstructive pulmonary disease

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33
Q

CPR

A

cardiopulmonary resuscitation

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34
Q

C&S

A

Culture and Sensitivity

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35
Q

CVA

A

Cerebrovascular Accident (Stroke)

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36
Q

CVC

A

Central Venous Catheter

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37
Q

D/C (2 answers)

A

Discontinue or discharge

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38
Q

D&C

A

Dilatation and curettage

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39
Q

DI

A

Diabetes Insipidus

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40
Q

DIC

A

Disseminated Intravascular Coagulation

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41
Q

DKA

A

Diabetic Ketoacidosis

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42
Q

DM

A

Diabetes Mellitus

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43
Q

DVT

A

Deep Vein Thrombosis

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44
Q

DX

A

Diagnosis

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45
Q

ECG or EKG

A

electrocardiogram

46
Q

ED

A

Emergency Department

47
Q

EENT

A

Eyes, Ears, Nose, and Throat

48
Q

ETT

A

Endotracheal Tube

49
Q

FBS

A

Fasting Blood Sugar

50
Q

Fx

A

Fracture

51
Q

GI

A

Gastrointestinal

52
Q

Gtt or G.T.T.

A

Glucose Tolerance Test

53
Q

HOB

A

Head of Bed

54
Q

HR

A

Heart Rate

55
Q

HS

A

Bedtime

56
Q

Hx

A

History

57
Q

ICU

A

Intensive Care Unit

58
Q

I&O

A

Intake and Output

59
Q

LES

A

Lower Esophageal Sphincter

60
Q

LMP

A

Last Menstrual Period

61
Q

LOC

A

Level of Consciousness

62
Q

LP

A

Lumbar Puncture

63
Q

LPN

A

Licensed practical nurse

64
Q

LVN

A

Licensed vocational nurse

65
Q

MAP

A

Mean Arterial Pressure

66
Q

MRI

A

Magnetic Resonance Imaging

67
Q

MVA

A

Motor Vehicle Accident

68
Q

NGT

A

Nasogastric Tube

69
Q

NKA

A

No known allergies

70
Q

NPO

A

Nothing by mouth

71
Q

O2

A

Oxygen

72
Q

OA

A

Osteoarthritis

73
Q

OB

A

Obstetrics

74
Q

OOB

A

Out of bed

75
Q

OR

A

Operating room

76
Q

Ortho

A

orthopedics

77
Q

OT

A

occupational therapist/therapy

78
Q

Pc

A

After meals

79
Q

PFT

A

Pulmonary Function Test

80
Q

PLT

A

Platelets

81
Q

PRBC

A

Packed Red Blood Cells

82
Q

Pre-op

A

Before surgery

83
Q

Pm or PRN

A

As needed

84
Q

PT

A

Physical therapist or physical therapy

85
Q

PTCA

A

Percutaneous Transluminal Coronary Angioplasty

86
Q

PVC

A

Premature Ventricular Contraction

87
Q

RA

A

Rheumatoid Arthritis

88
Q

RBC

A

Red Blood Cells

89
Q

RN

A

Registered Nurse

90
Q

ROM

A

Range of Motion

91
Q

RT

A

Respiratory Therapist

92
Q

SBAR

A

Situation, background, assessment, and recommendation

93
Q

SIADH

A

Syndrome of Inappropriate Antidiuretic Hormone Secretion

94
Q

SLE

A

Systemic Lupus Erythematosus

95
Q

SOB

A

Shortness of breath

96
Q

SSE or S.S.E

A

Soap Suds enema

97
Q

Stat

A

At Once, immediately

98
Q

STD

A

Sexually transmitted disease

99
Q

TB

A

Tuberculosis

100
Q

TIA

A

Transient Ischemic Attack

101
Q

Tid

A

Three times daily

102
Q

TPN

A

Total Parenteral Nutrition

103
Q

T&S

A

Type and Screen

104
Q

TURP

A

Transurethral Resection of the prostate

105
Q

UA

A

Urinalysis

106
Q

UAP

A

Unlicensed assistive personnel

107
Q

US

A

Ultrasound

108
Q

UTI

A

Urinary Tract Infection

109
Q

VS

A

Vital Signs

110
Q

WBC

A

White Blood Count

111
Q

WNL

A

Within normal limits

Nursing (3 decks)

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