Ward Basics Flashcards
mnemonic for Framework of a differential diagnosis
9
MINT CANDY:
Metabolic; Infectious; Neoplastic; Trauma
Collagen/Vascular disease; Allergies; “N”ything else; Youth (congenital)
mnemonic for Admission Orders
12
ADC VANDALISM:
Admit to; Diagnosis; Condition; Vitals; Allergies; Nursing Orders; Diet; Activity; Labs; IV fluids; Special Studies; Medications
ADA
American Diabetes Assoc
BUN
Blood Urea Nitrogen
D5
Dextrose 5%
KVO
Keep Vein Open
NKDA
No Known Drug Allergies
NPO
Nothing Per Oral
nothing by mouth
SBP
Systolic BP
QD
Every day
QHS
Every bedtime
PO
by mouth
PR
Per Rectum
A&O x4
Alert & Oriented to person, place, time & situation
abx
antibiotics
ALT
Alanine Transaminase
A&P
Assessment & Plan
AST
Aspartate Transaminase
BID
twice a day
BRBPR
Bright Red Blood Per Rectum
CC
Chief Complaint
C/C/E
Clubbing/Cyanosis/Edema
CTAB
Clear To Auscultation Bilaterally
D/C
not DC
Diarrhea/Constipation
DOE
Dyspnea On Exertion
DTRs
Deep Tendon Reflexes
EOMI
ExtraOccular Movements Intact
HA
Headache
F/C/S
Fever/Chills/Sweating
HEENT
Head, Eyes, Ears, Nose & Throat
h/o
History Of
HSM
HepatoSplenoMegaly
INR
International Normalized Ratio
MAE
Moves All Extremities
M/R/G
Murmurs/Rubs/Gallops
MVI
MultiVitamin Infusion
NABS
NormoActive Bowel Sounds
NC
Nasal Cannula
NC/AT
NormoCephalic/ATraumatic
ND
Non-Distended
NT
Non-Tender
O/P
Oropharynx
o/w
OtherWise
PERRL 4 -> 3
Pupils Equal, Round & Reactive to Light from 4mm to 3 mm
ppd
Pack Per Day
smoking
QID
Four times a day
ROM
Range Of Motion
SCM
SternoCleidoMastoid
T. bili
Total Bilirubin
TID
Three times a day
TM
Tympanic Membrane
VS
Vital Signs
BR
Bathroom
BS
Bowel Sounds
RA
Room Air
RRR
Regular Rate & Rhythm
Order of Formal Presentation of patient
8
- ID/CC
- HPI
- PMH
- Allergies/Meds
- SH
- FH
- PE/labs/other tests
- Assessment & Plan (A&P)
ABCD’s of reading a CXR
Assessment (PIER) Bones & soft tissues Cardiac Diaphragms Effusions Fields/Fissures Great Vessels Hilar nodes Impression