Common Abbreviations Used In Documentation Flashcards
(153 cards)
1
Q
of each
A
a
2
Q
Abnormal
A
abn
3
Q
before meals
A
ac
4
Q
at will; freely desired
A
ad lib
5
Q
Right ear
A
AD
6
Q
Antidiuretic hormone
A
ADH
7
Q
Activities of daily living
A
ADL
8
Q
Admission
A
adm
9
Q
Above-knee amputation
A
AKA
10
Q
Ante meridiem
A
AM
11
Q
Against medical advice
A
AMA
12
Q
Ambulatory
A
amb
13
Q
Before noon (morning)
A
AM
14
Q
Approximately
A
approx
15
Q
Antitetanic serum
A
ATS
16
Q
Axillary
A
ax
17
Q
twice a day
A
bid
18
Q
Bilateral
A
B;bil
19
Q
Bowel movement
A
BM
20
Q
Basal metabolic rate
A
BMR
21
Q
Bag of water
A
BOW
22
Q
Blood pressure
A
BP
23
Q
Bathroom privileges
A
BRP
24
Q
Breath sounds
A
BS;bs
25
Bilateral tubal ligation
BTL
26
Blood urea nitrogen
BUN
27
With
c
28
Celsius
C
29
Complains of
c/o
30
Capsule
cap
31
Catheter or Catheterization
cath
32
Complete blood count
CBC
33
Complete bed rest
CBR
34
Congestive heart failure
CHF
35
Creatinine phosphokinase
CPK
36
Cardiopulmonary resuscitation
CPR
37
Cerebrospinal fluid
CSF
38
Cerebrovascular accident
CVA
39
Central venous pressure
CVP
40
Dilation & Curettage
D&C
41
diet as tolerated
DAT
42
Discontinue
dc
43
Dilute
dil
44
Dead on arrival
DOA
45
Difficulty of breathing
DOB
46
Diagnosis
Dx
47
Extracellular fluid
ECF
48
Electrocardiogram
ECG/EKG
49
For example
e.g.
50
Elixir
elix
51
Emergency room
ER
52
Fahrenheit
F
53
fluid
fld
54
fracture
fx
55
Gastrointestinal
GI
56
gram
gm
57
Genral practitioner
GP
58
drop
gt
59
drops
gtt
60
gynecology
gyn
61
hour
h; hr
62
Headache
H/A
63
Water
H2O
64
hematocrit
hct
65
hemoglobin
hgb
66
Heparin lock
HL
67
hospital
hosp.
68
Hour of sleep; bedtime
hs
69
History
Hx
70
Intensive care unit
ICU
71
Intake and output
I&O
72
Intradermal
ID
73
Intramuscular
IM
74
Intravenous
IV
75
IV left
IVL
76
Intravenous pyelogram
IVP
77
Intravenous through tube
IVTT
78
kilogram
kg
79
Kidney ureter bladder
KUB
80
Keep vein open
KVO
81
liter
L
82
laboratory
lab
83
liquid
liq
84
Left lower quadrant
LLQ
85
Last menstrual period
LMP
86
Left upper quadrant
LUQ
87
medication
meds
88
may go home
MGH
89
milliliter
ml
90
moderate
mod
91
Normal saline
n/s
92
Nausea and vomiting
n/v
93
Negative
neg
94
none
nil
95
No new order
NNO
96
night
noc
97
nothing by mouth
NPO
98
Oxygen
O2
99
Everyday
od
100
Right eye
OD
101
Out of bed
oob
102
Out patient department
OPD
103
left eye
OS
104
Both eyes
OU
105
urine output
ou (uo??)
106
ater meals
pc
107
Physical exam
PE, Px
108
by, through
per
109
by mouth
po
110
postoperative
postop
111
postpartum
PP
112
pre operative
pre-op
113
preparation
prep
114
if necessary, when needed
prn
115
Patient
pt
116
Prior to admission
PTA
117
every
q
118
every day
qd
119
Every hour
qh
120
Every two hours
q2h
121
Four times a day
qid
122
Every other day
qod
123
referral
Re
124
Right lower quadrant
RLQ
125
Range of motion
ROM
126
Round the clock
RTC
127
Related to
R/T
128
Right upper quadrant
RUQ
129
Without
s
130
Stool exam
S/E
131
Subcutaneous
sc
132
Let it be written; label it
sig
133
Sublingual
SL
134
Shortness of breath
SOB
135
If it is needed
sos
136
Specimen
spec
137
Same rate
SR
138
Signs and symptoms
S/S
139
Immediately
STAT
140
Suppository
supp
141
Suspension
susp
142
Syrup
syr
143
Tablet
tab
144
Temperature
temp
145
Three times a day
tid
146
Telephone order
to
147
Terminate when consumed
TWC
148
Urinalysis
UA
149
Microdrip
ugtt
150
Verbal order
vo
151
With the normal limit
WNL
152
Weight
wt
153
Years old
y/o
