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Documentation Abbreviations
For the quiz over appropriate abbreviations in nursing documentation
121
Nursing
09/22/2011
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Term
CABG
 Definition
Coronary artery bypass
Term
CAD
 Definition
Coronary artery disease
Term
CHF
 Definition
Congestive heart failure
Term
CVA
 Definition
Cerebral vascular accident
Term
COPD
 Definition
Chronic obstructive pulmonary disease
Term
DVT
 Definition
Deep vein thrombosis
Term
ESRD
 Definition
End Stage Renal Disease
Term
GSW
 Definition
Gun shot wound
Term
HTN
 Definition
Hypertension
Term
IDDM
 Definition
Insulin dependent diabetes mellitus
Term
Postop
 Definition
Postoperative
Term
PVD
 Definition
Peripheral vascular disease
Term
S/P
 Definition
Status post
Term
TIA
 Definition
Transient ischemic attack
Term
MI
 Definition
Myocardial Infarction
Term
abd.
 Definition
Abdomen
Term
ant.
 Definition
Anterior
Term
ax.
 Definition
Axillary
Term
bil.
 Definition
Bilateral
Term
L. or lt.
 Definition
Left
Term
L.L.Q.
 Definition
Left lower quadrant
Term
L.U.Q.
 Definition
Left upper quadrant
Term
mid.
 Definition
Middle
Term
R. or rt.
 Definition
Right
Term
R.L.Q.
 Definition
Right lower quadrant
Term
R.U.Q.
 Definition
Right upper quadrant
Term
GI
 Definition
Gastrointestinal
Term
ADL
 Definition
activities of daily living
Term
ad lib
 Definition
as desired
Term
amb.
 Definition
ambulatory, walking
Term
B.M.
 Definition
bowel movement
Term
B/P or BP
 Definition
blood pressure
Term
B.R.P.
 Definition
bathroom privileges
Term
Cath
 Definition
catheterization
Term
DC, d/c
 Definition
discontinue
Term
dsg.
 Definition
dressing
Term
ECG, EKG
 Definition
electrocardiogram (tracing of heart activity
Term
EEG
 Definition
electroencephalogram (brain wave tracing)
Term
FBS
 Definition
fasting blood sugar
Term
Hgb
 Definition
Hemoglobin
Term
H and H
 Definition
Hemoglobin and Hematocrit
Term
H.O.B.
 Definition
Head of bed
Term
H202
 Definition
Hydrogen peroxide
Term
I and O (I&O)
 Definition
Intake and Output
Term
NG or N/G
 Definition
Nasogastric
Term
NPO
 Definition
nil per os (nothing by mouth)
Term
O2
 Definition
oxygen
Term
OOB
 Definition
out of bed
Term
p.r.n.
 Definition
when necessary
Term
Prep
 Definition
preparation
Term
pre-op
 Definition
preoperative
Term
post-op
 Definition
postoperative
Term
P.T.
 Definition
physical therapy or protime
Term
q
 Definition
every
Term
R.B.C.
 Definition
red blood cell
Term
R/O
 Definition
rule out
Term
ROM
 Definition
range of motion
Term
sp. gr.
 Definition
specific gravity
Term
TPR
 Definition
temperature, pulse, and respiration
Term
V.S.
 Definition
vital signs
Term
W.B.C.
 Definition
white blood cells
Term
W/C
 Definition
wheelchair
Term
wt.
 Definition
weight
Term
a.c.
 Definition
Before meals
Term
A.M.
 Definition
Morning
Term
B.I.D.
 Definition
Twice a day
Term
gm. or g.
 Definition
gram
Term
gr.
 Definition
grain
Term
gtt.
 Definition
drop
Term
IM
 Definition
intramuscular
Term
IV
 Definition
intravenous
Term
kg.
 Definition
kilogram
Term
med
 Definition
medication
Term
mg.
 Definition
milligram
Term
NKA
 Definition
no known allergies
Term
oz.
 Definition
ounce
Term
p.c.
 Definition
after meals
Term
per
 Definition
by or through
Term
p.o.
 Definition
by mouth
Term
P.M.
 Definition
afternoon
Term
q.h.
 Definition
every hour
Term
q.i.d.
 Definition
four times a day
Term
stat
 Definition
at once
Term
tab
 Definition
tablet
Term
T.I.D.
 Definition
three times a day
Term
dx
 Definition
diagnosis
Term
hx
 Definition
history
Term
lab
 Definition
laboratory
Term
s
 Definition
without
Term
c
 Definition
with
Term
lat
 Definition
lateral
Term
w/c
 Definition
wheelchair
Term
i
 Definition
one
Term
ii
 Definition
two
Term
iii
 Definition
three
Term
sob
 Definition
short of breath
Term
n&v
 Definition
nausea and vomiting
Term
pt
 Definition
patient
Term
c/o
 Definition
complaints of
Term
WNL
 Definition
with in normal limits
Term
LMP
 Definition
last menstrual period
Term
STD
 Definition
sexually transmitted disease
Term
HEENT
 Definition
head, eyes, ears, nose, throat
Term
VS
 Definition
vital signs
Term
CC
 Definition
chief complaint
Term
every day
 Definition
daily
Term
every other day
 Definition
every other day
Term
microgram
 Definition
microgram
Term
unit
 Definition
unit
Term
subcutaneous
 Definition
sub-Q
Term
discharge
 Definition
discharge
Term
cubic centimeters
 Definition
mL
Term
right eye
 Definition
right eye
Term
left eye
 Definition
left eye
Term
both eyes
 Definition
both eyes
Term
left ear
 Definition
left ear
Term
right ear
 Definition
right ear
Term
both ears
 Definition
both ears
Term
hour of sleep, bedtime
 Definition
at bedtime
Term
morphine
 Definition
Morphine Sulfate
Term
magnesium sulfate
 Definition
Magnesium Sulfate