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CNA
OBSERVING AND RECORDING
152
Nursing
Professional
03/30/2010
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Term
@
 Definition
at
Term
ac
 Definition
before meals
Term
abd
 Definition
abdomen
Term
ADL
 Definition
activities of daily living
Term
am
 Definition
morning
Term
AMA
 Definition
agaisnt medical advice
Term
amb.
 Definition
ambulatory or ambulate
Term
AROM
 Definition
active range of motion
Term
as tol
 Definition
as tolerated
Term
ASAP
 Definition
as soon as possible
Term
ax
 Definition
axillary
Term
B/B
 Definition
bowel & bladder
Term
bid
 Definition
twice a day
Term
BM
 Definition
bowel movement
Term
BP
 Definition
blood pressure
Term
BR
 Definition
bedrest
Term
BRP
 Definition
bathroom privileges
Term
BS
 Definition
blood sugar
Term
c (over score)
 Definition
with
Term
CPR
 Definition
cardiopulmonary resuscitation
Term
CSM
 Definition
circulation,sensation,motion
Term
CXR
 Definition
chest x ray
Term
CWC
 Definition
customized wheelchair
Term
d/c
 Definition
discontinue, this does not mean discharge,discharge must be written out
Term
DNR
 Definition
do not resuscitate
Term
drsg
 Definition
dressing
Term
D/R
 Definition
dining room
Term
Dx
 Definition
diagnosis
Term
EKG
 Definition
electrocardiogram
Term
F
 Definition
Fahrenheit
Term
FBS
 Definition
fasting blood sugar
Term
FF
 Definition
force fluids
Term
FR
 Definition
fluid restriction
Term
FWB
 Definition
full weight bearing
Term
Fx
 Definition
fracture
Term
g/c
 Definition
geriatric chair
Term
GT
 Definition
gastrostomy tube
Term
H20
 Definition
water
Term
HOB
 Definition
head of bed
Term
HOH
 Definition
hard of hearing
Term
hr.
 Definition
hour
Term
HS
 Definition
bedtime/hour of sleep
Term
hx
 Definition
history
Term
hyper
 Definition
high
Term
hypo
 Definition
low
Term
I/O
 Definition
intake & output
Term
inc
 Definition
incontinent
Term
IV
 Definition
intravenous
Term
L or (L)
 Definition
left
Term
liq
 Definition
liquid
Term
LLE
 Definition
left lower extremity
Term
LOA
 Definition
leave of absence
Term
lg
 Definition
large
Term
med
 Definition
medium
Term
MD
 Definition
doctor or physician
Term
NG
 Definition
nasogastric tube
Term
NPO
 Definition
nothing by mouth
Term
NWB
 Definition
non weight bearing
Term
O
 Definition
oral
Term
O2
 Definition
oxygen
Term
OJ
 Definition
orange juice
Term
OOB
 Definition
out of bed
Term
OT
 Definition
occupational therapy
Term
P
 Definition
pulse
Term
p (lower case)
 Definition
after
Term
pc
 Definition
after meals
Term
post
 Definition
after
Term
pm
 Definition
afternoon or evening
Term
po
 Definition
by mouth
Term
PPE
 Definition
personal protective equipment
Term
prn
 Definition
whenever necessary
Term
PROM
 Definition
passive range of motion
Term
PT
 Definition
physical therapy
Term
pt (lower case)
 Definition
patient
Term
PWB
 Definition
partial weight bearing
Term
q
 Definition
every
Term
qh
 Definition
every hour
Term
q2h
 Definition
every 2 hours
Term
q3h
 Definition
every 3 hours
Term
q4h
 Definition
every 4 hours
Term
qid
 Definition
four times a day
Term
R
 Definition
respiration or rectal
Term
Rt or R
 Definition
right
Term
R/C
 Definition
reclining or recliner chair
Term
RLE
 Definition
right lower extremity
Term
ROM
 Definition
range of motion
Term
R/R
 Definition
release/reposition
Term
s (over score)
 Definition
without
Term
S/A
 Definition
sugar/acetone
Term
sm
 Definition
small
Term
SBA
 Definition
standby assistance
Term
SOB
 Definition
shortness of breath
Term
S/P
 Definition
status post
Term
SR
 Definition
side rails
Term
SSE
 Definition
Soap Suds Enema
Term
ST
 Definition
speech therapy
Term
stat
 Definition
immediatley or at once
Term
supp
 Definition
suppository
Term
T
 Definition
temperature
Term
TF
 Definition
tube feeding
Term
tid
 Definition
three times a day
Term
tol
 Definition
tolerated
Term
TPR
 Definition
temperature,pulse,respirations
Term
TTWB
 Definition
toe touch weight bearing
Term
tx
 Definition
treatment
Term
ty
 Definition
tympanic
Term
u/a or U.A.
 Definition
urinalysis
Term
VS
 Definition
vital signs
Term
w/a
 Definition
while awake
Term
w/c
 Definition
wheelchair
Term
WNL
 Definition
within normal limits
Term
w/r
 Definition
waist restraint
Term
AKA
 Definition
Above the Knee Amputation
Term
BKA
 Definition
Below the Knee Amputations
Term
CA
 Definition
Cancer
Term
CHF
 Definition
Congestive Heart Failure
Term
COPD
 Definition
Chronic Obstructive Pulmonary Disease
Term
CVA
 Definition
Cerebrovascular Accident or Stroke
Term
DM
 Definition
Diabetes Mellitus
Term
HIV
 Definition
Human Immunodeficiency Virus
Term
HTN
 Definition
Hypertension
Term
MI
 Definition
Myocardial Infarction or Heart Attack
Term
MRSA
 Definition
Methicillin Resistant Staphylococcus Aureus
Term
TB
 Definition
Tuberculosis
Term
URI
 Definition
Upper Respiratory Infection
Term
UTI
 Definition
Urinary Tract Infection
Term
ADA
 Definition
American Diabetic Association
Term
cal
 Definition
calorie
Term
carb
 Definition
carbohydrate
Term
chol
 Definition
cholesterol
Term
Na
 Definition
Sodium
Term
NCS
 Definition
No Concentrated Sweets
Term
K
 Definition
Potassium
Term
Lactose Free
 Definition
no milk products
Term
amt
 Definition
amount
Term
cc
 Definition
cubic centimeters
Term
ft.
 Definition
foot
Term
ht
 Definition
height
Term
kg.
 Definition
kilogram
Term
in.
 Definition
inches
Term
l.
 Definition
pound
Term
ml
 Definition
milliter
Term
tbsp
 Definition
tablespoon
Term
tsp
 Definition
teaspoon
Term
oz.
 Definition
ounce
Term
wt.
 Definition
weight
Term
triangle
 Definition
change
Term
down arrow
 Definition
decrease or down
Term
up arrow
 Definition
increase or up
Term
>
 Definition
greater than
Term
<
 Definition
less than
Term
pre
 Definition
before
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