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AAA
Abdominal Aortic Aneurysm - (will hear “Triple A”)
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a.c.
before meals (ante cibum)
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ADL
Activities of Daily Living
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AKA
Above the Knee Amputation
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AMA
Against Medical Advice
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AMI
Acute Myocardial Infarction
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amb., amb
ambulate or ambulatory
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AP
Anteroposterior – (AP chest X-ray)
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ASA
Acetylsalicylic Acid = Aspirin
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-
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-
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BhCG
Beta hCG- serum pregnancy test
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b.i.d., bid, BID
twice a day (bis in die)
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BKA
Below the Knee Amputation
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BLE
Bilateral Lower Extremities
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BMP
Basic Metabolic Panel
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-
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-
-
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C,℃
degrees Celsius or Centigrade
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cath
catheter, catheterize
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C & S
Culture and Sensitivity
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CABG
Coronary Artery Bypass Graft(s)
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CAD
Coronary Artery Disease
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CT scan, CAT scan
Computed Tomography scan, Computed Axial Tomography scan
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cc
cubic centimeter, same as mL (Do Not Use cc – use mL instead)
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CHF
Congestive Heart Failure
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CMP
Comprehensive Metabolic Panel
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CNS, C.N.S.
Central Nervous System
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COPD
Chronic Obstructive Pulmonary Disease
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CPAP
Continuous Positive Airway Pressure
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CPR
Cardiopulmonary Resuscitation
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CRF
Chronic Renal Failure
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CTA
Clear To Auscultation
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CVA
Cerebrovascular Accident
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D/C, or d/c
Discontinue, discharge
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-
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-
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ECG, EKG
Electrocardiogram; Electrokardiogram in Britain
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EENT
Eyes, Ears, Nose, and Throat
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ER; ED
Emergency Room; Emergency Department
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ESRD
End Stage Renal Disease
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et al.
and others (et alii)
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ETOH, EtOH
Ethanol, alcohol
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EUA, E.U.A.
Exam Under Anesthesia
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-
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FUO
Fever of Undetermined Origin
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GERD
Gastroesophageal Reflux Disease
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GI, G.I.
Gastrointestinal
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gtt(s)
drop/drops (guttae)
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H/H, Hgb/Hct
Hemoglobin and Hematocrit (Hemoglobin is always first)
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-
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HIPAA
Health Insurance Portability and Accountability Act (of 1996)
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H & P
History and Physical
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HPI
History of Present Illness
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-
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I & D
Incision and Drainage
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INT
Intermittent Needle Therapy
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-
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JP, J-P
Jackson-Pratt drain
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J-tube
Feeding tube in the Jejunum
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-
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KUB, K.U.B.
(x-ray of) Kidneys, Ureter, Bladder
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KVO
Keep Vein Open (IV rate approx. 20-30 mL/hr)
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L (draw circle around L), Lt, lt
Left
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LMP
Last Menstrual Period
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LOC
Loss of Consciousness, Level of Consciousness
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LTAC
Long Term Acute Care
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LUE, L.U.E.
Left Upper Extremity
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LLE, L.L.E.
Left Lower Extremity
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LUQ, L.U.Q
Left Upper Quadrant
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LLQ, L.L.Q
Left Lower Quadrant
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MAR
Medication Administration Record
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mcg
microgram (Do Not Use ㎍)
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-
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MI, M.I.
Myocardial Infarction
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MICU
Medical Intensive Care Unit
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-
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MODS
Multiple Organ Dysfunction Syndrome
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MRI
Magnetic Resonance Imaging
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MS, MSO4, MgSO4
Morphine Sulfate, Magnesium Sulfate – Do Not Use abbrev; Write out "Morphine Sulfate" or "Magnesium Sulfate"
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MVC
Motor Vehicle Collision
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-
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NICU
Neonatal Intensive Care Unit
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NKDA
No Known Drug Allergies
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NPO
Nothing by Mouth (nil per os)
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NRBM
Non-Rebreather Mask (for oxygen delivery)
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NS
Normal Saline (0.9% NaCl)
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NSAID
Non-Steroidal Anti-Inflammatory Drug
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N/V/D
Nausea, Vomiting, and Diarrhea
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-
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-
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PACU
Post Anesthesia Care Unit
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PCA
Patient Controlled Analgesia
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PCP
Primary Care Physician
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PEG
Percutaneous Endoscopic Gastrostomy tube
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per
by (per Dr. T) or through (per PEG)
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peri care
perineal care (“possible” care)
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pr
Suppository Route (per rectum)
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PRBC
Packed Red Blood Cells
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pre-op, preop
preoperatively, before surgery
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PRN, P.R.N., prn, p.r.n.
as needed, as necessary (pro re nata)
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-
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q
- every
- q.d. [Write "every day", "daily" or "Qday" (on Do Not Use list)]
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QID, Q.I.D., qid, q.i.d.
Four times a day
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QOD, Q.O.D., qod, q.o.d.
Write every other day (on Do Not Use list)
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qs, q.s.
quantity sufficient
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or RT, Rt
Right
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-
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RLE
Right Lower Extremity
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RUE
Right Upper Extremity
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-
-
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SAH
Subarachnoid Hemorrhage
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SARS
Severe Acute Respiratory Syndrome
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SCD
Sequential Compression Devices
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SICU
Surgical Intensive Care Unit
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SIRS
Systemic Inflammatory Response Syndrome
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-
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SNF
Skilled Nursing Facility
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-
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S.S.I.
Sliding Scale Insulin
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STAT, Stat
IMMEDIATELY, Now
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-
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T & C
Type and Crossmatch
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TCDB
Turn, Cough, and Deep Breathe
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TEDs
Thromboembolic Disease support hose
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TIA
Transient Ischemic Attack
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TID, T.I.D., tid, t.i.d.
Three Times a Day
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TKO
To Keep Open (IV rate approx. 20-30 mL/hr)
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TKA, TKR
Total Knee Arthroplasty (or Replacement)
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-
TPCN
Total Patient Care Nurse
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TPR
Temperature, Pulse, and Respiration book
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-
U, IU
Unit, International Unit (on Do Not Use list) - write out unit
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-
URI
Upper Respiratory Infection
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UTI
Urinary Tract Infection
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-
-
VP shunt
Ventriculoperitoneal shunt
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WBAT
Weight Bearing as Tolerated
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WBC
White Blood Cell count
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WDWN
Well Developed, Well Nourished
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-
Rule for Leading Zero
0.5 mg - ALWAYS use a zero BEFORE a decimal point (Not .5 mg)
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Rule for Trailing Zero
1 mg - NEVER use a zero AFTER a decimal point (Not 1.0 mg)
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Highest Number and Lowest Number Military Time
Highest number is 2400 (12:00 MN); Lowest number is 0001
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Ex: Military Time 12 noon=?
12 noon = 1200
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Military Time
Civilian to military= (1200 + civilian time)
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Military Time
Military to civilian= (military time – 1200)
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Civilian to Military/Military to Civilian
- Military to Civilian: 1734 – 1200 = 0534
- Civilian to Military: 1200 + 0815= 2015
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⇔ or <--
-->
Reversible reaction
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-
↑
Increase, above, elevated
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↓
Decrease, below, decreased
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≤
Less than or equal to (better to write out- on do not use list)
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≥
Greater than or equal to (better to write out- on do not use list )
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°
Degree (10℃, 10℉)or Hour ( 24°urine collection) (better to write out- on do not use list)
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-
-
#_
Number when before (#5 = number 5)
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_#
Pounds when after (5# = 5 pounds)
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-
'
Feet, Hours (12' = 12 feet or 12 hours)
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"
Inches, Minutes (10" = 10 inches or 10 minutes)
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/
Per (10mg/1 mL = 10mg per 1 mL) or divided by (better to write out- on do not use list)
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-
-
:
Ratio (5:10 is same as 1:2)
-
+
Plus, add, positive (better to write out- on do not use list)
-
-
Minus, subtract, negative
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&
And (better to write out- on do not use list)
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-
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