MT Chapter 2 - abbreviations

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kellim5
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99684
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MT Chapter 2 - abbreviations
Updated:
2011-09-08 08:47:50
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Health Care Records
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acronyms and abbreviations
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  1. A
    assessment
  2. _
    a
    before
  3. a.c.
    before meals
  4. AD
    right ear (error prone)
  5. ad lib.
    as desired
  6. a.m.
    before noon
  7. amt
    amount
  8. aq
    water
  9. AS
    left ear
  10. AU
    both ears
  11. A&W
    alive and well
  12. B w/a circle around it
    bilateral
  13. b.i.d.
    twice a day
  14. BP
    blood pressure
  15. BRP
    bathroom privileges
  16. C
    Celsius, centigrade
  17. _
    c
    with
  18. cap
    capsule
  19. CAT
    computed axial tomography
  20. CBC
    complete blood count
  21. CC
    chief complaint
  22. cc
    cubic centimeter (don't use)
  23. CCU
    coronary (cardiac) care unit
  24. cm
    centimeter
  25. c/o
    complains of
  26. CP
    chest pain
  27. CT
    computed tomography
  28. cu mm or
    mm3
    cubic millimeter
  29. d
    day
  30. DC or D/C
    discharge; discontinue (error prone)
  31. dr
    dram
  32. Dx
    diagnosis
  33. ECU
    emergency care unit
  34. ER
    emergency room
  35. ETOH
    ethyl alcohol
  36. F
    Fahrenheit
  37. FH
    family history
  38. fl oz
    fluid ounce
  39. g or gm
    gram
  40. gr
    grain
  41. gt
    drop
  42. gtt
    drops
  43. h
    hour
  44. HEENT
    head, eyes, ears, nose, and throat
  45. H&P
    history and physical
  46. HPI
    history of present illness
  47. h.s.
    hour of sleep (bedtime)
  48. Ht
    height
  49. Hx
    history
  50. ICU
    intensive care unit
  51. ID
    intradermal (within the skin)
  52. IM
    intramuscular
  53. IMP
    impression
  54. IP
    inpatient
  55. IV
    intravenous
  56. JCAHO
    Joint Commission on Accreditation of Healthcare Organizations
  57. kg
    kilogram
  58. L
    liter
  59. L w/a circle around it
    left
  60. lb
    pound
  61. L&W
    living and well
  62. m with a circle around it
    murmur
  63. mg
    milligram
  64. mL or ml
    milliliter
  65. mm
    millimeter
  66. MRA
    magnetic resonance angiography
  67. MRI
    magnetic resonance imaging
  68. NAD
    no acute distress
  69. NKA
    no known allergies
  70. NKDA
    no known drug allergies
  71. noc.
    night
  72. NPO
    nothing by mouth
  73. O
    objective information
  74. OD
    right eye
  75. OH
    occupational history
  76. OP
    outpatient
  77. OR
    operating room
  78. OS
    left eye
  79. OU
    both eyes
  80. oz
    ounce
  81. P
    plan; pulse
  82. p with a squiggly line over it
    after
  83. PACU
    postanesthetic care unit
  84. p.c.
    after meals
  85. PE
    physical examination
  86. per
    by or through
  87. PERRLA
    pupils equal, round, and reactive to light and accommodation
  88. PH
    past history
  89. PI
    present illness
  90. p.m.
    after noon
  91. PMH
    past medical history
  92. p.o.
    by mouth
  93. post-op or postop
    postoperative (after surgery)
  94. PR
    through rectum
  95. pre-op or preop
    preoperative (before surgery)
  96. p.r.n.
    as needed
  97. pt
    patient
  98. PV
    through vagina
  99. Px
    physical
  100. q
    every
  101. q.d.
    every day (don't use)
  102. qh
    every hour
  103. q2h
    every two hours
  104. q.i.d.
    four times a day
  105. q.o.d.
    every other day (error prone)
  106. qt
    quart
  107. R
    respiration
  108. R with a circle around it
    right
  109. R/O
    rule out
  110. ROS
    review of systems
  111. RRR
    regular rate and rhythm
  112. RTC
    return to clinic
  113. RTO
    return to office
  114. Rx
    recipe; prescription
  115. S
    subjective information
  116. _
    s
    without
  117. SC, SQ, or sub-Q
    subcutaneous
  118. SH
    social history
  119. Sig
    label; instruction to the patient
  120. SOB
    shortness of breath
  121. SR
    systems review
  122. __
    ss
    one-half (error prone; spell out or use 1/2)
  123. STAT
    immediately
  124. suppos
    suppository
  125. Sx
    symptom
  126. T
    temperature
  127. tab
    tablet
  128. t.i.d.
    three times a day
  129. Tr
    treatment
  130. Tx
    treatment; traction
  131. UA
    urinalysis
  132. UCHD
    usual childhood diseases
  133. US or U/S
    ultrasound (sonography)
  134. VS
    vital signs
  135. wa
    while awake
  136. WDWN
    well-developed and well-nourished
  137. wk
    week
  138. WNL
    within normal limits
  139. Wt
    weight
  140. x
    times or for
  141. x-ray
    radiology
  142. y/o or y.o.
    year old
  143. yr
    year

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