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A:
- AMA—against medical advice
- ac—before meals.
- ad lib—as desired.
- amt.—amount.
- ASAP—as soon as possible.
- ASD—atrial septal defect. A congenital defect in the heart between the atria.
B:
- BID—twice a day (sometimes q12h or every 12 hours).
- BM—bowel movement.
- BP—blood pressure.
- BRP—bathroom privileges.
C:
- CA—cancer.
- cal—calories.
- cath—catheterization.
- CBC—complete blood count
- cc—cubic centimeters.
- CC—chief complaint.
- CBC—complete blood count.
- CNS—central nervous system.
- c/o—complaints of
- COPD—chronic obstructive pulmonary disease.
- CPAP—continuous positive airway pressure.
- CPR—cario-pulmonary resuscitation.
- CT—computed tomography, also referred to as CAT (computer axial tomography). Three-dimensional image of a body structure constructed by computer from a series of cross-sectional images. CT scans reveal both bone and soft tissues, including organs, muscles and tumors.
D:
- DNR—do not resuscitate.
- DOB—date of birth.
- Drsg—dressing.
E:
- ECG or EKG—electrocardiogram. A graphic record of the action of the heart.
- EEG—(electroencephalogram) measures electrical activity of the brain.
- EKG—electrocardiogram.
- ENT—ear, nose and throat.
- ER—emergency room.
G:
- Gastrosomy Tube—surgically placed tube that goes directly into the stomach for feedings and/or drainage.
- GB—gall bladder.
- GI—gastointestinal.
- gm—gram.
- gtt—drops
H:
- H20—water.
- H/A—headache
- hct—hematocrit.
- hgb—hemoglobin.
- HOB—head of bed.
- ht—height.
- HTN—hypertension.
- hx—history.
I:
- I & D—incision and drainage.
- I & O—intake and output. A measurement of fluids taken in and urinated out.
- ICU—intensive care unit.
- IM—intramuscular or into the muscle.
- IV—intravenous. The delivery of fluids and/or medication into the blood stream via a needle inserted into a vein.
K:
- K—potassium.
- kg—kilogram.
- KVO— keep vein open.
L:
- lb.—pound.
- LOC—loss of consciousness.
- LP—lumbar puncture.
M:
- Max—maximum.
- mEq—milliequivalent.
- MRI—magnetic resonance imaging. Computerized images based on nuclear magnetic resonance of atoms within the body induced by the application of radio waves. An MRI scan provides 3-D images of the body's interior, delineating muscle, bone, blood vessels, nerves, organs and tumor tissue.
- MRSA—methicillin resistant staphylococcum aureus.
- MVA—motor vehicle accident.
- MVR—mitral valve replacement.
N:
- n/a—not applicable.
- N/S—normal saline.
- Na—sodium.
- Nasogastric—a tube that leads from the nose or mouth into the stomach.
- neg—negative.
- NG—nasogastric.
- NKA—no known allergies.
- no. or #—number.
- NP—nurse practitioner.
- NPO—nothing by mouth; nothing to eat or drink usually within a defined time frame
- Nsg—nursing.
- NSR—normal sinus rhythm.
- NTG—nitrogylicerin.
- N&V—nausea and vomiting.
- NWB—non-weight bearing.
O:
- O2—oxygen.
- OB—obstetrical.
- OB/GYN—obstetrics and gynecology.
- ODA—operating day admission. The patient is admitted to the hospital the day the surgery is scheduled.
- oint—ointment.
- OOB—out of bed.
- OR—operating room.
- OT—occupational therapy.
- oz—ounce.
P:
- P—pulse.
- PA—physician's assistant.
- PAC—premature atrial contraction.
- PAT—paroxysmal atrial tachycardia or preadmission testing (depending on context).
- pc—after meals
- PDA—patent ductus arteriosis.
- PE—physical examination.
- Ped—pediatric.
- per os—by mouth.
- PERL—pupils equal and reactive to light.
- PERLA—pupils equal and reactive to light & accommodation.
- PET Scan—positron emission tomography
- PFT—pulmonary function test.
- pH—symbol for expression of concentration of hydrogen ions (degree of acidity).
- PICC Line—(peripherally inserted central catheter) for delivery of medication into the bloodstream.
- PIC-U—pediatric intensive care unit. A unit staffed by Pediatric Intensivists (pediatricians with special training in the care of critically ill infants and children) and other highly-skilled specialists.
- PIMU—pediatric intermediate or "step down" unit. A unit that admits less critically ill children and is also a transitional unit following a stay in the PICU.
- PM or p.m.—afternoon (post meridian).
- PMS—premenstrual syndrome.
- po—per os (by mouth).
- post-op—postoperative.
- Preop—preoperative.
- prep—prepare.
- PRN—when necessary; on request or when needed within time guidelines
- PROM—passive range of motion.
- PT—physical therapy.
- Pt or pt.—patient.
- PTA—prior to admission.
- PVC—premature ventricular contraction.
- PWB—partial weigth bearing.
Q:
- q—each, every (quauque).
- qd—every day (quaque die).
- qh—every hour (quaque hora).
- qid—four times daily (quater in die).
- QID—four times a day (sometimes q6h or every 6 hours).
- QD—once a day.
- QNS—quantity not sufficient.
- qod—every other day (quater otra die).
- qs—sufficient quantity (quantum sufficiat).
- Qt.—quart.
- q2h, q3h, etc—every two hours, every three hours, etc.
R:
- Rehab—rehabilitation
- Resp.—respiration.
- RBC—red blood cells.
- RN— Registered Nurse.
- R/O—rule out.
- ROM—range of motion.
- R/R—respiratory rate.
- RR—recovery room.
- RT—radiation therapy.
- Rt—right.
- RTC—return to Clinic.
- Rx—prescription, treatment, or therapy.
S:
- s [needs line over s]—without (sine).
- SG—specific gravity.
- sm—small.
- SNF—skilled nursing facility.
- SOB—shortness of breath.
- S/P—status post.
- sp gr—specific gravity.
- staph—staphylococcal, staphylococcus.
- Stat—immediately (statim).
- STD—sexually transmitted disease.
- Strep—streptococcus
- Sx—symptoms.
T:
- T—temperature.
- tab—tablet.
- T&A—tonsillectomy and adenoidectomy.
- tbsp—tablespoon.
- TIA—transient ischemia attacks.
- tid—three times a day (sometimes q8h or every 8 hours).
- TLC—total lung capacity.
- TPR—temperature, pulse, respirations.
- tsp—teaspoon.
U:
- UA—urinalysis.
- UGI—upper gastrointestinal
- URI—upper respiratory infection.
- UTI— urinary tract infection.
V:
- Vol—volume.
- vs—against or versus.
- VS—vital signs.
- VSD—ventricular septal defect. A congenital defect in the septum of the heart.
W:
- w/—with.
- WB—weight bearing.
- WBC—white blood cells.
- W/C—wheel chair.
- WNL—within normal limits.
- w/o—without.
- wt—weight.
X:
- XR—x-ray.
- x-match—cross match.
Y:
Medical Terminology
- Antiemetic—medication to control vomiting.
- Benign—a term to describe a tumor that is not cancerous.
- Blood pressure—a measure of the force of blood flow against veins and arteries.
- Blood count—the number of red blood cells, white blood cells, and platelets in a sample of blood. Also referred to as CBC (complete blood count).
- Bypass—to divert flow from one structure to another.
- Catheter—a tube used to inject or withdraw fluids.
- Elastic stockings—Hose designed to help blood circulate from the legs to the heart to prevent clots.
- Extubation—removal of a tube that has been inserted to get air to the lungs.
- Febrile—denoting or relating to fever.
- Foley catheter—a tube placed in the bladder to drain urine.
- Hemovac—a tube place near an incision during surgery to drain excess fluid.
- Infusion—slow and/or prolonged intravenous delivery of a drug or fluids.
- Intubation—the insertion of a tube into a hollow organ such as the trachea (in order to get air to the lungs).
- Palliative—relieving the symptoms or pain of a disease or disorder without effecting a cure.
- Radiology—x-rays and other imaging techniques.
- Respirator—an apparatus to administer artificial respiration (used when a patient cannot breathe adequately without it).
- Subcutaneous—under the skin.
- Traction—the act of drawing or pulling with ropes, pulleys and weights.
- Tracheostomy (also referred to as tracheotomy)–an incision made in the neck to allow the passage of air directly into the trachea to reach the lungs.
- Urinalysis—A test of a urine specimen.
- Ventilator—see Respirator.
- Void—urinate.
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