| 2 | oxygen |
| (R) | refused |
| a | before (ante) |
| a fib. | atrial fibrillation |
| a. tach. | atrial tachycardia |
| a.c. or a/c | before meals |
| A.D.L. | Activities of Daily Living |
| A.S.A.P. | as soon as possible |
| A.T. | Activity Therapy |
| aa | of each |
| AA | Alcoholics Anonymous |
| Ab | abortion |
| abd | abdomen |
| ABG | arterial blood gases |
| ABP | arterial blood pressure |
| AD | right ear |
| ad lib | as desired |
| ADA | American Diabetic Association |
| adm. | admitted (admission) |
| alc | alcohol |
| alt | alternate |
| AM | morning |
| AMA | against medical advise |
| amb | ambulatory |
| amt | amount |
| angio | angiogram |
| ant | anterior |
| APC | Aspirin - Phenacetin - Caffeine |
| approx. | approximately |
| appt. | appointment |
| aq. | water (aqueous) |
| art. | artery |
| as tol | as tollerated |
| ASA | acetylsalicylic acid (aspirin) |
| AWOL | absent without leave |
| Ax | axilla |
| b.i.d. | (BID) twice a day |
| B/P | blood pressure |
| BE | barium enema |
| blad | bladder |
| BM | bowel movement |
| BUN | blood urea nitrogen |
| Bx | behavior |
| C | centigrade |
| c | with |
| C.S. | central service |
| c/o | complains of |
| ca | cancer |
| Ca. or Calc. | calcium |
| CABG | coronary artery bypass & graft |
| cal | calorie |
| cap. | capsule |
| card. | computerized axial tomography |
| CAT | (CT scan) complete blood count |
| CC | chief complaint |
| cc | cubic centimeter |
| chol. | cholesteral |
| CL | chloride |
| clav. | clavicle |
| cm | centimeter |
| CNS | central nervous system |
| CO2 | carbon dioxide |
| comf | comfortable |
| conc | concentrate |
| cons | consultation |
| cont | continued |
| contrib | contributary |
| COPD | chronic obstructive pulmonary disease |
| COR 0 | acute heart stoppage |
| cpd | compound |
| CPR | cardio-pulmonary resuscitation |
| cran | cranial |
| CSF | cerebral spinal fluid |
| CVA | cerebrovascular accident (stroke) |
| D & C | dilatation & curettage |
| D.C. | Doctor of Chiropractic |
| D.O. | Doctor of Osteopathy |
| D/C | discharge |
| d/c | discontinue |
| D5W | dextrose 5% in water |
| DD | date dictated |
| decr | decreased |
| defib | defibrillation |
| depr | depressed |
| Diff | differential |
| dil | Dilute |
| dis | disease |
| dist | distal |
| dk | drunk |
| dl | deciliters |
| DOA | dead on arrival |
| DOB | date of birth |
| dr | dram |
| Dr. | doctor |
| DS | discharge summary |
| DTR's | deep tendon reflexes |
| DT's | delerium tremens |
| Dx | diagnosis |
| ECT | electroconvulsive therapy |
| EEG | electroencephalogram |
| EENT | eyes, ears, nose & throat |
| EKG | electrocardiogram |
| elev | elevate |
| ENT | ears, nose & throat |
| EOM | Extraoccular muscles (movements) |
| ER | emergency room |
| EST | electric shock treatment |
| EtOH | alcohol |
| etx. | external |
| extr | extremeties |
| f/u | follow up |
| fa | father |
| FBS | fasting blood sugar |
| fl | fluids |
| ft. | foot |
| FUO | fever of unknown origin |
| Fx | fracture |
| g or gm | gm |
| GB | gall bladder |
| gen | general |
| genit | genitalia |
| GI | gastrointestinal |
| gluc | glucose |
| gp | group |
| gr. | grain |
| grav. | gravid |
| GSW | gun shot wound |
| GTT | glucose toloerance test |
| gtt. | drop |
| gtts. | drops |
| GU | genitourinary |
| gyn | gynecology |
| h | hour |
| H20 | water |
| H202 | hydrogen peroxide |
| HA | headache |
| hb | husband |
| Hbg | hemoglobin |
| Hct | hematocrit |
| HCVD | hypertensive cardiovascular disease |
| Hd. | head |
| HEENT | head, eyes, ears, nose and throat |
| hern | herniated |
| HR | heart rate |
| hr | hour |
| HS | hour of sleep |
| ht | height |
| hx | history |
| hyst | hysterectomy |
| I & D | incision and drained |
| I & O | intake and output |
| I.C. | initial contact |
| id | in diem (during the day) |
| IM | intramuscular |
| inj | injured |
| inpt. | inpatient |
| int | internal |
| IPPB | intermittent positive pressure breathing |
| irreg | irregular |
| irrig | irrigate |
| IV | intravenous |
| IVP | intravenous pyelogram |
| K+ | potassium |
| kg | kilogram |
| KUB | kidneys, ureters, and bladder |
| L | left |
| L & A | light and accomodation |
| L.P.N. | licensed practical nurse |
| lab | laboratory |
| lac | laceration |
| lap | laparotomy or laporoscopy |
| lat | lateral |
| lb | pound |
| LE | lower extremities or Lupus Erythematosus |
| Leuc | leucocytes |
| Lg | large or leg |
| lig | ligament |
| liq | liquid |
| LLQ | lower left quadrant |
| LOA | leave of absence |
| LP | lumbar puncture |
| LUQ | left upper quadrant |
| lymphs | Lymphocytes |
| M.D. | Physician |
| m.s. | multiple sclerosis, morphine sulphate |
| M.T. | movement therapy |
| max | maximum |
| MCH | mean corpuscular hemoglobin |
| MCHC | mean corpuscular hemoglobin concentration |
| MCV | mean corpuscular volume |
| med | medical, medid |
| meds | medicines |
| mEq/1 | milliequivalent per liter |
| mg | milligram |
| MI | myocardial infarction (heart attack) |
| mm | millimeter |
| mo | mother |
| MR | mental retardation |
| MR# | medical record number |
| NA | not available |
| Na+ | no applicable |
| NBS | no bowel sounds |
| neg | negative |
| ng | naso-gastric |
| NKA | no known allergies |
| NMR | nuclear magnetic resonance |
| No. | number |
| Noct | night |
| norm | normal |
| NPN | non-protein nitrogen |
| NPO | nothing by mouth |
| nullip | nulleparous (no pregnancies) |
| o.d. | once a day |
| O.T. | occupational therapy |
| OB | obstetrics |
| OBS | organic brain syndrome |
| OD | right eye |
| od | over dose |
| opd | out-patient department |
| ops | operations |
| OR | operating room |
| orth | orthopedic |
| OS | left eye |
| OU | both eyes |
| outpt | outpatient |
| oz | ounce |
| P | after |
| P & A | percussion & auscultation |
| P.E. | physical examination |
| P.I.D. | pelvic inflammatory disease |
| p.o. | by mouth |
| PA | postero-anterior |
| palp | palpated |
| PBI | protein bound iodine |
| pc | after meals |
| pdr | powder |
| ped | pediatrics |
| pen | penicillin |
| per | by |
| PERLA | pupils equal reactive to light and accomodation |
| pH | measure of acidity or alkalinity |
| Ph.D | Doctor of philosophy |
| phys | physical |
| PM | afternoon |
| PN | progress note |
| pneu | pneumonia |
| pos | positive |
| post | posterior |
| postop | postoperative, after surgery |
| PPD | purified protein derivative |
| preop | preoperative, before surgery |
| prep | prepare for |
| prev | previous |
| prn | whenever necessary |
| pros | prostate |
| prox | proximal |
| Psy. Ser. | psychological services |
| PT | physical therapy |
| pt | patient |
| pvc | preventricular contraction |
| pwd | powder |
| q | every |
| q.__h | every ___ hour |
| q.d. | every day |
| q.h. | every hour |
| q.i.d. | four times a day |
| q.n. | every night |
| q.o.d. | every other day |
| QA | quality assurance |
| QAC | quality Assurance Coordinator |
| QAP | quality Assurance Program |
| QAR | quality Assurance Review |
| qns | quantity not sufficient |
| R | right |
| R.D. | registered dietician |
| R.N. | registered nurse |
| R.O. | reality orientation |
| R.T.P. | recreational Therapeutic Pass |
| R/O | rulo out |
| rad | radial |
| RBC | red blood count |
| rbc | red blood cells |
| rect | rectal |
| Rh | rhesus blood factor |
| RLQ | right lower quadrant |
| ROS | review of systems |
| RR | respiratory rate |
| RUQ | right upper quadrant |
| Rx | prescription, take |
| s | without |
| S.H. | state hospital |
| S/A | sugar and acetone |
| Sa | saline |
| Schiz. | schizophrenia |
| sed rate | erythrocycte sedimentation rate |
| serol | serology |
| SGOT | serum glutomie oxalacetic transaminase |
| SGPT | serum glutamic pyruvic transaminase |
| sibs | siblings |
| SIDS | sudden infant death syndrome |
| sig | to write , to take |
| sl | slight |
| SOAPE | subjective, objective, assessment , plan, evaluation |
| SOB | shortness of breath |
| Soc. hx | social history |
| Soc. Ser. | social service |
| sol | solution |
| sos | when necessary |
| sp | spine |
| sp. cd. | spinal cord |
| sp. fl. | spinal fluid |
| sp. gr. | specific gravity |
| Spec. | specimen |
| SQ | subcutaneous |
| Staph | staphylococcus |
| stat | immediately |
| Strep | streptococcus |
| subcut | subcutaneous |
| sup | superior |
| Surg | surgery |
| Sx | symptoms |
| sys | system |
| T & A | tonsillectomy and adenoidectomy |
| T.A. | therapeutic assignment |
| t.i.d. | three times a day |
| T.O. | telephone order |
| tab | tablet |
| TB | tuberculosis |
| tbsp. | tablespoon |
| temp. | temperature |
| thor | thorax |
| thromb | thrombosis |
| TLC | tender loving care |
| TM | tympanic membrane (eardrum) |
| TP | treatment plan |
| TPR | temperature, pulse, respiration |
| tsp. | teaspoon |
| tx | treatment |
| U.O. | urinary output |
| u/o | under observation |
| UA | urinanalysis |
| UGI | upper gastrointestinal series (X-ray) |
| UNK | unknown |
| URI | upper respiratory infection |
| UTI | urinary tract infection |
| v. fib. | ventricular fibrillation |
| v. tach. | ventricular tachycardia |
| V.O. | verbal order |
| Vag | vaginal |
| VC | vital capacity |
| VD | veneral disease |
| VDRL | serological test for syphilis |
| vit. | vitamin |
| vol | volume |
| VS | vital signs |
| WBC | white blood count |
| wbc | white blood cell |
| wd | well developed |
| wf | wife |
| wk | week |
| wn | well nourished |
| WNL | within normal limits |
| wt. | weight |
| x | times |
| x-ray | radiology |
| y/o | year old |
| yrs | years |