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It would be mighty difficult to decipher a patient's chart without knowing the many abbreviations that are commonly used in the medical setting. Here are some of the basics. Abbreviations may vary according to the specific institution so always check with your clinical setting to see what abbreviations they use.
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abd = abdomen ABGs = arterial blood gases ABS = active bowel sounds a.c. = before meals AD = right ear ad lib = as desired ADH = antidiuretic hormone aq. = water alt. h. = alternate hours AKA = also known as AK = above the knee AMA = against medical advice APTT = activated partial thromboplastin time AS = left ear ASHD = arteriosclerotic heart disease AU = both ears
b.i.d. = twice a day b.i.n. = twice a night BK = below the knee BP = blood pressure BPH = benign prostatic hypertrophy bpm = beats per minute BRP = bathroom privileges BS = blood sugar BSA = body surface area BUN = blood urea nitrogen Bx = biopsy
C = Celsius CAD = coronary artery disease CAO = conscious, alert & oriented cap = capsule cc = cubic centimeter ( = milliliter) CC = chief complaint CCU = coronary care unit cm = centimeter CO = cardiac output CPK = creatinine phosphokinase DC or D/C = discharge, discontinue D&I = dry & intact DM = diabetes mellitus DOA = dead on arrival DP = dorsalis pedis dsg = dressing ECU = emergency care unit ED = emergency department ER = emergency room ETOH = ethyl alcohol F = Fahrenheit fl oz = fluid ounce FHT = fetal heart tones
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fx = fracture g = gram gr = grain gtt = drops h. or hr = hour H. = hypodermically H&H = hematocrit & hemoglobin Hct = hematocrit Hgb = hemoglobin HNV = has not voided HOB = head of bed HR = heart rate h.s. = hour of sleep Ht = height I&O = intake & output ICU = intensive care unit ID = intradermally IM = intramuscularly IS = incentive spirometry kg = kilogram KO = keep open KVO = keep vein open
L = liter lb = pound LLE = left lower extremity LLL = left lower lobe LLQ = left lower quadrant LOC = level of consciousness LUL = left upper lobe m = meter MAP = mean arterial pressure mEq = milliequivalent mcg or mg = milligram ml = milliliter mm = millimeter N&V = nausea & vomiting NKA = no known allergies NKDA = no known drug allergies noc = night NPO = nothing by mouth NTG = nitroglycerine o.d. or q.d. = once a day O.D. = right eye OOB = out of bed OP = outpatient OR = operating room O.S. = left eye O.U. = both eyes oz = ounce p or P = pulse per = by or through PAM = pulmonary artery mean pressure |
PAWP = pulmonary artery wedge pressure p.c. = after meals PCN = penicillin PERRLA = pupils equally round & reactive to light & accomadation p.o., per os = by mouth PR = per rectum p.r.n. = as needed pt = patient PVR = pulmonary vascular resistance q or q h = every hour q.i.d. = four times a day q.o.d. = every other day
R = respirations RAP = right arterial pressure R/O = rule out RLL = right lower lobe RML = right middle lobe ROM = range of motion RTC = return to clinic RTO = return to office RUL = right upper lobe Rx = therapy, treatment, or prescription
SC = subcutaneous SOB = short of breath s.o.s. = if needed
STAT = immediately SV = stroke volume SVR = systemic vascular resistance T = temperature tab = tablet tbsp = tablespoon TCDB = turn, cough, deep breath t.i.d. = three times a day TKO = to keep open top = topical tsp = teaspoon Tx = treatment UA = urinalysis ung = ointment US = ultrasound vd = void VS = vital signs w/d = warm & dry WDWN = well developed, well nourished wk = week WNL = within normal limits Wt = weight y.o. = years old # = before a digit, means "number"; after a digit or digits means "pounds" > = greater than < = less than " = inches ' = feet |
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