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VS
Vital signs
BP
Blood pressure
P
Pulse
T
Temperature
RR
Respiratory rate
O2 sat
Oxygen saturation
BMI
Body mass index
NAD
No acute distress
NCAT
Normocephalic, atraumatic
PERRLA
Pupils equal, round, reactive to light and accommodation
EOM
Extraocular movements
MMM
Moist mucosal membranes
TM
Tympanic membrane
Lungs CTA
Lungs clear to auscultation
LLL
Left lower lobe
RRR
Regular rate and rhythm
M/R/G
Murmurs, rubs, gallops
JVD
Jugular venous distension
BS
Bowel sounds
NABS
Normoactive bowel sounds
LLQ
Left lower quadrant
ROM
Range of motion
A & O
Alert and oriented
GCS
Glasgow Coma Scale
CN
Cranial nerve(s)
FTN
Finger to nose
RAMs
Rapid alternating movements
CMP
Comprehensive Metabolic Panel
GFR
Glomerular filtration rate
CXR
Chest x-ray
CT
Computed tomography
C&S
Culture and sensitivity
ECG/EKG
Electrocardiogram
EEG
Electroencephalogram
ABI
Ankle/brachial index
I & D
Incision and drainage
Rx
Prescription
PO
By mouth
IV
Intravenous
subQ
Subcutaneous
SL
Sublingual
IM
Intramuscular
PRN
As needed
BID
Twice daily
TID
Three times daily
QID
Four times daily
Once daily
Once daily; spell out rather than abbreviating
NPO
Nothing by mouth
ac
Before meal
hs
Bedtime
AAA
Abdominal aortic aneurysm
BPH
Benign prostatic hypertrophy
CAD
Coronary artery disease
NSTEMI
Non-ST elevation myocardial infarction
STEMI
ST elevation myocardial infarction
ACS
Acute coronary syndrome
CABG
Coronary artery bypass graft
PCI
Percutaneous coronary intervention
CHF
Congestive heart failure
CKD
Chronic kidney disease; include stage when known
AKI
Acute kidney injury
COPD
Chronic obstructive pulmonary disease
CVA
Cerebrovascular accident
DM (I, II)
Diabetes mellitus; type I or type II
DVT
Deep vein thrombosis
GERD
Gastroesophageal reflux disease
HTN
Hypertension
HLD
Hyperlipidemia
LBBB
Left bundle branch block
RBBB
Right bundle branch block
OSA
Obstructive sleep apnea
PAD
Peripheral arterial disease
PE
Pulmonary embolus
URI
Upper respiratory infection
UTI
Urinary tract infection