Level 1 Abbreviations

abd

abdomen

FA

forearm

GI

gastrointestinal

GU

genitourinary

HOB

head of bed

LLE/RLE

left lower extremity / right lower extremity

LLQ/RUQ

left lower quadrant / left upper quadrant

RLQ/RUQ

right lower quadrant / right upper quadrant

ROM

range of motion

rt

right

ADL

activities of daily living

BM

bowel movement

I & D

incision and drainage

NPO

nothing by mouth

OOB

out of bed

pt

patient

c/o

complains of

h/o

history of

HAI

healthcare associated infection

Hx

history

NAD

no apparent distress

NKA

no known allergies

SBAR

situation, background, assessment, recommendation

AMA

against medical advice

DNR

do not resuscitate

EHR

electronic health record

HIPAA

Health Insurance Portability and Accountability Act

MAR / eMAR

(electronic) medication administration record

c̅

with

s̅

without

CA

cancer

DM

diabetes mellitus

CAD

coronary artery disease

CHF

congestive heart failure

CVA

cerebrovascular accident

HTN

hypertension

MI

myocardial infarction

COPD

chronic obstructive pulmonary disease

dx

diagnosis

fx

fracture

H/A

headache

N/V

nausea and vomiting

R/O

rule out

S/P

status post

Sx

symptoms

Tx

treatment

A&O

alert and oriented

AMS

altered mental status

ICP

intracranial pressure

PERRLA

pupils, equal, round, reactive to lights and accommodation

ABG

arterial blood gases

BMP

basic metabolic panel

bx

biopsy

CBC

complete blood count

CXR

chest x-ray

CMP

comprehensive metabolic panel

FBS

fasting blood sugar

hct

hematocrit

hgb

hemoglobin

ROS

review of systems

UA

urinalysis

ac

before meals

ad lib

as desired

ASA

asprin

bid

two times a day

dc

discontinue

h.s.

at bedtime

MN

midnight

PRN

as needed

q

every

qid

four times a day

STAT

immediately

WA

while awake

ID

intrademal

IM

intramuscular

IV

intravenous

IVP

intravenous push

IVPB

intravenous piggyback

PO

by mouth

SUBQ

subcutaneous

SL

sublingual

NG

nasogastric

PEG

percutaneous endoscopic gastrostomy

TPN

total parenteral nutrition

EBL

estimated blood loss

gtt(s)

drop(s)

I & O

intake and output

KVO

keep vein open

Lpm

liters per minute

NS

normal saline

PICC

peripherally inserted central catheter

CPR

cardiopulmonary resuscitation

NSR

normal sinus rhythm

CPAP

continuous positive airway pressure

CTA

clear to auscultation

N/C

nasal cannula

RA

room air

SOB

short of breath

BP

blood pressure

P

pulse