Quiz 5 SOAP Abbreviation

A & P

auscultation and percussion

AAOX 3

alert, awake and oriented to person, place and time

ADL

activities of daily living

BM

bowel movement

CTA

clear to auscultation

DTR

deep tendon reflex

EOMI

extraocular movements intact

HEENT

head, eyes, ears, nose, and throat

LMP

last menstrual period

NAD

no apparent distress; no apparent disease

NSR

normal sinus rhythm

PERRLA

pupils are equal, round, reactive to light and accommodation

ROM

range of motion

RRR

regular rate and rhythm (heart)

WDWN

well developed, well nourished

DNR

do not resuscitate

stat

immediately

DC or D/C

discharge; discontinue

I/O

intake and output

MRx1

may repeat one time

n.p.o or NPO

nothing by mouth

PICC

percutaneous indwelling central catheter

NGT

nasogastric tube

TKO

to keep (vein) open

HA

headache

HTN

hypertension

MI

myocardial infarction

N/V/D or NVD

nausea, vomiting, and diarrhea

SOB

shortness of breath

CP

chest pain