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CCU
Coronary care unit
ECU
Emergency care unit
ER
Emergency room
ED
Emergency department
ICU
Intensive care unit
PICU
Pediatric intensive care unit
NICU
Neonatal intensive care unit
SICU
Surgical intensive care unit
PACU
Post-anesthesia care unit
L&D
Labor & delivery
OR
Operating room
Post-op
After surgery
Pre-op
Before surgery
VS
Vital signs
T
Temperature
BP
Blood pressure
HR
Heart rate
RR
Respiratory rate
Ht
Height
Wt
Weight
BMI
Body mass index
I/O
Intake/output (the amount of fluids a patient has taken in and produced)
Dx
Diagnosis
DDx
Differential diagnosis
Tx
Treatment
Rx
Prescription
H&P
History and physical
Hx
History
CC
Chief complaint (main reason for visit)
HPI
History of present illness
ROS
Review of systems
PMHx
Past medical history
FHx
Family history
NKDA
No known drug allergies
PE
Physical exam
Pt
Patient
y/o
Years old
h/o
History of
PCP
Primary care provider
f/u
Follow up
SOB
Shortness of breath
HEENT
Head, ears, eyes, nose, throat
PERRLA
Pupils are equal, round, and reactive to light and accommodation
NAD
No acute distress
CV
Cardiovascular
RRR
Regular rate and rhythm
CTA
Clear to auscultation
WDWN
Well developed, well nourished
A&O
Alert and oriented
WNL
Within normal limits
NOS
Not otherwise specified
NEC
Not elsewhere classified
PO
Per os (by mouth)
NPO
Nil per os (nothing by mouth)
PR
Per rectum (anal)
IM
Intramuscular
SC
Subcutaneous (under the skin)
IV
Intravenous
SVL
Central venous line
PICC
Peripherally inserted central catheter
Sig
Instructions short for signa
BID
Twice daily
TID
Three times daily
Q
Every x
QD*
Daily
QID*
Four times daily
QHS
At night
AC
Before meals
PC
After meals
prn
As needed
ad lib
As desired