LEC 6.5: Documentation | Common Hospital Abbreviations, Conversions, CVGH Ticketing System, Medication Timings

Credit to Kai for creating the flashcards :)

3HEAMSC

3-hour early morning sputum collection.

a.d.

Right ear ('auris dextra').

a.s.

Left ear ('auris sinistra').

a.u.

Both ears ('auris uterque').

ac

Before meals ('ante cibum').

ad. Lib.

As desired ('ad libitum').

AF

Absolute figures.

amp

Ampule.

AOG

Age of gestation.

BID

Twice a day ('bis in die').

BMI

Body mass index.

BSE

Breast self-examination.

BTL

Bilateral Tubal Ligation.

BUN

Blood urea nitrogen.

Bx

Biopsy.

C & S

Culture and sensitivity.

CA

Carcinoma; cancer.

CBC

Complete blood count.

CBR c TP

Complete bed rest with toilet privileges.

CBR s TP

Complete bed rest without toilet privileges.

CBW

Cooled boiled water.

CP

Cardiopulmonary.

CPT

Chest physiotherapy.

CRT

Capillary refill time.

CVA

Cerebrovascular accident.

CXR

Chest x-ray.

D & C

Dilatation and curettage.

D/C

Discontinue; discharged.

D50W

50% dextrose in water.

D5LR

5% dextrose in lactated ringer's solution.

D5NSS

5% dextrose in normal saline solution.

D5W

5% dextrose in water.

DAT

Diet as tolerated.

DBE

Deep breathing exercises.

DOE

Dyspnea on exertion.

Dx

Diagnosis.

EBF

Exclusive breastfeeding.

EBM

Expressed breast milk.

EOF

Encourage oral fluids.

FBC-CDU

Foley Bag Catheter - Close Drainage Unit.

FBS

Fasting blood sugar.

FDTW

Full diet to watcher.

FHT

Fetal heart rate.

Fr

French.

Fx

Fracture.

g

Gauge.

GCS

Glasgow Coma Scale.

GIT

Gastrointestinal tract.

gtt

Drops.

GUT

Genito-urinary tract.

h.s.

At bedtime ('hora somni').

H/A

Headache.

HASMINE

Health teachings, anticipatory guidance, safety, security & spiritual, medications, incision care, nutrition, environment.

HBR

High back rest.

HGB

Hemoglobin.

I/O

Intake and output.

IBW

Ideal body weight.

ICP

Intracranial pressure.

IM

Intramuscular.

IVF

Intravenous fluid.

IVTT

Intravenous through tubing.

KPS

Kidney punch sign.

KSS

Keep set sterile.

KUB

Kidneys, ureters, bladder.

KVO

Keep vein open.

LBM

Loose bowel movement.

LLQ

Left lower quadrant.

LMP

Last menstrual period.

LOC

Level of consciousness.

LOF

Limit oral fluids.

LUQ

Left upper quadrant.

MGH

May go home.

MHBR

Moderate high back rest.

MI

Myocardial infarction.

ML

Main line.

MSCC

Mid-stream clean catch.

MVA

Motor vehicle accident.

NABS

Normoactive bowel sounds.

NBS

Newborn screening.

NCCF

No chocolate-colored foods.

neb

Nebule.

NGT

Nasogastric tube.

NIL

Not in labor.

NOD

Nurse on duty.

NPO-PM

Nothing by mouth - post-midnight.

NPO-PS

Nothing by mouth - post-supper.

NSS

Normal saline solution.

NSVD

Normal spontaneous vaginal delivery.

o.d.

Right eye ('oculus dexter').

o.s.

Left eye ('oculus sinistrus').

o.u.

Both eyes ('oculus uterque').

OD

Once a day ('omni die').

OGT

Orogastric tube.

OGTT

Oral Glucose Tolerance Test.

ORS

Oral rehydration solution.

OTC

Over the counter.

PB

Piggyback.

pc

After meals ('post-cibum').

PERRLA

Pupils are equally round and responsive to light and accommodation.

PL148

Plasmalyte 148.