대영 3 14주차

adverse drug reaction

ADR

allergies

All

alert and oriented

A&O

alert and oriented to person

A&O X 1

alert and oriented to person and place

A&O X 2

alert and oriented to person, place, and time

A&O X 3

black female

BF

black male

BM

black married female

BMF

black married male

BMM

blood pressure

BP

beats per minute

BPM, bpm

chief complaint

CC

complains of

C/O

cardiovascular

CV

demographic data

DD

drug history

DH

date of birth

DOB

diagnosis

Dx

alcohol

ETHO

extremities

Ext

female

F

family history

FH

follow-up

F/U

general appearance

Gen

genital/rectal

Genit/Rectal

history of

HO

history of present illness

HPI

history

Hx

identification

ID

kilogram

Kg

laboratory tests and results

Labs

pound

lb

last menstrual period

LMP

male

M

medication administration record

MAR

medications

Meds

medication history

MedHx

musculoskeletal

MS

no known allergies

NKA

no known drug allergies

NKDA

normal

NL

over the counter

OTC

pulse, pressure, plan

P

physical examination

PE

private medical doctor

PMD

past medical history

PMH

past medical illness

PMI

patient profile

PP

packs per day

PPD

past surgical history

PSH

patient

Pt.

rule out

R/O

review of system

ROS

respiration rate

RR

social history

SH

status post

S/P

signs/symptoms

S/S

subcutaneous

SQ

symptom

Sx

temperature

T, Temp

temperature, pulse, respiration

TPR

treatment

Tx

unknown

UNK

vital signs

VS

vital signs stable

VSS

well developed

WD

white divorced male

WDM

well-developed, well-nourished black male

WDWN-BM

well-developed, well-nourished black female

WDWN-BF

white male

WM

white married female

WMF

white married male

WMM

well-nourished

WN

within normal limits

WNL

weight

Wt.

year old

yo

abdomen

Abd

right ear

AD

left ear

AS

each ear

AU

central nervous system

CNS

cervix/ culture

Cx

eyes, ears, nose, throat

EENT

head, eyes, ears, nose, throat

HEENT

heart rate

HR

right eye

OD

left eye

OS

both eyes

OU

chills, fever, and night sweats

CFNS

cigarettes

Cig

chest pain

CP

dyspnea on exertion

DOE

fever of unknown origin

FUO

headache

HA

lower back pain

LBP

normal sinus rhythm

NSR

nausea and vomiting

N&V

nausea/vomiting/diarrhea

N/V/D

paroxysmal nocturnal dyspnea

PND