ABB..

General & Charting Terms

• AD: Admitting Diagnosis

• Ad Lib: As desired

• Dx: Diagnosis

• D/C: Discontinue or Discharge

• Hx: History

• Stat: Immediately

• Fx: Fracture

• Pt: Patient

• s̄: Without

• c̄: With

Vital Signs & Monitoring

• BP: Blood Pressure

• HR: Heart Rate

• RR: Respiratory Rate

• T: Temperature

• VS: Vital Signs

• SpO2: Oxygen Saturation

• MAP: Mean Arterial Pressure

• I&O: Intake & Output

• CRT: Capillary Refill Time

Cardiac & Circulatory

• CHF: Congestive Heart Failure

• CAD: Coronary Artery Disease

• CVA: Cerebrovascular Accident

• MI: Myocardial Infarction

• PVC: Premature Ventricular Contraction

• CPR: Cardiopulmonary Resuscitation

• CCU: Cardiac Care Unit

• HOB: Head of Bed

• PRBC: Packed Red Blood Cells

• WBC: White Blood Cells

• RBC: Red Blood Cells

• CBC: Complete Blood Count

Respiratory

• COPD: Chronic Obstructive Pulmonary Disease

• SOB: Shortness of Breath

• RT: Respiratory Therapy / Therapist

• O2: Oxygen

• SpO2: Oxygen Saturation

• ETT: Endotracheal Tube

• AP: Anteroposterior

• TPN: Total Parenteral Nutrition

Neurological & Psychiatric

• LOC: Level of Consciousness

• TIA: Transient Ischemic Attack

• SIADH: Syndrome of Inappropriate Antidiuretic Hormone

• CVA: Cerebrovascular Accident

Endocrine & Metabolic

• DM: Diabetes Mellitus

• DKA: Diabetic Ketoacidosis

• FBS: Fasting Blood Sugar

• GTT: Glucose Tolerance Test

• DI: Diabetes Insipidus

GI / Nutrition

• GI: Gastrointestinal

• GTT: Glucose Tolerance Test

• NPO: Nothing by Mouth

• PO: By Mouth

• NG / NGT: Nasogastric Tube

• BUN: Blood Urea Nitrogen

GU / Renal

• CKD: Chronic Kidney Disease

• BUN: Blood Urea Nitrogen

• UTI: Urinary Tract Infection

• UA: Urinalysis

• I&O: Intake and Output

OB / GYN & Reproductive

• LMP: Last Menstrual Period

• GYN: Gynecology

• OB: Obstetrics

• TURP: Transurethral Resection of the Prostate

Infectious Diseases / Labs

• C&S: Culture & Sensitivity

• TB: Tuberculosis

• STD: Sexually Transmitted Disease

• WBC: White Blood Cell

• ABX: Antibiotics (not shown but helpful)

Medical Units & Roles

• ICU: Intensive Care Unit

• ED: Emergency Department

• OR: Operating Room

• PT: Physical Therapy / Therapist

• OT: Occupational Therapy / Therapist

• RN: Registered Nurse

• LPN / LVN: Licensed Practical/Vocational Nurse

• UAP: Unlicensed Assistive Personnel

Medications / Administration

• BLS / ACLS: Basic / Advanced Life Support

• AC: Before Meals

• PC: After Meals

• PRN: As Needed

• BID / TID: Twice / Three times a Day

• Pre-op: Before Surgery

• SBAR: Situation, Background, Assessment, Recommendation