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Download Definition Definition a flut atrial flutter CABG coronary artery bypass
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Abbreviation Definition Abbreviation a flut atrial flutter A&O alert and oriented CaCl calcium chloride A&P auscultation and percussion CAD coronary artery disease AAA abdominal aortic aneurysm CAT computerized axial tomography ABD abdomen CC chief complaint ante cubital fossa cc cubic centimeter advanced cardiac life support CF cystic fibrosis AC ACLS AF/a fib CABG Definition coronary artery bypass graft atrial fibrillation CHB complete heart block AIDS Acquired Immunodeficiency Syndrome CHF congestive heart failure AKA above the knee amputation CNS central nervous system amb ambulate CO carbon monoxide AMI acute myocardial infarction CO2 carbon dioxide amt amount COLD chronic obstructive lung disease AOB alcohol on breath COPD chronic obstructive pulmonary disease AODM adult onset diabetes mellitus approx approximately ARDS acute respiratory distress syndrome CPR cardiopulmonary resuscitation acute renal failure CRF chronic renal failure aortic stenosis CSF cerebrospinal fluid aspirin CSM carotid sinus massage ARF AS ASA ASAP ASCVD ASHD ausc as soon as possible CP CPAP chest pain or cerebral palsy continuous positive airway pressure CT computerized tomography atherosclerotic cardiovascular disease CVA cerebrovascular accident atherosclerotic heart disease D5W 5% dextrose in water auscultation DC discontinue AV atrioventricular decr decrease ax axillary BBB DI diabetes insipidus bundle branch block DJD degenerative joint disease bid twice a day DKA diabetic ketoacidosis bilat bilateral DM diabetes mellitus BKA below the knee amputation DNR do not resuscitate BM bowel movement DOA dead on arrival BP blood pressure DOE dyspnea on exertion BPM beats per minute DVT deep venous thrombosis brady bradycardia DX diagnosis BS bowel or breath sounds EBL estimated blood loss BVM bag valve mask device c/o complaining of ECG (EKG) electrocardiogram EENT eyes, ears, nose and throat C-1, C-2, etc cervical verterbrae w/ correspond. number CA EOM ET ETOH EMV eyes, motor, verbal response (GCS) cancer ENT ears, nose, and throat extraocular muscles or movements irrig irrigation endotracheal ethanol IV JODM juvenile onset diabetes mellitus ETT endotracheal tube exp expiratory K+ potassium FB foreign body kg kilogram FH family history KOR keep open rate fld fluid KVO keep vein open Freq frequency Fx fracture g gauge JVD intravenous L jugular venous distention liter L-1, L-2, etc. lumbar vertebrae w/ correspond. number LBBB left bundle branch block GB gallbladder LLE left lower extremity GI gastrointestinal LLL left lower lobe gm gram LLQ left lower quadrant gun shot wound LMP last menstrual period drops LOC loss of consciousness / level of consciousness GSW gt or gtt H/O history of LR lactated Ringer's H20 water LS lung sounds HA headache LSB long spine board HB heart block LUE left upper extremity high blood pressure LUL left upper lobe hypertensive cardiovascular disease LUQ left upper quadrant HBP HCVD HEENT head, eyes, ears, nose, throat LV left ventricle HIV human immunodeficiency virus m meter HPI history of present illness meds medications HR heart rate mEq milliequivalents HS at bedtime or heart sounds mg milligram hypertension MI myocardial infarction Hx history mid middle ICS intercostal space mL milliliter infectious disease or identification mm millimeter HTN ID IDDM insulin dependent diabetes mellitus mmHg milimeters of mercury IM intramuscular Mod Moderate incr increase MRI magnetic resonance imaging inf inferior MRSA methicillin resistant staph aureus Insp inspiratory IPPA inspection, palpation, percussion, auscultation IPPV intermittent postive pressure ventilation MVC motor vehicle crash IRDM insulin resistant diabetes mellitus Na+ sodium sodium bicarbonate PH past history NC nasal cannula PJC premature junctional contraction neg negative PMH previous medical history NG nasogastric po by mouth nasogastric tube PR by rectum PRN as needed NaHCO3 NGT NIDDM NKA NKDA non-insulin dependent diabetes mellitus MS multiple sclerosis or morphine sulfate MSSA methicillin-sensitive staph aureus no known allergies Pt patient no known drug allergies PT physical therapy NPO nothing by mouth PUD peptic ulcer disease NRB non rebreathing (mask) PVC premature ventricular contraction NRM no regular medications PVD peripheral vascular disease NS NSAID NSR normal saline non-steroidal anti- inflammatory drugs normal sinus rhythm Px q q4h, q6h.... Qd physical examination every every 4 hours, every 6 hours etc. NT nasotracheal OB obstetrics Qh every hour occ occasional Qid four times a day OD overdose or right eye Qod every other day oh every hour OS left eye R/O rule out OU both eyes RA rheumatoid arthritis or right atrium oz ounce Rad radial P pulse RBBB PA posteroanterior R RL every day respiration right bundle branch block Ringer's lactate PAC premature atrial contraction RLE right lower extremity palp palpation RLL right lower lobe Pneumatic Anti-Shock Garments RLQ right lower quadrant PAT paroxysymal atrial tachycardia RML right middle lobe PC after eating ROM range of motion RR respiratory rate PASG PCN PCO2 PDR PE penicillin partial pressure of carbon dioxide physicians desk reference pulmonary embolus or pleural effusion RRR RT RUE Regular rate and rhythm respiratory or radiation therapy right upper extremity PED PEEP per PERL PERRLA pediatric RUL right upper lobe positive end expiratory pressure RUQ right upper quadrant by or through pupils equal and reactive to light pupils equal, round, reactive to light & accommodation Rx S Tach treatment sinus tachycardia S-1, S-2, etc 1st heart sound, 2nd heart sound, etc. pH hydrogen ion concentration SB sinus bradycardia p After (include line over top of p) sudden infant death syndrome @ At sublingual a Before (include line over top of a) Subjective, Objective, Assessment, Plan ac before eating (with line over top of ac) shortness of breath ↓ Decrease SQ subcutaneous o Degree SSB short spine board = equal to subcutaneous ↑ Increase SIDS SL SOAP SOB subcu SVT supraventricular tachycardia Sx symptoms T temperature T-1, T-2, etc. thoracic vertebrae w/ correspond. number SA L ss R sinoatrial Left one half (include line on top of ss) Right tach tachycardia X Times TB tuberculosis c With (include line over top of c) TIA transient ischemic attack s without (include line over s) tid three times a day yo years old TKO to keep open TMJ temporo mandibular joint TNTC too numerous to count TO telephone order tw twice a week * References – Emergency. October 1991 Tx treatment, transplant Pharmaco - Lexicom Search Engine ud as directed URI upper respiratory infection UTI urinary tract infection v fib ventricular fibrillation VO verbal or voice order VS vital signs VSS vital signs stable WF white female WM white male WNL within normal limits WPW Wolf-Parkinson-White syndrome Abbreviation Definition Abbreviation Definition AAA abdominal aortic aneurysm AAS acute abdominal series ABG arterial blood gas ACLS advanced cardiac life support ACTH adrenocorticotropic hormone ADH anti-diuretic hormone ad lib as much as needed atrial fibrillation or afebrile AFB acid-fast bacilli alpha-fetoprotein A /G albumin/globulin ratio aortic insufficiency AKA above the knee amputation ALL acute lymphocytic leukemia amb ambulate AML acute myelogenous leukemia ANA antinuclear antibody AOB alcohol on breath AODM adult onset diabetes mellitus anteroposterior or abdominal - perineal ARDS acute respiratory distress syndrome AF AFP AI AP ARF ASAP ASD AV acute renal failure as soon as possible atrial septal defect A-a gradient alveolar to arterial gradient ABD AC AS ASCVD ASHD abdomen before eating aortic stenosis atherosclerotic cardiovascular disease atherosclerotic heart disease atrioventricular A-V arteriovenous A-VO2 arteriovenous oxygen BBB bundle branch block BCAA branched chain amino acids BE barium enema BEE basal energy expenditure bid twice a day BKA below the knee amputation BM bone marrow or bowel movement BMR basal metabolic rate BOM bilateral otitis media blood pressure BPH benign prostatic hypertrophy BP BPM beats per minute BRP bathroom priviledges BS bowel or breath sounds BUN blood urea nitrogen BW body weight BX C&S Ca biopsy culture and sensitivity BRBPR c CA bright red blood per rectum with cancer calcium CAA crystalline amino acids coronary artery bypass graft CAD coronary artery disease CAT computerized axial tomography CBC complete blood count CBG capillary blood gas CCU clean catch urine or cardiac care unit CCV critical closing volume cystic fibrosis CGL chronic granulocytic leukemia congestive heart failure CHO carbohydrate cardiac index CML chronic myelogenous leukemia CABG CF CHF CI CMV cytomegalovirus CC CN chief complaint cranial nerves CNS central nervous system C/O complaining of COPD chronic obstructive pulmonary disease CPAP continuous positive airway pressure CO COLD CP CPK chronic obstructive lung disease chest pain or cerebral palsy creatinine phosphokinase CPR cardiopulmonary resuscitation CRF chronic renal failure CSF cerebrospinal fluid CVA CVAT CVA tenderness CVP cerebrovascular accident or costovertebral angle central venous pressure CXR chest X-ray DAT diet as tolerated DAW dispense as written DC discontinue or discharge D&C dilation and curettage DDx differential diagnosis D5W 5% dextrose in water diabetes insipidus DIC disseminated intravascular coagulopathy DIP distal interphalangeal joint DJD degenerative joint disease DKA diabetic ketoacidosis DM diabetes mellitus DNR do not resuscitate DOA dead on arrival DOE dyspnea on exertion DPL diagnostic peritoneal lavage DPT diphtheria, pertussis, tetanus DTR deep tendon reflexes DVT deep venous thrombosis DX diagnosis EAA essential amino acids EBL estimated blood loss ECG electrocardiogram ECT electroconvulsive therapy EFAD essential fatty acid deficiency EMG electromyelogram EMV ENT ears, nose, and throat EOM eyes, motor, verbal response (Glasgow coma scale) extraocular muscles ESR erythrocyte sedimentation rate ETT endotracheal tube DI CRCL cardiac output CRP CT dL ET C-reactive protein computerized tomography deciliter endotracheal ethanol EUA endoscopic retrograde cholangio pancreatography examination under anesthesia FBS fasting blood sugar FEV forced expiratory volume FFP fresh frozen plasma FRC functional residual capacity FTT failure to thrive FUO fever of unknown origin FVC forced vital capacity fracture GC gonorrhea ETOH Fx GETT GI general by endotracheal tube gastrointestinal ERCP creatinine clearance FU GFR gr follow-up glomerular filtration rate grain; 1 grain = 65mg Therefore Vgr = 325mg GSW gun shot wound GTT glucose tolerance test gt or gtt GU drops genitourinary GXT graded exercise tolerance (Stress test) HAA hepatitis B surface antigen HAV hepatitis A virus HBP high blood pressure HCG human chorionic gonadotropin HCT hematocrit HDL high density lipoprotein head, eyes, ears, nose, throat Hgb hemoglobin HIV human immunodeficiency virus HLA henderson- hasselbach equation or hemoglobin/ hematocrit histocompatibility locus antigen HJR hepatojugular reflex HO history of HOB head of bed HPF high power field HPI history of present illness HR heart rate HS at bedtime HEENT H/H HA headache HSM hepatosplenomegaly HTLV-III HSV herpes simplex virus HTN human lymphotropic virus, type III (AIDS agent, HIV) hypertension Hx history I&D incision and drainage I&O intake and output ICS intercostal space ICU intensive care unit ID infectious disease or identification IDDM insulin dependent diabetes mellitus IG immunoglobulin IHSS IM intramuscular IMV idiopathic hypertropic subaortic stenosis intermittent mandatory ventilation INF intravenous nutritional fluid IPPB intermittent positive pressure breathing IRDM insulin resistant diabetes mellitus IT interthecal ITP idiopathic thrombocytopenic purpura IV intravenous IVC intravenous cholangiogram IVP intravenous pyelogram juvenile onset diabetes mellitus JVD jugular venous distention KOR keep open rate KUB kidneys, ureters, bladder KVO keep vein open L LAD LAE left atrial enlargement LAHB left axis deviation or left anterior descending left anterior hemiblock LAP LBBB left bundle branch block LDH left atrial pressure or leukocyte alkaline phosphatase lactate dehydrogenase LE lupus erythematosus LIH left inguinal hernia LLL left lower lobe LMP last menstrual period last normal menstrual period LOC lumbar puncture LPN loss of consciousness or level of consciousness licensed practical nurse JODM LNMP LP LUL LVEDP left upper quadrant IRBBB LV incomplete right bundle branch block left left ventricle left ventricular end diastolic pressure LVH left ventricular hypertrophy MAO monoamine oxidase MAP mean arterial pressure MAST medical antishock trousers MBT maternal blood type MCH mean cell hemoglobin MCV mean cell volume mL MCHC MI mean cell hemoglobin concentration myocardial infarction or mitral insufficiency milliliter MLE midline episiotomy MMEF maximal mid expiratory flow mmol millimole MMR measles, mumps, rubella MRI magnetic resonance imaging MRSA methicillin resistant staph aureus MS MSSA methicillin-sensitive staph aureus MVA multiple sclerosis or mitral stenosis, or morphine sulfate motor vehicle accident MVI multivitamin injection MVV maximum voluntary ventilation NAD no active disease NAS no added salt NCV nerve conduction velocity NED no evidence of recurrent disease ng NIDDM NKDA NPO NSAID NT OCG nanogram NG nasogastric non-insulin dependent diabetes mellitus no known drug allergies NKA no known allergies NMR nuclear magnetic resonance nothing by mouth NRM no regular medications non-steroidal anti- inflammatory drugs NSR normal sinus rhythm nasotracheal OB obstetrics oral cholecystogram OD overdose or right eye OM otitis media OPV oral polio vaccine OR operating room left eye OU both eyes para PA posteroanterior PAO2 alveolar oxygen OS P PAC premature atrial contraction PaO2 peripheral arterial oxygen content OOB PAP out of bed pulmonary artery pressure PAT paroxysymal atrial tachycardia P&PD percussion and postural drainage PC after eating PCWP pulmonary capillary wedge pressure PDA PE PFT PI patent ductus arteriosus PDR physicians desk reference pulmonary embolus, or physical exam or pleural effusion pulmonary function tests PEEP positive end expiratory pressure pg picogram pulmonic insufficiency disease PKU phenylketonuria PMH previous medical history PMI point of maximal impulse PMN PND paroxysmal nocturnal dyspnea PO polymorphonuclear leukocyte (neutrophil) by mouth POD post-op day PP postprandial or pulsus paradoxus PPD purified protein derivative PR by rectum PRBC PRN as needed PS pulmonic stenosis PT prothrombin time, or physical therapy Pt patient PTCA percutaneous transluminal coronary angioplasty PTH packed red blood cells parathyroid hormone PTHC PUD percutanous transhepatic cholangiogram peptic ulcer disease PVD peripheral vascular disease q every every day qh every hour qid four times a day qod every other day qd q4h, q6h.... every 4 hours, every 6 hours etc. PTT partial thromboplastin time PVC premature ventricular contraction QNS quantity not sufficient Qs/Qt shunt fraction Qt total cardiac output right RA rheumatoid arthritis or right atrium R RAD right atrial axis deviation RAP right atrial pressure RBC red blood cell RBP retinol-binding protein RDA recommended daily allowance RDW red cell distribution width RIA radioimmunoassay RIH right inguinal hernia RLL right lower lobe RLQ right lower quadrant RML right middle lobe RNA ribonucleic acid R/O rule out ROM range of motion ROS review of systems RPG retrograde pyelogram RRR regular rate and rhythm RTA renal tubular acidosis RTC return to clinic RU resin uptake RUG retrograde urethogram RUL right upper lobe RUQ right upper quadrant RV residual volume RVH right ventricular hyperthrophy Rx treatment s SA sinoatrial SAA synthetic amino acid S&E sugar and acetone SBE subacute bacterial endocarditis SBFT small bowel follow through SBS short bowel syndrome SCr serum creatinine SEM systolic ejection murmur SG Swan-Ganz SGA small for gestational age SGGT SGPT serum gamma- glutamyl transpeptidase serum glutamic- pyruvic transaminase RAE RBBB RT right atrial enlargement right bundle branch block respiratory or radiation therapy without | ss = one-half SGOT serum glutamic- oxaloacetic transaminase SIADH syndrome of inappropriate antidiuretic hormone synchronous intermittent mandatory ventilation systemic lupus erythematous sig write on label SIMV sl sublingual SLE SMO slips made out SOB shortness of breath STAT immediately SVD spontaneous vaginal delivery symptoms T&C type and cross total abdominal hysterectomy T&H type and hold Sx TAH SOAP SQ Subjective, Objective, Assessment, Plan subcutaneous TB tuberculosis TBG total binding globulin Td tetanus-diphtheria toxoid TIA transient ischemic attack TIBC total iron binding capacity tid three times a day TIG tetanus immune globulin TKO to keep open TLC total lung capacity TMJ temporo mandibular joint TNTC too numerous to count TO telephone order TOPV trivalent oral polio vaccine TPN TSH thyroid stimulating hormone TT thrombin time TTP thrombotic thrombocytopenic purpura TU tuberculin units TUR transurethral resection TURP TURBT total parenteral nutrition TUR bladder tumors transurethral resection of prostate TV tidal volume total vaginal hysterectomy tw twice a week treatment, transplant UA urinalysis UAC uric acid ud as directed UGI upper gastrointestinal URI upper respiratory infection US ultrasound UTI urinary tract infection urinary urea nitrogen VC vital capacity TVH Tx UUN VCUG voiding cysourethrogram VMA vanillymadelic acid VO verbal or voice order V/Q ventilation - perfusion VSS vital signs stable WB whole blood WBC white blood cell or count WD well developed WF white female WM white male WN well nourished WNL within normal limits Wolf-Parkinson-White XRT X-ray therapy WPW yo years old ZE Zollinger-Ellison
