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abd abdomen ac before meals ADL activities of daily living ad lib as desired adm admission am or AM morning AMA against medical advice American Medical Association amb ambulatory or ambulate amt amount AIDS acquired immune deficiency syndrome AP apical pulse AP & LAT anteroposterior and lateral ASA aspirin ASAP as soon as possible as tol as tolerated ax axillary temperature BE barium enema bilat bilateral BM bowel movement BMR basal metabolic rate BP blood pressure BR bathroom BRP bathroom privileges BS bowel sounds BUN blood urea nitrogen C centigrade CA cancer cal calorie cap capsule cath catheter CBC complete blood count CBR complete bedrest CC chief complaint C & DB cough and deep breathe CHO carbohydrate circ circumcision or circulation cl liq clear liquid cm centimeter CMS color, movement, sensation CNS central nervous system c/o or C/O complaint of cont continue COPD or COLD chronic obstructive pulmonary or lung disease CPR cardiopulmonary resuscitation C & S culture and sensitivity CV cardiovascular CXR chest x-ray DC discontinue D & C dilation and curettage DDS doctor of dental surgery del delivery disch discharge DOA dead on arrival DOB date of birth Dr doctor drg drainage drsg dressing DT's delirium tremens dx or Dx diagnosis EBL estimated blood loss EDC expected date of confinement EEG electroencephalogram EENT eye, ear, nose and throat EKG (ECG) electrocardiogram Etiol etiology ETOH alcohol (ethanol) exam examination F fahrenheit FBS fasting blood sugar fdg feeding Fe iron (ferrum) ff or FF force fluids FOB foot of bed FUO fever of undetermined (or unknown) origin fx or Fx fracture GB gallbladder gen general GI gastrointestinal gm or Gm gram gtts drops GU genitourinary GYN or Gyn gynecology HA headache Hct hematocrit Hgb hemoglobin H2O water H2O2 hydrogen peroxide HOB head of bed HOH hard of hearing H & P history and physical hr hour hs hour of sleep (bedtime) ht height HTN hypertension hx history ID identification IM intramuscular I & O intake and output IPPB intermittent positive pressure breathing irreg irregular IUD intrauterine device IV intravenous IVP intravenous pyelogram or intravenous push IVPB intravenous piggyback kg kilogram KUB kidney, ureter, bladder L liter lab laboratory lb pound lg large LLL left lower lobe LLQ left lower quadrant LMP last menstrual period LOA leave of absence LP lumbar puncture LPN licensed practical nurse LUL left upper lobe lt or L (circled) left LUQ left upper quadrant mcg microgram MD doctor of medicine mEq milliequivalent mg or mgm milligram min minute mL milliliter MR may repeat MS multiple sclerosis or musculoskeletal NA not applicable NAS no added salt neg or - (circled) negative NKA no known allergies noc night npo or NPO nothing by mouth NS normal saline Nsg nursing N & V nausea and vomiting O2 oxygen OB obstetrics OOB out of bed ortho orthopedics OT occupational therapy oz ounce PA physician's assistant Path pathology pc after meals Peds pediatrics PERLA pupils equal, react to light and accommodation PID pelvic inflammatory disease pm or PM evening po or PO by mouth (orally or per os) pos or + (circled) positive post op postoperative pre op preoperative prn or PRN whenever necessary or when needed pt patient PT physical therapy pulm pulmonary (R) rectal temperature RBC red blood cell reg regular rehab rehabilitation resp respiration or respiratory RLL right lower lobe RLQ Right lower quadrant rm room RN registered nurse R/O rule out ROM range of motion or rupture of membranes rt or R (circled) right RT respiratory therapy RUL right upper lobe RUQ right upper quadrant Rx treatment or prescription SBR strict bedrest sm small SOB shortness of breath Sp Gr specific gravity subcut subcutaneous S & S signs + symptoms SSE soap suds enema Staph staphylococcus STAT immediately (at once) Strep streptococcus supp suppository surg surgery or surgical tab tablet tbsp tablespoon temp or T temperature TLC total lung capacity or tender loving care TO telephone order tol tolerated TPR temperature, pulse and respiration trach tracheostomy tsp teaspoon TURP transurethral resection of prostate Tx treatment U/A urinalysis UGI upper gastrointestinal URI upper respiratory infection UTI urinary tract infection vag vaginal or vagina VD venereal disease vent ventilator VO verbal order VNA Visiting Nurses Association VS vital signs WA while awake WBC white blood cell WC or w/c wheelchair W/F white female wk week W/M white male wt weight y/o years old