Healthcare and Medical Abbreviations
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Questions and Answers

A patient is prescribed medication 'QID'. How many times a day should the medication be administered?

  • Three times a day
  • Four times a day (correct)
  • Once a day
  • Twice a day

A doctor's order reads: 'Administer 500mg of Amoxicillin PO, AC and QHS.' When should the patient take the medication?

  • Before meals and at bedtime. (correct)
  • Only when experiencing symptoms.
  • Every morning after waking up.
  • After meals and every 4 hours.

A patient's chart notes 'AL' on their arm. After reviewing the table of integumentary abbreviations, how should you proceed?

  • Schedule the patient for an immediate biopsy.
  • Monitor the area, as it is indicative of melanoma.
  • Apply a topical antibiotic to the affected area.
  • Monitor the area, as it indicates actinic keratosis. (correct)

In a patient's medical record, the abbreviation 'DDx' is used. What does this most likely refer to?

<p>A list of possible diagnoses being considered. (A)</p> Signup and view all the answers

A 62 y/o ♂ patient presents with a CC of chest pain and shortness of breath. Which of the following accurately describes these abbreviations?

<p>The patient is a 62-year-old male, and CC refers to their chief complaint. (D)</p> Signup and view all the answers

A patient is transferred from the operating room requiring continuous monitoring and pain management after undergoing a complex spinal fusion; which unit is MOST appropriate for their immediate post-operative care?

<p>Post-Anesthesia Care Unit (PACU) (D)</p> Signup and view all the answers

A 6-year-old child is admitted with severe respiratory distress. Initial assessment reveals a need for mechanical ventilation and close monitoring. Which unit is BEST suited for this patient's care?

<p>Pediatric Intensive Care Unit (PICU) (D)</p> Signup and view all the answers

What is the MOST accurate interpretation of 'I/O' in a patient's health record, especially when assessing fluid balance?

<p>Intake and Output of fluids, reflecting fluid balance (D)</p> Signup and view all the answers

A doctor reviews a patient's chart and sees 'DDX: Pneumonia vs. Bronchitis'. What does 'DDX' MOST accurately indicate in this context?

<p>Differential Diagnoses, listing possible conditions (D)</p> Signup and view all the answers

A nurse reads 'CTA' in a respiratory assessment note. Which of the following is the MOST accurate interpretation of 'CTA'?

<p>Clear To Auscultation, indicating normal lung sounds (D)</p> Signup and view all the answers

A patient's chart indicates 'NKDA.' What implication does this have for the medical team when prescribing medication?

<p>The patient has no known drug allergies, so most medications are likely safe. (A)</p> Signup and view all the answers

A physician writes 'Sig: 1 tab PO BID prn pain' on a prescription. Which of the following accurately explains these instructions to the patient?

<p>Take one tablet by mouth twice a day as needed for pain (B)</p> Signup and view all the answers

During a physical examination, a doctor documents 'HEENT WNL'. What does this MOST likely indicate about the patient?

<p>The patient's head, eyes, ears, nose, and throat exam was within normal limits. (B)</p> Signup and view all the answers

Flashcards

What does BID mean?

Twice a day

What does TID mean?

Three times a day

What does 'Q' mean in medication orders?

Every (followed by a time interval) For example, Q4hr represents every 4 hours

What does QD mean?

Daily or once per day

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What does PRN mean?

As needed

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CCU

Unit for patients needing intensive heart monitoring and care.

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ER/ED

Area where patients receive immediate medical attention for acute conditions.

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VS

Measurements of body functions: temperature, heart rate, blood pressure, respiratory rate.

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BP

Force of blood against artery walls, measured in mmHg.

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H&P

Record of patient's medical background and examination findings.

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DDX

A list of possible diseases/conditions that could be causing the person’s symptoms; A process of elimination.

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CC

Subjective reason for the patient's visit.

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PERRILA

Pupils Equal, Round, Reactive to Light and Accommodation.

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Study Notes

Health Care Facility Abbreviations

  • CCU stands for coronary care unit.
  • ECU means emergency care unit.
  • ER is the abbreviation for emergency room.
  • ED represents emergency department.
  • ICU stands for intensive care unit.
  • PICU is the pediatric intensive care unit.
  • NICU represents neonatal intensive care unit.
  • SICU stands for surgical intensive care unit.
  • PACU means post-anesthesia care unit.
  • L&D is the abbreviation for labor and delivery.
  • OR represents operating room.
  • Post-op refers to after surgery.
  • Pre-op means before surgery.

Abbreviations on Health Records

  • VS means vital signs.
  • BP stands for blood pressure.
  • RR means respiratory rate.
  • T stands for temperature.
  • HR means heart rate.
  • Ht represents height.
  • Wt represents weight.
  • BMI stands for Body Mass Index.
  • I/O refers to intake/output, the amount of fluids a patient has taken in by IV or mouth, plus what's produced, usually urine output.
  • Dx means diagnoses.
  • DDx means differential diagnoses.
  • Tx represents treatment.
  • Bx means prescription.
  • H&P stands for history and physical.
  • Hx means history.
  • CC means chief complaint.
  • HPI means history of present illnesses.
  • ROS means review of symptoms.
  • PMHx means past medical history.
  • FHx means family history.
  • NKDA means no known drug allergies.
  • PE stands for physical exam.
  • Pt represents patient.
  • y/o means years old.
  • h/o means history of.
  • PCP stands for primary care provider.
  • f/u means follow up.

Abbreviations for Symptoms or Findings

  • SOB stands for shortness of breath.
  • HEENT refers to head, eyes, ears, nose, and throat.
  • PERRLA means pupils are equal, round, and reactive to light and accommodation.
  • NAD means no acute distress, the patient doesn't display intense symptoms.
  • CV stands for cardiovascular.
  • RRR means regular rate and rhythm, a normal heart exam.
  • CTA means clear to auscultation, description of normal sounding lungs.
  • WDWN means well developed, well nourished.
  • A&O means alert and oriented.
  • WNL means within normal limits.
  • NOS means not otherwise specified.
  • NEC means not elsewhere classified, and doesn't quite fit specific causes.
  • PO means per os, by mouth.
  • NPO means nil per os, nothing by mouth.
  • PR means per rectum, anal.
  • IM means intramuscular.
  • SC means subcutaneous, under the skin.
  • IV means intravenous.
  • CVL means central venous line.
  • PICC means peripherally inserted central catheter.
  • Sig: Instructs, short for signa, from Latin "label."

Abbreviations for Orders and Frequency

  • BID means twice daily, from Latin "Bis in die," which is two a day.
  • TID means three times daily, from Latin "ter indie," which is three a day.
  • Q: every X; Q4hr means every 4 hours, and Q3 days is every 3 days.
  • QD means daily, from the Latin phrase quaque die, which means "each day."
  • QID means four times daily, from the Latin phrase quarter indie, which means 4 in a day.
  • QHS means at night, from the Latin phrase quaque hora somni, which means "each night at the hour of sleep."
  • AC means before meals, from the Latin phrase ante cibum, which means "before food."
  • PC means after meals, from the Latin phrase "post cibum," which means "after food."
  • PRN means as needed, from the Latin phrase per re nata, which means "as the need arises."
  • Ad lib means as desired.

Integumentary Abbreviations

  • ABCDE stands for asymmetry, border, color, diameter, evolving and it's how to assess melanoma
  • AK stands for actinic keratosis.
  • Bx means biopsy.
  • C&S means culture and sensitivity.
  • derm means dermatology.
  • ID stands for intradermal.
  • SC means subcutaneous.
  • SQ means subcutaneous.

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Related Documents

Medical Abbreviations PDF

Description

Learn common medical abbreviations used in healthcare facilities and on health records. This guide defines terms used in various hospital units and documentation, such as CCU, ER, VS, and BP. Understand medical shorthand for efficient communication.

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