Medical Abbreviations in Healthcare
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Questions and Answers

A patient is prescribed a medication with instructions to administer it 'QHS'. When should the patient take this medication?

  • Every four hours throughout the day.
  • Every morning before breakfast.
  • Three times a day, evenly spaced.
  • Every night at bedtime. (correct)

A doctor's note indicates a patient is to take medication 'BID'. What does this instruction mean for the patient's dosage schedule?

  • The patient should take the medication twice a day. (correct)
  • The patient should take the medication as needed.
  • The patient should take the mediation once a day
  • The patient should take the medication three times a day.

A patient's chart includes the abbreviation 'DDx' following a list of possible conditions after initial examination. What does 'DDx' signify in this context?

  • Direct examination findings.
  • Differential diagnosis. (correct)
  • Detailed description of symptoms.
  • Definitive treatment plan.

A dermatologist notes 'AL' in a patient's chart after examining a skin lesion. What condition does 'AL' most likely refer to?

<p>Actinic keratosis. (B)</p> Signup and view all the answers

During a patient interview, a nurse asks about the patient's 'ROS'. What aspect of the patient's medical history is the nurse trying to gather?

<p>Review of Systems. (C)</p> Signup and view all the answers

A patient is admitted to the hospital after experiencing a stroke. They require constant monitoring and specialized neurological care. Which unit is MOST appropriate for this patient?

<p>ICU (C)</p> Signup and view all the answers

A newborn requires immediate respiratory support and specialized care due to premature birth. In which unit should the newborn be admitted?

<p>NICU (D)</p> Signup and view all the answers

A patient's chart indicates 'I/O' followed by specific measurements. What does 'I/O' MOST likely represent in this context?

<p>Intake and output (D)</p> Signup and view all the answers

A physician orders 'NPO' for a patient scheduled for surgery. What does this instruction entail?

<p>Nothing by mouth (D)</p> Signup and view all the answers

A patient's medical record includes the abbreviation 'PERRILA'. What aspect of the patient's condition does this MOST likely describe?

<p>Pupillary response (A)</p> Signup and view all the answers

During a physical examination, a doctor notes 'CTA' in a patient's chart. What does 'CTA' typically indicate regarding the patient's respiratory system?

<p>Clear to auscultation (A)</p> Signup and view all the answers

A patient is being transferred from the operating room to a recovery area. Which of the following abbreviations BEST describes the unit to which the patient is MOST likely being transferred?

<p>PACU (D)</p> Signup and view all the answers

A doctor examines a patient and notes 'NAD' in the chart. What does 'NAD' suggest about the patient's condition?

<p>No apparent distress (A)</p> Signup and view all the answers

Flashcards

BID

Twice daily; from Latin 'bis in die'.

prn

As needed; from Latin 'per re nata'.

Dx

Diagnosis; the identification of a health condition.

AC

Before meals; from Latin 'ante cibum'.

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QHS

At night; from Latin 'quaque hora somni'.

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SOB

Shortness of breath, a symptom indicating difficulty in breathing.

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PMHx

Past medical history, record of a patient's previous health issues.

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NPO

Nil per os, meaning nothing by mouth, often before surgery.

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Study Notes

Health Care Facility Abbreviations

  • CCU: Coronary Care Unit
  • ECU: Emergency Care Unit
  • ER: Emergency Room
  • ED: Emergency Department
  • ICU: Intensive Care Unit
  • PICU: Pediatric Intensive Care Unit
  • NICU: Neonatal Intensive Care Unit
  • SICU: Surgical Intensive Care Unit
  • PACU: Post-Anesthesia Care Unit
  • L&D: Labor & Delivery
  • OR: Operating Room
  • Post-op: After surgery
  • Pre-op: Before surgery

Abbreviations on Health Records

  • VS: Vital Signs
  • BP: Blood Pressure
  • T: Temperature
  • HR: Heart Rate
  • Ht: Height
  • Wt: Weight
  • BMI: Body Mass Index
  • RR: Respiratory Rate
  • I&O: Intake and Output (fluids consumed and produced)
  • Dx: Diagnosis
  • DDx: Differential Diagnoses
  • Ix: Treatment & Interventions
  • Bx: Biopsy/Prescription
  • CC: Chief Complaint
  • HPI: History of Present Illness
  • NKDA: No Known Drug Allergies
  • Pt: Patient
  • Hx: History
  • PMHx: Past Medical History
  • FHx: Family History
  • PE: Physical Exam
  • y/o: Years Old
  • PCR: Primary Care Provider
  • f/u: Follow-up

Abbreviations for Symptoms or Findings

  • SOB: Shortness of Breath
  • HEENT: Head, Eyes, Ears, Nose, and Throat
  • PERRLA: Pupils are Equal, Round, Reactive to Light and Accommodation
  • NAD: No Acute Distress
  • RRR: Regular Rate and Rhythm
  • CTA: Clear to Auscultation
  • WDWN: Well-Developed, Well-Nourished
  • A&O: Alert and Oriented
  • WNL: Within Normal Limits
  • N/O/S: No Obvious/Significant findings
  • NPO: Nothing by mouth
  • PR: Per Rectum
  • PO: Per Os (by mouth)
  • IM: Intramuscular
  • SC: Subcutaneous
  • IV: Intravenous
  • BID: Twice Daily
  • TID: Three Times Daily
  • Q: Every
  • Q4hr: Every 4 Hours
  • QD: Daily
  • QID: Four Times Daily
  • QHS: At Night / Each Evening
  • AC: Before Meals
  • PC: After Meals
  • prn: As Needed
  • ad lib.: As Desired

Integumentary Abbreviations

  • ABCDE: Asymmetry, Border, Color, Diameter, Evolving
  • AL: Actinic Keratosis
  • Bx: Biopsy
  • C&S: Culture and Sensitivity
  • Derm: Dermatology
  • ID: Intradermal
  • SC/SQ: Subcutaneous

Medical Terminology - Continued

  • Dx: Diagnosis
  • DDx: Differential Diagnosis
  • Tx: Treatment
  • Rx: Prescription
  • H&P: History and Physical
  • Hx: History
  • CC: Chief Complaint
  • HPI: History of Present Illness
  • ROS: Review of Systems
  • PMHx: Past Medical History
  • FHx:Family History
  • NKDA: No Known Drug Allergies
  • PE: Physical Exam
  • Pt: Patient
  • y/o: Years Old
  • h/o: History of
  • PCP: Primary Care Provider
  • f/u: Follow-up

Symbols

  • (M): Male
  • (F): Female
  • (R): Right
  • (L): Left
  • (B): Bilateral

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Related Documents

Medical Abbreviations PDF

Description

This lesson covers common abbreviations used in healthcare facilities and on health records. Learn what each abbreviation stands for to improve your understanding of medical terminology. The abbreviations are categorized by usage location.

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