Medical Abbreviations: Medication & EMR

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Questions and Answers

What does the abbreviation 'QOD' stand for in medical prescriptions, and how does it differ from 'QD'?

'QOD' stands for every other day, whereas 'QD' stands for every day.

Explain when a medication prescribed 'AC' should be administered in relation to meals.

'AC' means before meals.

If a medication order reads 'PRN', how should the nurse or healthcare provider determine when to administer the medication?

'PRN' means as needed; the medication should be administered based on the patient's need.

Describe the difference between 'IM' and 'SC' routes of medication administration.

'IM' refers to intramuscular injection, while 'SC' refers to subcutaneous injection. Signup and view all the answers

Translate the medical instruction 'NPO' into layman's terms and explain why this order might be given to a patient.

'NPO' means nothing by mouth. This order might be given before a surgery or a medical procedure to reduce the risk of aspiration. Signup and view all the answers

What does 'CMS' stand for in medical documentation, and why is it important to assess this regularly?

'CMS' stands for circulation, motor, and sensory function. Regular assessment helps monitor nerve function, and blood flow. Signup and view all the answers

Explain what 'ROM' refers to in patient assessment, and provide an example of why a therapist might be interested in this measurement.

'ROM' refers to range of motion. A therapist might be interested in this measurement to track recovery progress after joint replacement surgery. Signup and view all the answers

In medical charting, what does 'CC' indicate, and how does it guide the initial stages of a patient's evaluation?

'CC' indicates chief complaint, which directs the initial questioning and examination to understand the patient's primary health concern. Signup and view all the answers

Describe the significance of documenting 'I/O' in a patient's chart, and give an example of a situation where accurate 'I/O' monitoring is crucial.

'I/O' refers to input and output. Accurate monitoring is crucial for patients with heart failure or kidney disease to manage fluid balance and assess kidney function. Signup and view all the answers

What does 'S/P' stand for in a patient's medical history or chart, and provide an example of how it might be used?

'S/P' stands for status post operation. It might be used to document a patient's condition after a surgery, such as 'S/P appendectomy'. Signup and view all the answers

Explain what the abbreviation 'OPD' means in a hospital setting, and contrast it with inpatient care.

'OPD' stands for outpatient department, where patients receive treatment without being admitted to the hospital, unlike inpatient care. Signup and view all the answers

What immediate actions might a healthcare provider take upon learning that a patient is a 'TA'?

'TA' stands for traffic accident. Immediate actions may include assessing for injuries, stabilizing the patient, and initiating appropriate medical interventions. Signup and view all the answers

What does 'ABR' mean in regards to a patient's care plan, and what conditions might warrant this?

'ABR' stands for absolute bed rest. This might be warranted for conditions such as severe spinal injuries or unstable fractures to promote healing and prevent further injury. Signup and view all the answers

Explain the purpose of 'AST' and what a positive result might indicate.

'AST' means after skin test. A positive result might indicate an allergic reaction or sensitivity to the tested substance. Signup and view all the answers

What is `rule out (R/O)` in medical terms?

<code>Rule out (R/O)</code> is a diagnostic process where a doctor tries to eliminate possible conditions or diseases to arrive at the correct diagnosis. Signup and view all the answers

What are the advantages of intradermal injections (ID)?

Intradermal injections are beneficial for allergy testing and TB tests. This is because the reaction to the injected material is easily visible. Signup and view all the answers

Which medical term refers to the volume of water consumed by a patient?

The term that refers to consumption of water by a patient is <code>SOW</code> or Sips of Water. Signup and view all the answers

Why are injection sites normally rotated?

Injection sites are rotated to avoid lipodystrophy, skin thickening or pitting, and ensure proper absorption of medication. It also minimizes discomfort and irritation at any single site. Signup and view all the answers

If a patient has a rash then has `S/O` what does that mean in medical terms?

It cannot be determined that patient has a rash and had a <code>S/O</code>. <code>Rash</code> and <code>S/O (Stitch Out)</code> are two separate and independent observations. Signup and view all the answers

If a doctor writes `f/u`, what does this mean in medical terms?

<code>f/u</code> is a medical term that means <code>follow up</code>. Signup and view all the answers

Flashcards

PO (Per oral)

Administered orally

QD

Once a day