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Questions and Answers
What does 'PM' refer to in medical terminology?
What does 'PM' refer to in medical terminology?
- Physical Medicine
- 12 noon to Night (correct)
- Patient Management
- Post Mortem
What is the purpose of 'PROM' in patient care?
What is the purpose of 'PROM' in patient care?
- To facilitate joint exercises (correct)
- To provide physical therapy
- To monitor vital signs
- To assess patient symptoms
Which abbreviation indicates medication needs to be taken as necessary?
Which abbreviation indicates medication needs to be taken as necessary?
- P.r.n (correct)
- SBA
- T.i.d
- q.i.d
What does 'SOB' signify in a medical context?
What does 'SOB' signify in a medical context?
The abbreviation 'VS' is commonly used to denote what?
The abbreviation 'VS' is commonly used to denote what?
What does the abbreviation ADL stand for?
What does the abbreviation ADL stand for?
What does NPO indicate in a medical context?
What does NPO indicate in a medical context?
Which of the following abbreviations refers to a stroke?
Which of the following abbreviations refers to a stroke?
What does the abbreviation DTA mean in a healthcare setting?
What does the abbreviation DTA mean in a healthcare setting?
What is indicated by the abbreviation b.i.d?
What is indicated by the abbreviation b.i.d?
What does the term HOB refer to in a clinical setting?
What does the term HOB refer to in a clinical setting?
In medical documentation, what does C/O stand for?
In medical documentation, what does C/O stand for?
What does the abbreviation AEB signify in healthcare documentation?
What does the abbreviation AEB signify in healthcare documentation?
Flashcards
PM
PM
12 noon to Night
q.i.d
q.i.d
4 times per day
PROM
PROM
Passive Range of motion
P.r.n
P.r.n
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TC & DB
TC & DB
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Study Notes
Abbreviations in Medical Records
- A or Ax: Axillary (armpit) temperature
- AROM: Active Range of Motion (exercises the resident does themselves)
- a.c.: Before Meals
- ADL: Activities of Daily Living (common hygiene practices)
- Ad lib: At Liberty (eating as much as desired)
- AEB: As evidence by (documenting evidence for an event)
- A.M.: Midnight to noon
- B&B: Bowel and Bladder program (plan for bathroom assistance)
- b.i.d.: Twice a day
- BKA: Below Knee Amputation
- BM: Bowel Movement
- BP: Blood Pressure
- BRP: Bathroom Privileges (pattern for going to the bathroom)
- C: With (e.g., C with a line above—come)
- C.C: Cubic Centimeter
- C/O: Complains of
- CVA: Cerebrovascular Accident (Stroke)
- CMS: Circulation, motion, sensitivity (assessment of vascular and neurological health)
- DTA: Diet as tolerated (advancing diet after surgery)
- DNR: Do not resuscitate (written order from a doctor)
Additional Abbreviations
- h/hr: Hour
- H2O: Water
- HOB: Head of bed (with degrees of elevation)
- HOH: Hard of hearing
- H.s.: Bedtime/hours of sleep
- Ht.: Height
- I & O: Intake and output
- MI: Myocardial Infarction (heart attack)
- Na: Sodium
- NKA: No known allergies
- NPO: Nothing by mouth
- PO: Oral (by mouth)
- O2: Oxygen
- OT: Occupation Therapy
- Oz: Ounce
- P.c.: After meals
- Peri: Perineal
- PM: 12 noon to Night
- PT: Physical Therapy
- P.r.n.: As needed
- PROM: Passive Range of Motion (exercises for joints)
- Px: Physical examination
- q: Every
- q.d: Every day
- q.h: Every hour
- q.4.h: Every 4 hours
- q.i.d: Four times per day
- R: Rectal (temperature)
- Rt: Right
- SBA: Stand by Assist
- Sx: Symptoms
- S with line on top: Without
- SOB: Shortness of breath
- Stat: Immediately
- TC & DB: Turn, cough, and deep breaths
- T.i.d: Three times per day
- TPR: Temperature, pulse, and respiration
- Tx: Treatment
- VS: Vital sign
- W/C: Wheelchair
- Wt: Weight
- <-->: Less than or greater than
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