Nursing charting abbreviations – Flashcards
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and
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&
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at
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@
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before
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a
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of each
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aa
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abdomen
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abd
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before meals
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ac
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activities of daily living
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ADL
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as desired
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ad lib
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admitted, admission, administrator
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adm
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above the knee amputation
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AKA
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morning
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AM
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against medical orders
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AMA
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ambulatory, ambulated
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amb
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ampule
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amp
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amount
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amt
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anterior-posterior diameter
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A-P
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apical pulse
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AP
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approximately
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approx
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as soon as possible
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ASAP
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axillary (armpit)
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ax, A
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barium enema
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BE
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twice daily
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bid
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bowel movement
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BM
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blood pressure
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BP
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bed rest
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BR
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bathroom privileges
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BRP
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breath sounds; blood sugar; bed side; bowel sounds
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BS
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centigrade
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C
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calcium
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Ca
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cancer, carcinoma
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CA, ca
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computerized axial tomography
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CAT or CT
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catherer
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cath
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complete blood count
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CBC
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chronic brain syndrome
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CBS
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cubic centimeter
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cc
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coronary care unit
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CCU
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carbohydrate
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CHO
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central nervous system
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CNS
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complains of
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c/o
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concentrated
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conc
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continous
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cont
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culture and sensitivity
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C & S
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cerebrospinal fluid
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CSF
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central supply room
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CSR
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cystoscopy examination
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Cysto
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dextrose 5% in water
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D5W
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dextrose 5% in normal saline
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D5NS
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dextrose 5% in 0.45 normal saline
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D51/2NS
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dextrose 5% in Ringer's lactate
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D5RL
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diet as tolerated
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DAT
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discontinued
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dc'd, DC, disc
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digoxin
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dig
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dead on arrival
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DOA
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dressing
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drsg
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diagnosis
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Dx
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electrocardiogram
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ECG,EKG
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emergency department
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ED
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iron
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Fe
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fracture
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Fx
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gallbladder
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GB
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fahrenheit
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F
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gastrointestinal
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GI
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gram
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g
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general practitioner
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GP
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grain
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gr
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drops
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gtt
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genitourinary
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GU
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gynecology
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GYN
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hour
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h, hr
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hematocrit
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hct
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mercury
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Hg
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hemoglobin
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Hgb, hgb
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water
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H2O
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height
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ht
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history
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Hx
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intramuscular
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IM
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incontinent, increase
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inc
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intake and output
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I & O
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In and out catherization
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I & O cath
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involuntary
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invol
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irregular
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irreg
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irrigation
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irrig
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intravenous
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IV
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intravenous fluids
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IVF
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potassium
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K
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kilogram
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kg
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liter
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l, L
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left
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L, lt
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laparotomy
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lap
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left lower extremity
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LLE
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level of consciousness
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LOC
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lumbar puncture
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LP
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licensed vocational nurse
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LVN
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left upper extremity
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LUE
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microgram
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mcg
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meter
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m
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medication, medium
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med
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milliequivalent
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mEq
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milliequivalent per liter
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mEq/L
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milligram
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mg
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middle
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mid
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minute
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min
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milliliter
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mL, ml
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millimeter
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mm
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moderate
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mod
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may repeat times one
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MRx1
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nitrogen, normal
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N
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not available/applicable
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N/A
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nurses assistant
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NA
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sodium
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Na
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nasogastric
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NG
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nurses order
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NO
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at night (nocturnal)
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noc
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nurse practitioner
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NP
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nothing by mouth
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NPO
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normal saline
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NS, N/S
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not sufficient quantity
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nsq
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nausea and vomiting
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N & V
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non weight bearing
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NWB
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none
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0, 0
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oxygen
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O2
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out of bed
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OOB
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operating room
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OR
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ordered
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ord
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orthopedics
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Ortho
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occupational therapy
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OT
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per or via rectum
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PR
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after
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p
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pulse
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P
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pathology
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Path
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after meals
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pc
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physical exam
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PE
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pediatrics
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Ped(s)
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by or through
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per
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perineal, perineum
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peri
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hydrogen ion concentration
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pH
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afternoon
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PM
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phone order
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PO
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by mouth (per os)
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po
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post operative(ly)
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post op
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pre medication
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pre med
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pre operative(ly)
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pre op
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preparation
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prep
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when necessary
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prn
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problem
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prob
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psychiatry; psychology psychiatric
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psych
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patient
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pt, Pt
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physical therapist
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PT
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every
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q
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four times a day
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qid
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quantity not sufficient
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qns
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quantity sufficient
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qs
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right; respiration; rectal
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R
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red blood cells
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RBC, rbc
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regular
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reg
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request
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req
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right and left
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R & L
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right lower extremity
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RLE
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registered nurse
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RN
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rule out
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R/O
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range of motion
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ROM
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respiratory rate
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RR
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radiation therapy; respiratory therapy; recreational therapy
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RT
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right
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Rt, rt
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right upper extremity
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RUE
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take, therapy, prescription
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Rx
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subcutaneous
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SC
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seriously ill
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SI
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slight
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sl
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small
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sm
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shortness of breath
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SOB
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specimen
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spec
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specific gravity
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SG, SPG, Sp gr
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solution
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soln
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soap solution, soap suds
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SS
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at once, immediately
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stat
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straight
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Str
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sublingual
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sub ling
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subcutaneous
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sub q
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suspension
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susp
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symptoms
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Sx
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times
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x
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tablet
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tab
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tuberculosis
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TB, TBC
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tablespoon
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tbsp
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turn, cough & deep breath
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TCDB
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temperature
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temp
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three times a day
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tid
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to keep open
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TKO
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telephone order
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TO
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tolerated
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tol
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temperature, pulse and respiration
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TPR
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trace
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tr
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tracheostomy
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trach
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teaspoon
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tsp
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treatment
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Tx
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urinalysis
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U/A, UA
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upper respiratory infection
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URI
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urinary tract infection
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UTI
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vaginal
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vag
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by or through
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via
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vital signs
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VS, vs
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while awake
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W/A
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white blood cells
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WBC
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within normal limits
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WNL
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weight
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Wt
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except
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x
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arteriosclerotic heart disease
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ASHD
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laboratory
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Lab