used in Medical Records
Prohibited abbreviations never to be used in the medical record
U Unit Mistaken as zero, four or cc
IU International Unit Mistaken as IV or 10
Q.D. (QD, qd, q.d.)
Q.O.D. (QOD, qod, q.o.d.)
Daily Every other day Mistaken for each other.  The period after the Q can be mistaken for “I” and the “O” can be mistaken for “I”.
Trailing zero (X.0 mg) Never write a zero by itself after a decimal point (X mg) Decimal point is missed
Lack of leading zero (.X mg) Always use a zero before a decimal point (0.X mg) Decimal point is missed
MS, MS04, MgS04 Morphine or magnesium Confused for one another. 
Can mean morphine or magnesium sulfate
ug mcg Mistaken for mg (milligram), resulting in one thousand fold overdose
c.c. ml for milliliters Mistaken as U (units) when poorly written
AS, AD, AU, OS, OD, OU Left ear, right ear, both ears, left eye, right eye, both eyes Mistaken for each other (AS for OS, AD for OD, etc.)
Ambivalent duration (such as bid x 10 d) “doses” or “days” Unclear if (d) means doses or days

P Psychiatric
@ At
& And
ā Before
Δ Change
Δ'd Changed
Δ's Changes
√('d) Check (ed)
Decreased; lowered; down
= Equals
> Greater than
 ' Foot
" Inches
Increased; elevated; up
< Less than
% percent
- Negative
W No, none
Ť One
1:1 One-to-one therapy
+ Positive
// parallel bars
? Question, unknown
ŤŤŤ Three
to from
ŤŤ Two
ċ With
ś Without
(R) Rectal
(s) Supervision
° Degree
1° AVB First Degree Atrio-Ventricular Block
1st First
2D Echo Two Dimensional Echocardiogram
2° AVB Second Degree Atrio-Ventricular Block
2nd Second
3° AVB Third Degree Atrio-Ventricular Block
3rd Third
4th Fourth
4x4 4 inch by 4 inch sterile gauze dressing
5th Fifth
A Assistance
AA Alcoholics Anonymous
AAA Abdominal Aortic Aneurysm
AAROM Active Assisted Range of Motion
Abx Antibiotics
AB Abortion
Ab Antibody
Ab Scrn Antibody Screen
Abd Abdomen
ABG Arterial blood gases
ABR Auditory Brainstem Response
AC Auditory Comprehension
ac Before meals
Acc Accuracy
Accel Acceleration
ACE Angiotensin Converting Enzyme
ACL Anterior cruciate ligament
ACLS Advanced Cardiac Life Support
ACS Acute Coronary Syndrome
ad lib At will
ADA American Diabetic Association
ADB Admission Data Base
Add Adduction
ADHD Attention Deficit Hyperactive Disorder
ADL Activities of daily living
adm Admitted as in-patient
adol Adolescent
ADP Adolescent Day Program
AE Adaptive Equipment
afeb Afebrile
AFL Atrial Flutter
AFO Ankle - Foot Orthosis
AFP Alpha Feto-Protein
AG Abdominal Girth
AGA Average/Appropriate for Gestation
AH Auditory Hallucinations
AHR Apical heart rate
AI Aortic Insufficiency
AICD Automatic Implantable Cardioverter Defibrillator
AIDS Acquired immune deficiency syndrome
AIMS Abnormal Involuntary Movement Scale
AJ Ankle jerk
AK Above knee
AKA Above-knee amputation
AKI Acute Kidney Injury
AlA Arthroscopy / arthrotomy
AlC Acromioclavicular
ALRI Anterior lateral rotatory instability
ALS Advanced Life Support
AM Morning
AMA Against Medical Advice
amb Ambulatory
AMI Acute Myocardial Infarction
Amnio Amniocentesis
amp Ampule
AMRI Anterior medial rotatory instability
amt Amount
anes Anesthesiology/Anesthesia
Angio Angiogram
ANS Autonomic Nervous System
ant Anterior
A&O Alert & Oriented
A&P Auscultation and Percussion
AO Aorta
AODM Adult Onset Diabetes Mellitus
AP Anterior-posterior
A/P Repr Anterior Posterior Repair
AP & Lat Anteroposterior & Lateral
APB Abductor Pollicis Brevis
APL Abductor Pollicis Longus
approp Appropriate
approx Approximately
appt Appointment
Appy Appendectomy
APRN Advanced Practice RN
APS Adult Protective Services
aq Aqueous
AR Aortic Regurgitation
ARDS Adult/Acute Respiratory Distress Syndrome
ARF Acute Renal Failure
AROM Active Range of Motion
art Arterial
AS Aortic Stenosis
as tol As Tolerated
ASA Aspirin, Acetylsalicylic Acid
ASAP As soon as possible
ASCVD Arteriosclerotic Cardiovascular Disease
ASD Atrial Septal Defect
ASHD Arteriosclerotic heart disease
AT Activities therapy
ATC Activity Therapy Clinician
at fib Atrial fibrillation
ATA Atmosphere Absolute
ATB Antibiotics
ATN Acute Tubular Necrosis
ATT Anterior tibial tendon
attn Attention
ATV All Terrain Vehicle
aud Audible
aug Augmentation
AV Atrioventricular
avg Average
AVR Aortic Valve Replacement
Ax Axillary
B Both
B/B Bowel and bladder
BBOW Bulging Bag of Water
B/O Because of
Bo Bottle
BA Brachial Artery
bal Balance
BB Backward Bending
BBB Bundle Branch Block
BBS(CE) Bilateral Breath Sounds Clear & Equal
b/c because
BCC Basal Cell Carcinoma
BCG Bacille Calmette-Guerin
BCLS Basic Cardiac Life Support
BCS Behavioral Care Services (Psych)
BE Barium Enema
Bf Boyfriend
BG Blood Glucose
B-HCG Beta Human Chorionic Gonadotropin
bid Twice a day
bil Bilateral
Bili Bilirubin
Bio Biological
BIS Bispectral Index
BIT Behavioral Inattention Test
BK Below knee
BKA Below-knee amputation
BKO Below Knee Orthosis
Bld Blood
Bld Cult Blood Culture
bldng Bleeding
BLS Basic Life Support
BM Bowel movement
BMI Body Mass Index
BMR Basal Metabolism Rate
BMT Bilateral myringotomy tubes
BNA Brief nutritional assessment
BOH Back of Hand
BOS Base of Support
BOW Bag of water
B/P Blood pressure
BPD Bi-Parietal Diameter
BPH Benign prostatic hypertrophy
BPM Beats per minute
BPP Bilateral pedal pulse
Br Breast
Br-Hold Breath Hold
br sounds Breath Sounds
Brady Bradycardia
BRB Bright Red Blood
bro Brother
BRP Bathroom Privileges
BS Bowel Sounds
B/S Bedside
BSA Body Surface Area
BSC Bedside commode
BSO Bilateral salpingo oophorectomy
Bst Boost
Bst+ Boost plus
BTL Bilateral Tubal Ligation
BUFA Baby Up For Adoption
BVM Bag Value Mask
bwd Backward
bx Biopsy
c Cup
C Cervical (with vertebral level)
C/A Cardiac and Apnea
C/D Clean and Dry
C/D/I Clean, Dry & Intact
c/o Complain of
CA Cancer
CABG Coronary artery bypass graft
CAD Coronary Artery Disease
Cal Calorie
calc Calculation
calib Calibration
Cap Capsule
CAPD Continuous Ambulatory Peritoneal Dialysis
cath Catheter (ization)
CAVH Continuous Arterio-venous Hemofiltration
CBC Complete blood count
CBI Continuous bladder irrigation
CC Chief Complaint
CCLS Certified Child Life Specialist
CCMS Clean catch mid stream
CCTA Cardiac CT Angiography
CDI Child Depression Inventory
CDP Child Day Program
oC Degree Centigrade
ceph Cephalic
cerv Cervical
CF Cystic Fibrosis
CGA Corrected Gestational Age
Cgh Cough
Ch Chair
CHA Community Hospital Anderson
CHD Congenital heart disease
CHE Community Hospital East
Chemo Chemotherapy
CHF Congestive heart failure
CHI Community Hospital Indianapolis
CHN Community Hospital North
CHO Carbohydrate
Chol Cholesterol
Chr Chronic
CHS Community Hospital South
CI Cardiac Index
CI/Comm Closed, comminuted
cine Cineangiogram
circ Circumcision
cl Clear
clav Clavicle
cldy Cloudy
CLRT Continuous lateral rotation therapy
CLS Community Living Skills
cm Centimeter
cmpd Compound
CMS Circulation, Motion, Sensation
CMV Cytomegalovirus
CNS Central Nervous System
CO Cardiac Output
COA Council on Aging
cog Cognitive
COLD Chronic obstructive lung disease
comf Comfortable
cond Condition
cong Congestion
cont Continue/continuous
contr Contraction
Conv Conventional
coor Coordination
COPD Chronic obstructive pulmonary disease
CP Chest Pain
CPAP Continuous Positive Airway Pressure
CPC Clinicopathological Conference
CPD Cephalopelvic Disproportion
CPM Continuous Passive Motion
CPP Cerebral Perfusion Pressure
CPR Cardiopulmonary resuscitation
CPS Child Protective Services
CPT Chest Physiotherapy
CR Cardiorespiratory
Crani Craniotomy
CRF Chronic Renal Failure
CRI Chronic Renal Insufficiency
CRIT Critical Care
crpt Croupette
CRRT Continuous Renal Replacement Therapy
C & S Culture & Sensitivity
C-Sect Cesarean section
CSII Continuous subcutaneous infusion insulin
CST Contraction Stress Test
CT Cat scan
CTA Computed Tomography Angiography
CTR Carpal Tunnel Release
CTS Carpal Tunnel Syndrome
cult Culture
CV Cardiovascular
CVA Cerebral Vascular Accident
CVAT Costovertebral Angle Tenderness
CVC Central venous catheter
CVD Cardiovascular Disease
CVP Central venous pressure
CVS Cardiovascular System
CVVH Continuous Venous-venous Hemofiltration
CVVHD Continuous veno-venous hemodialysis
CVVHDF Continuous Veno-venous Hemodiafiltration
cx Cervix
CXR Chest x-ray
Cysto Cystoscopy
d Day
DA Descending Aorta
DAP Data, Assessment, Plan
DAR Data, Action, Response
DAT Diet as tolerated
dau daughter
D & C Dilation & Curettage
DM Diabetes Mellitus
DP Dorsalis Pedis
dt Diphtheria, tetanus pediatric
D/O Disorder
D/l Dry & Intact
D/W Distilled water
D Dorsal (with vertebral level)
DW Dextrose (percent) in Water
DBP Diastolic Blood Pressure
DBS Dorsal Blocking Splint
DC(‘d) Discontinue(d)
DCA Directional Coronary Atherectomy
DCC Diabetes Care Center
DDX Desmethyldoxepin
deb Debridement
decel Deceleration
decomp Decompensate
decr Decreased
decub Decubitus
defib Defibrillation
dehy Dehydration
del Delivery
dept Department
Dex Dextrostix
DF Dorsiflexion
DI Diabetes Insipidus
DIC Desseminated Intravascular Coagulation
Dig. N. Digital Nerve
dil Dilatation
DIP Distal interphalangeal
dis Distal
disch Discharge(d)
Div Divorced
DJD Degenerative joint disease
dk Dark
DKA Diabetic ketoacidosis
dl. Deciliters
DLC Dual Lumen Catheter
dly Daily
DME Durable Medical Equipment
DNP Do Not Publish
DNR Do Not Resuscitate
DOA Dead on Arrival
DOB Date of Birth
DOE Dyspnea on exertion
DOOC Diabetes out of Control
DPT Diphtheria, Pertussis, Tetanus Toxide Vaccine
Dr. Doctor
drng Drainage
drsg Dressing
DSD Dry Sterile Dressing
DSM Diagnostic and Statistical Manual
DTR Deep Tendon Reflex
DTs Delirium Tremens
DTV Due to void
DUB Dysfunctional Uterine Bleeding
DVT Deep vein thrombosis
Dx Diagnosis
DYS Dysphagia
DYS1 Dysphagia level 1 diet
DYS2 Dysphagia level 1 diet
DYS3 Dysphagia level 3 diet
DYS4 Dysphagia level 4 diet
e (followed by a word) Indication for an electronic format; example eMAR
E Epidural
EFS Enterprise Flowsheet System
E-stim Electrical Stimulation
E S Extra Strength
eg For example
ESF External skeletal fixation
EA Emotions Anonymous
EAB Elective Abortion
EBL Estimated Blood Loss
EBM Expressed Breast Milk
ECCE Extracapsular cataract extraction
ECF Extended Care Facility
ECMO Extracoporeal Membrane Oxygenation
ECT Electro Convulsive Therapy
ED Emergency Department
EDB Extensor digitorum brevis
EDC Expected date of confinement
EDD Estimated date of delivery
EDO Emergency Detention Order
EEG Electroencephalogram
EF Ejection fraction
EFM Electronic fetal monitoring
EFW Estimated Fetal Weight
EGA Estimated Gestational Age
EGD Esophogastroduoenoscopy
EHL Extensor Hallucis Longus
EKG Electrocardiogram
elix Elixir
ELOS Estimated length of stay
EMG Electromyogram
EMS Emergency Medical System
EN Enteral nutrition
ENG Electronystagmogram
epith Epithelium
EPL Extensor Pollicis Lungus
EPS Extrapyramidal symptoms
ER External Rotation
ERCP Endoscopic retrograde cholangiopancreatography
ESRD End Stage Renal Disease
est Estimate
estab Establish
ESWL Extra-corporeal shock wave lithotripsy
ET Endotracheal
etc And so on
etiol Etiology
ETOH Alcohol
ETR Escape to Reality
ETS Elevated Toilet Seat
ETT Endotracheal Tube
ETX Evening Treatment
Ev Eversion
eval Evaluation
ex Exercise
exam Examination
excis Excision
expir Expiratory
ext External
oF Degree Farenheit
F Female
F.U.O. Fever of undetermined origin
F/C Foley Catheter
F/S Frozen section
F/U Follow Up
FA Femoral Artery
FAS Functional Assessment Score
FB Forward bending
FBS Fasting blood sugar
FCE Functional Capacity Evaluation
fdg Feeding
FDP Flexor digitorum profundus
FDS Flexor digitorum superficialis
fem Femoral
FES Functional electrical stimulation
FF Fat Free
FFFB Foot flat for balance
FFP Fresh frozen plasma
FFWB Flat Foot Weight Bearing
FH Family History
FHR Fetal heart rate
Fi02 Fractionated inspiratory oxygen
fib Fibrillation
FIM Functional Independence Measure
FL Full liquid diet
FLACC Face Legs Activity Cry Consolability
fld Fluid
flex Flexion
flr Floor
Flu Influenza
FM Fetal movement
FMLA Family Medical Leave
FOB Foot of bed
font Fontanel
for. body Foreign Body
FP Family Practice
FPB Flexor pollicis brevis
FPL Flexor pollicis longus
Fr French
freq Frequent
FROM Full range of motion
FS Full strength
FSE Fetal Scalp electrode
ft Foot/feet
ftp Finger tip
FTSB Full thickness skin burn
FTSG Full thickness skin graft
FTSL Full thickness skin loss
FTT Failure to thrive
FU Follow up
FUES Functional Upper Extremity Scale
FUES 1 Nonfunctional
FUES 2 Passive stabilizer
FUES 3 Shoulder < 90%, with no hand manipulation
FUES 4 Shoulder < 90% with gross hand manipulation
FUES 5 Shoulder> 90%, with gross hand manipulation
FUES 6 Shoulder < 90%, with fine hand manipulation
FUES 7 Shoulder> 90%, with fine hand manipulation
func Function
FunclEx Functional Exercise
FVC Forced Vital Capacity
FWB Full Weight Bearing
fwd Forward
Fx Fracture
g Gallop
G-tube Gastrostomy tube
GA General Anesthesia
GAF Global Assessment of Functioning
gav Gavage
GB Gallbladder
GBBS Group B Beta Strep
GCS Glasco Coma Scale
GE Graphic expression
GERD Gastroesophageal Reflux Disease
gest Gestation/Gestational
Gf Girlfriend
GFR Glomerular filtration rate
GI Gastrointestinal
GIFT Gamete-intrafallopian transfer
gm Gram
GMHC Gallahue Mental Health Center
GMHS Gallahue Mental Health Services
GPAB Gravida Para Abortion
gr Grain
gs Gluteal setting
GSW Gun Shot Wound
gtt(s) Drop(s)
GU Genitourinary
Gyn Gynecology
H&H Hemoglobin & hematocrit
H&P History and physical
h(r) Hour
HI Homicidal Ideation
HA Headache
HAL Hyperalimentation
HAS Hook Addendum Scale
HBO Hyperbaric oxygen
HBP High Blood Pressure
Hct Hematocrit
HCVD Hypertensive Cardiovascular Disease
HD Hemodialysis
HDR High Dose Radiation
HEENT Head, eyes, ears, nose, and throat
HEP Home exercise program
HF Heart Failure
HFOV High Frequency Oscillator Ventilator
HFV High Frequency Ventilation
Hgb Hemoglobin
HHC Healthy Heart Clinic
HHNK Hyperglycemic, hyperosmolar, non Ketotic coma
HIV Human Immunodeficiency
HL Heparin lock
HMD Hyaline membrane disease
HNP Herniated nucleus pulposus
HOB Head of bed
HOH Hard of hearing
HOPD Hospital Outpatient Department
HP Hotpack
HR Heart rate
HRC Hook Rehab Center
HS Hour of sleep/bedtime
HSV Herpes simplex virus
ht Height
HT Hubbard Tank
HTN Hypertension
hum Humidified
HUS Head Ultrasound
HVGS High Volt Galvanic Stimulation
HW Heparin well
Hx History
hyst Hysterectomy
I Independent
IA Intra - arterial
IABP Intra-aortic balloon pump
IAH Intra-abdominal hypertension
Ib Pound
IBD Inflammatory bowel disease
IBS Irritable bowel syndrome
IBW Ideal body weight
ICC Interdisciplinary Case Conference
ICH Intracranial hemorrhage
ICP Intracranial Pressure
ICS Intercostal space
I&D Incision & drainage
I0 Infectious disease
IDDM Insulin dependent diabetes mellitus
IDO Immediate Detention Order
IDDT Integrated Dual Diagnosis Treatment
ie That is
IEM Inborn errors of metabolism/Met Screen
I/E ratio Inspiratory to expiratory ratio
IF Intrafat
Ig Large
IJ Internal jugular
IlL Intermittent Infusion Lock
IM Intramuscular
IMA Internal mammary artery
Imp Impression
IMR Image intensifier
IMV Intermittent Mandatory Ventillation
in Inches
Inc Incubator
incont Incontinent
INCR Increase
ind Induction
inf Inferior
info Information
INH Isoniazid
inj Injection
IOAP Intensive Outpatient Addictions Program
IOP Intensive Outpatient Program
Inpt Inpatient
insp Inspiratory/Inspiration
inspec Inspection
int Interior
Int PPD Intermediate purified protein derivative
I&0 Intake and Output
IO Intraosseous
IOL Intraocular lens
ionto IontophoresIs
IP Interphalangeal
IPPB Intermittent positive pressure breathing
IR Internal rotation
Irreg Irregular
Irrig Irrigation
IS Incentive spirometry
ITB Iliotibial band
IUD Intrauterine device
IUFD Intrauterine fetal demise
IUGR Intrauterine growth retardation
IUM Intrauterine monitoring
IUP Intrauterine pregnancy
IUPC Intrauterine pressure catheter
IV Intravenous
IVC Inferior vena cava
IVCD Intraventricular Conduction Delay
IVF In vitro fertilization
IVH Intraventricular hemorrhage
IVP Intravenous pyelogram
IVPB Intravenous piggy back
IVSS Intravenous soluset
J tube Jejunostomy (feeding) tube
JP Jackson - Pratt
jt Joint
jug Jugular
JVD Jugular vein distension
KAFO Knee ankle foot orthosis
Kcal Kilo calories
kg Kilogram
KJ Knee Jerk
KO Keep open
KPH Key point handouts
KS Kaposi's Sarcoma
KVO Keep vein open
L Liter
L&D Labor and delivery
L&W Living and Well
LOM Left otitis media
L/3 Lower one-third
L Lumbar (with vertebral level)
LA Left atrium/atrial
lAB Intra-aortic Balloon
lab Laboratory
lac Laceration
LAD Left anterior descending
LAO Left anterior oblique
lap Laparotomy
lap chole Laparoscopic cholecystotomy
LAQ Long arc quad
lat Lateral
LBBB Left bundle branch block
LBP Low back pain
LBW Low Birth Weight
LCA Left coronary artery
LCL Lateral collateral ligament
LCS Low continuous suction
LCX Left circumflex
LDR Labor Delivery Recovery Room
LDRP Labor, Delivery, Recovery, & Post Partum
LE Lower extremity
LGA Large for gestational age
LGF Low grade fever
LHF Left heart failure
liq Liquid
LIS Low intermittent suction
LKS Liver, kidneys, spleen
LLE Left lower extremity
LLL Left lower lobe - lung
LLQ Left lower quadrant
LLSB Left lower sternal border
LLT Left lateral thigh
LMD Local Medical Doctor
LMP Last menstrual period
LND lymph node dissection
Lo Nutr Low nutrient
LOA Left occiput anterior
LOB Loss of balance
LOC Level/loss of consciousness
LOP Left occiput posterior
LOS Length of stay
LP Lumbar puncture
LPA Left pulmonary artery
LPO Left posterior oblique
LPPC Leukocyte poor packed cells
LR Lactated ringers
LRM Lateral rectus muscle
LS Lumbo sacral (vertebra)
Lt Left
LTC Laparoscopic tubal
LTG Long term goal
LTL Laparoscopy tubal cauterization
LTM Long term memory
LTV Long term variability
LUE Left upper extremity
LUL Left Upper Lobe (lung)
LUOQ Left upper outer quadrant
LUQ Left upper quadrant
LV Left ventricular
LVH Left ventricular hypertrophy
Lytes Electrolytes
M Male
M1 Mitral first
MA tube Miller-Abbot tube
MA-1 Manual assisted respirator
MAAS Motor Activity Assessment Scale
MAE Moves all extremities
Mall Malleolus
Mammo Mammogram
MAO Monoamine oxidase
MAP Mean arterial pressure
MAR Medication administration record
MAS Meconium Aspiration Syndrome
MAW Metabolic active weight
max Maximal assistance
MBS Modified Barium Swallow
MCC Maternity Care Center
mcg Microgram
MCJ Metacarpal joint
MCL Medial collateral ligament
MCPJ Metacarpophalangeal joint
MD Muscular Dystrophy
MDI Metered dose inhaler
MDD Major Depressive Disorder 
MDN Multi-disciplinary Note
MDTP Multidisciplinary Treatment Plan
meas Measure
mech Mechanics
med Medicine/Medication
memb Membranes
mEq Millequivalent
mets Metastasis(es)/metastatic
Met Screen Metabolic Screen
MFR Myofascial release
mg Milligram
mgmt Management
Mgr Manager
MHC Mental Health Clinic/Clinician
MI Myocardial infarct(ion)
min Minute
ML Midline
ml Milliliter
MLC Midline Catheter
mM Milli mole
mm Millimeter
MMPI Minnesota multiphasic personality inventory
MMR Measles, mumps, & rubella vaccine
MMT Manual muscle test
MN Midnight
MNT Medical Nutrition Therapy
mo(s) Month(s)
mob Mobilization
mod Moderate
MOF Matter of Fact
MOM Milk of Magnesia
MOW Meals - On - Wheels
MPA Main pulmonary artery
MR Mitral regurgitation
mr may repeat
MRA Magnetic Resonance Angiography
MRDD Mental Retardation Developmentally Disabled
MRI Magnetic resonance imaging
MRM Medial rectus muscle
MRMT Minnesota Rate of Manipulation
MRSA Methicillin Resistant Staph Aureus
MS Multiple Sclerosis
M/S Medical/surgical
MSE Mental Status Exam
MSF Meconium stained fluid
MSLT Multiple Sleep Latency Test
MSOF Multiple system organ failure
MT Metatarsal
MTP Metatarsophalangeal
MTPJ Metatarsophalangeal joint
MUGA Multi-Gated Acquisition Scann
mur Murmur
MVA Motor vehicle accident
MVC Motor vehicle crash
mvmt Movement
MVPT Motor free visual perception test
MVR Mitral valve replacement
MWT Maintenance of Wakefulness Test
NOS Not otherwise specified
N/A Not applicable
N/V Nausea-vomiting
N/V/D Nausea/Vomiting/Diarrhea
NAD No apparent distress
NAS No Added Salt
NBN Newborn nursery
NBQC Narrow base quad cane
NBS Newborn Screen
NC Nasal Cannula
ND No Demands
NDT Neurodevelopmental treatment
neb Nebulizer
nec Necessary
NED No evidence of disease
neg Negative
neuro Neurology/neurological
NG Naso-gastric
NICU Newborn Intensive Care Unit
NIDDM Non-insulin dependent diabetes mellitus
NIF Negative inspiratory force
NIHSSm National Institute for Health Stroke Scale modified
nil None
NKA No known allergies
NKDA No known drug allergies
nm Nanometer
NMB Neuromuscular blockade
nn. Nerve
NNP Neonatal Nurse Practitioner
NOB No other brand
noc Night
norm Normal
NP Nasopharyngeal
NPC Non productive cough
NPH Isophane Insulin Suspension
NPO Nil per os - nothing by mouth
NPP Nursing policy and procedure
NRB Non rebreather
NRP Neonatal Resuscitation Program
NRT Neonatal Resuscitation Team
NS Normal Saline
NSAID Non steroidal anti-inflammatory drug
nsg Nursing
NSR Normal sinus rhythm
NST Non-stress test
NT Not tested
NTG Nitroglycerin
NVC's Neurovascular checks
NWB Non-weight bearing
O Objective
O2 Oxygen
OA Osteoarthritis
OATL Open achilles tendon lengthening
OB Obstetrics
OBRR Obstetrical Recovery Room
OBS Organic Brain Syndrome
obsv. Observation
OC Open Crib
occ Occasional
occl Occlusive
OCD Obsessive Compulsive Disorder
OCT Oxytocin challenge test
OD Overdose
OFC Occipto-frontal circumference
OG Orogastric
OH Open heart
OHA Oral hypoglycemic agent
oint Ointment
OJ Orange juice
OK Okay
Oligo Oligohydramnios
OM Oral motor
onc Oncology
OOB Out of bed
OP Outpatient
OPD Outpatient department
ophth Ophthalmic
OPSG Overnight Polysomnogram
OPSM Outpatient sports medicine
OR Operating room
ORIF Open reduction, internal fixation
Ortho Orthopaedic
OSA Obstructive Sleep Apnea
OT Occupational therapy
OTA Open to air
OTC Over the counter
ox Oximetry
oz Ounce
P Pulse
P02 Partial pressure 02
P2 Pulmonic second heart sounds
P/A Posterior/Anterior
PA Pulmonary artery
PAC Premature atrial contraction
PACU Post anesthesia care unit
PAT Paroxysmal atrial Tachycardia
PB Piggyback
PC02 Partial pressure CO2
PCA Patient controlled analgesia
pc After meals
PC Packed cells
PCC Pediatric Care Center
PCL Posterior cruciate ligament
PCN Penicillin
PCP Patient Care Pathway
PCU Progressive care unit
PCWP Pulmonary capillary wedge pressure
PD Peritoneal dialysis
PDA Patent ductus arteriosis
PDD Pervasive Developmental Disorder
PE Pulmonary Embolus/Emboli
PEARL Pupils equal and reactive to light
Peds Pediatrics
PEEP Positive End Expiratory Pressure
PEG Percutaneous Endoscopic Gastrostomy
per Through/by
PERL Pupils equal, react to light
PERLA Pupils equal, react to light and accommodation
PERRLA Pupils equal round reactive to light and accommodation
PFC Persistent fetal circulation
PFT Pulmonary Function Test
PGAb Para Gravida Abortion
PH Past history
phono Phonophoresis
PHP Partial Hosp Program
PI Present illness
PICC Peripherally Inserted Central Catheter
PICU Psychiatric Intensive Care Unit
PID Pelvic inflammatory disease
PIH Pregnancy induced hypertension
Pit Pitocin
PIP Proximal interphalangeal
PJC Premature junctional contraction
PLRI Posterior lateral rotatory instability
PlV Peripheral Intravenous
PLM Periodic Limb Movement
PM Afternoon/evening
PMH Past medical history
PMI Point of maximal impuse
PMS Premenstrual syndrome
PNA Patient not available
PNC Premature nodal contraction
PNP Patient Not Present
po Per os
POC Point of Care
POCU Preoperative Care Unit
POD Post-operative day(s)
poplit Popliteal
pos Positive
Post Posterior
post-op After surgery
post. tib Posterior tibial
PP Post partum
P&P Policy and Procedure
pp Post prandial
PPD Purified Protein Derivative
PPF Plasma protein fraction
PPHN Persistent Pulmonary Hypertension
PPL Post partum ligation
PPM Permanent Pacemaker
PPN Peripheral parenteral nutrition
PPP Palpable pedal pulses
PPV Positive Pressure Ventilation
PR Per rectum
pre-op Before surgery
prec Precautions
preg Pregnant
premie Premature infant
prep Prepare for
prev Previous
prn As required
PROM Passive range of motion
prox. Proximal
PS Pressure sore
Psych Psychiatry
pt. Patient
PT Physical therapy
PTA Prior to admission
PTCA Percutaneous Transluminal Coronary Angioplasty
PTL Preterm labor
PTP Post tibial pulse
PTSB Partial thickness skin burn
PTSD' Post Traumatic Stress Disorder
PTSL Partial thickness skin loss
PUD Peptic ulcer disease
Pulm Pulmonary
PV Pulmonary vein
PVC Premature ventricular contraction
PVR Pulmonary vascular resistence
PWB Partial weight bearing
PZI Protamine zinc insulin
q Every/each
qh Every hour
qid Four times a day
qs A sufficient quantity
QIP Quality improvement process
QLC Quadrilumen catheter
qt Quart
quant. Quantative
R Respiration
ROM Right otitis media
RT Recreational therapy
R/A Room air
r/o Rule out
rad Unit of absorbed radiation
RAT Right anterior thigh
RAV Readback and verified
RBBB Right bundle branch block
RC/S Repeat Cesarean Section
RCA Right coronary artery
RD Retinal detachment
RDA Recommended daily allowance
RDI Reference daily intake
RDS Respiratory distress syndrome
re Regarding
Rec Recommendation
rec'd Received
reg Regular
rehab Rehabilitation
REM Rapid Eye Movement
reps Repetitions
Resp Respirations
Resp T Respiratory Therapy
ret'd Returned
retr Retraction
Rh.A Rheumatoid arthritis
RHC Respirations have ceased
RHD Rheumatic heart disease
RHF Right heart failure
RL Rotation left
RLE Right lower extremities
RLL Right lower lobe (lung)
RLQ Right lower quadrant
RLS Restless Leg Syndrome
RLT Right lateral thigh
RME Right mediolateral episiotomy
RML Right middle lobe (lung)
RNWNP Restricted No Work No Play
RO Reality orientation
ROA Right Occiput anterior
ROM Range of motion
ROP Right occiput posterior
RPA Right pulmonary artery
RR Recovery room
RROM Resisted range of motion
RSV Respiratory Synctial Virus
Rt Right
RTC Return to clinic
RUE Right upper extremity
RUL Right upper lobe (lung)
RUOQ Right Upper Outer Quadrant
rupt Ruptured